This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Trigg, R. Articles by Hewer, R. L. Search for Related Content PubMed PubMed Citation Articles by Trigg, R. Articles by Hewer, R. L. Social Bookmarking                   What's this?

Social reintegration after stroke: the first stages in the development of the Subjective Index of Physical and Social Outcome (SIPSO)

Victorine A Wood

Research & Development Support Unit, School of Postgraduate Medicine, University of Bath, Bristol, UK

Richard Langton Hewer

Department of Social Medicine, University of Bristol, Bristol, UK

Objective: To ensure at outset the content validity of a measure (to be developed) of social integration following stroke.

Design: Qualitative study, using in-depth interviews with patients at least six months following stroke.

Setting: Community setting, Bristol, UK.

Subjects: Thirty survivors of stroke, discharged at least six months previously from a neurological rehabilitation unit in a district general hospital.

Results: Patients reported a change, usually for the worse, in their levels of integration following stroke. More specifically they alluded to a decrease in both the quantity and quality of activities, especially with regard to leisure and those activities occurring outside the home. Social interaction was reduced in most patients, in terms of frequency and quality of contact. From the data, six dimensions of change in quality of interaction emerged. Finally, changes in patients' physical and financial environments were reported. Based on the findings, four diagrams were developed, providing a structure for questionnaire development.

Conclusions: The results of this study confirm the findings of previously reported research. An individual's level of social integration can be affected by stroke in a wide variety of areas and along many different dimensions. Data from this study have highlighted the importance of the patient's subjective impression of the quality of both functional and social performance. This has provided the opportunity to develop a questionnaire based on the patient's perspective, rather than that of health professionals.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				R. Dalemans, L. P de Witte, J. Lemmens, W. J. van den Heuvel, and D. T Wade Measures for rating social participation in people with aphasia: a systematic review Clinical Rehabilitation, June 1, 2008; 22(6): 542 - 555. [Abstract] [PDF]

				R. Trigg and V. A Wood The validation of the Subjective Index of Physical and Social Outcome (SIPSO) Clinical Rehabilitation, March 1, 2003; 17(3): 283 - 289. [Abstract] [PDF]

				M. Cardol, B. A de Jong, G. A. van den Bos, A. Beelen, I. J M de Groot, and R. J de Haan Beyond disability: perceived participation in people with a chronic disabling condition Clinical Rehabilitation, January 1, 2002; 16(1): 27 - 35. [Abstract] [PDF]

				R. Trigg and V. A Wood The Subjective Index of Physical and Social Outcome (SIPSO): a new measure for use with stroke patients Clinical Rehabilitation, March 1, 2000; 14(3): 288 - 299. [Abstract] [PDF]