Perceptions of self-rated health among stroke survivors: A qualitative study in the United Kingdom

N. Mavaddat, E. Sadler, L. Lim, K. Williams, E. Warburton, A. L. Kinmonth, J. Mant, J. Burt, C. McKevitt

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Self-rated health predicts health outcomes independently of levels of disability or mood. Little is known about what influences the subjective health experience of stroke survivors. Our aim was to investigate stroke survivors' perceptions of self-rated health, with the intention of informing the design of interventions that may improve their subjective health experience. Methods: We conducted semi-structured interviews with a purposive sample of 28 stroke survivors recruited from a stroke unit and follow-up outpatient clinic, 4-6 months after stroke, to explore what factors are perceived to be part of self-rated health in the early stages of recovery. Qualitative data were analysed using a thematic analysis approach to identify underlying themes. Results: Participants' accounts show that stroke survivors' perceptions of self-rated health are multifactorial, comprising physical, psychological and social components. Views on future recovery after stroke play a role in present health experience and are shaped by psychosocial resources that are influenced by past experiences of ill-health, dispositional outlook such as degree of optimism, a sense of control and views on ageing. Conclusions: Severity of physical limitations alone does not influence perceptions of self-rated health among stroke survivors. Self-rated health in stroke survivors is a multidimensional construct shaped by changes in health status occurring after the stroke, individual characteristics and social context. Understanding the factors stroke survivors themselves associate with better health will inform the development of effective approaches to improve rehabilitation and recovery after stroke.

Original languageEnglish
Article number81
JournalBioMed Central Geriatrics
Volume18
Issue number1
DOIs
Publication statusPublished - 2 Apr 2018

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Survivors
Stroke
Health
Diagnostic Self Evaluation
United Kingdom
Ambulatory Care Facilities
Health Status
Rehabilitation
Interviews
Psychology

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Mavaddat, N. ; Sadler, E. ; Lim, L. ; Williams, K. ; Warburton, E. ; Kinmonth, A. L. ; Mant, J. ; Burt, J. ; McKevitt, C. / Perceptions of self-rated health among stroke survivors : A qualitative study in the United Kingdom. In: BioMed Central Geriatrics. 2018 ; Vol. 18, No. 1.
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abstract = "Background: Self-rated health predicts health outcomes independently of levels of disability or mood. Little is known about what influences the subjective health experience of stroke survivors. Our aim was to investigate stroke survivors' perceptions of self-rated health, with the intention of informing the design of interventions that may improve their subjective health experience. Methods: We conducted semi-structured interviews with a purposive sample of 28 stroke survivors recruited from a stroke unit and follow-up outpatient clinic, 4-6 months after stroke, to explore what factors are perceived to be part of self-rated health in the early stages of recovery. Qualitative data were analysed using a thematic analysis approach to identify underlying themes. Results: Participants' accounts show that stroke survivors' perceptions of self-rated health are multifactorial, comprising physical, psychological and social components. Views on future recovery after stroke play a role in present health experience and are shaped by psychosocial resources that are influenced by past experiences of ill-health, dispositional outlook such as degree of optimism, a sense of control and views on ageing. Conclusions: Severity of physical limitations alone does not influence perceptions of self-rated health among stroke survivors. Self-rated health in stroke survivors is a multidimensional construct shaped by changes in health status occurring after the stroke, individual characteristics and social context. Understanding the factors stroke survivors themselves associate with better health will inform the development of effective approaches to improve rehabilitation and recovery after stroke.",
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Mavaddat, N, Sadler, E, Lim, L, Williams, K, Warburton, E, Kinmonth, AL, Mant, J, Burt, J & McKevitt, C 2018, 'Perceptions of self-rated health among stroke survivors: A qualitative study in the United Kingdom' BioMed Central Geriatrics, vol. 18, no. 1, 81. https://doi.org/10.1186/s12877-018-0765-8

Perceptions of self-rated health among stroke survivors : A qualitative study in the United Kingdom. / Mavaddat, N.; Sadler, E.; Lim, L.; Williams, K.; Warburton, E.; Kinmonth, A. L.; Mant, J.; Burt, J.; McKevitt, C.

In: BioMed Central Geriatrics, Vol. 18, No. 1, 81, 02.04.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Perceptions of self-rated health among stroke survivors

T2 - A qualitative study in the United Kingdom

AU - Mavaddat, N.

AU - Sadler, E.

AU - Lim, L.

AU - Williams, K.

AU - Warburton, E.

AU - Kinmonth, A. L.

AU - Mant, J.

AU - Burt, J.

AU - McKevitt, C.

PY - 2018/4/2

Y1 - 2018/4/2

N2 - Background: Self-rated health predicts health outcomes independently of levels of disability or mood. Little is known about what influences the subjective health experience of stroke survivors. Our aim was to investigate stroke survivors' perceptions of self-rated health, with the intention of informing the design of interventions that may improve their subjective health experience. Methods: We conducted semi-structured interviews with a purposive sample of 28 stroke survivors recruited from a stroke unit and follow-up outpatient clinic, 4-6 months after stroke, to explore what factors are perceived to be part of self-rated health in the early stages of recovery. Qualitative data were analysed using a thematic analysis approach to identify underlying themes. Results: Participants' accounts show that stroke survivors' perceptions of self-rated health are multifactorial, comprising physical, psychological and social components. Views on future recovery after stroke play a role in present health experience and are shaped by psychosocial resources that are influenced by past experiences of ill-health, dispositional outlook such as degree of optimism, a sense of control and views on ageing. Conclusions: Severity of physical limitations alone does not influence perceptions of self-rated health among stroke survivors. Self-rated health in stroke survivors is a multidimensional construct shaped by changes in health status occurring after the stroke, individual characteristics and social context. Understanding the factors stroke survivors themselves associate with better health will inform the development of effective approaches to improve rehabilitation and recovery after stroke.

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KW - Disability

KW - Qualitative research

KW - Rehabilitation

KW - Self-rated health

KW - Stroke

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