Journal
DISABILITY AND REHABILITATION
Volume 31, Issue 19, Pages 1584-1591Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/09638280802639004
Keywords
ICF; facilitators; barriers; stroke
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Funding
- Swedish Research Council [K2002-27-VX14318-01A]
- Wilhelm and Martina Lundgren Foundation
- Swedish Association of Persons with Neurological Disabilities ( NHR)
- Norrbacka-Eugenia Foundation
- Foundation of the Swedish Stroke Association
- John and Brit Wennerstrom Foundation of Neurological Research
- Vastra Gotalands Handicap Committee
- Hjalmar Svensson Foundation
- Greta and Einar Asker Foundation
- Praktikertjanst AB
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Purpose. To identify facilitators and barriers among persons with first-ever stroke discharged to the home in the first 3 months post-stroke by means of ICF categories. Method. Stroke survivors were interviewed using semi-structured questions based on the ICF categories of Environmental factors of the Comprehensive ICF Core Set for Stroke (extended version) at 6 weeks and at 3 months post-stroke. Results. The study sample exists of 67 stroke survivors with an average age of 71 years (51% women). Eleven environmental factors from the ICF chapters 'support and relationship', 'products and technology' and 'services, systems and policies' were experienced to be facilitators and only 'physical geography' was experienced as a barrier by 50% or more of the participants in the study. Conclusions. It was possible to document facilitators and barriers among stroke survivors in a structured way using ICF categories. The high number of experienced facilitators gives an idea of how well stroke care functions in Sweden. There is a great need for further studies examining environmental factors in the post-stroke phase.
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