Deans' stroke musings: Relationships between environmental factors and participation in adults with traumatic brain injury, stroke, and spinal cord injury: A cross-sectional multi-center study

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, May 19, 2018

Relationships between environmental factors and participation in adults with traumatic brain injury, stroke, and spinal cord injury: A cross-sectional multi-center study

I bet no one is recruiting stroke survivors to participate in Healthy People 2020.
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J78245&phrase=no&rec=136277&article_source=Rehab&international=0&international_language=&international_location=
Quality of Life Research , Volume 26(10) , Pgs. 2633-2645.

NARIC Accession Number: J78245. What's this?
ISSN: 0962-9343.
Author(s): Wong, Alex W. K.; Ng, Sheryl; Dashner, Jeddica; Bau, M. Carolyn; Hammel, Joy; Magasi, Susan; Lai, Jin-Shei; Carlozzi, Noelle E.; Tulsky, David S.; Miskovic, Ana; Goldsmith, Arielle; Heineman.
Project Number: 90DP0026 (formerly H133A120008), 90RT5008 (formerly H133B090024), 90SF0003 (formerly H133F140037).
Publication Year: 2017.
Number of Pages: 13.
Abstract: Study developed and evaluated a model to describe relationships between environmental factors and participation for people with traumatic brain injury (TBI), stroke, and spinal cord injury (SCI). Researchers also examined whether this model differed across the three diagnostic groups, as well as other demographic and clinical characteristics. A cross-sectional observational study included 545 community-dwelling adults with neurological disorders (166 with TBI, 189 with stroke, and 190 with SCI) recruited at three academic medical centers. Participants completed patient-reported measures of environmental factors and participation. The final structural equation model had acceptable fit to the data, explaining 63 percent of the variance in participation in social roles and activities. Systems, services, and policies had an indirect influence on participation and this relationship was mediated by social attitudes and the built and natural environment. Access to information and technology was associated with the built and natural environment which in turn influence on participation. The model was consistent across sex, diagnosis, severity/type of injury, education, race, age, marital status, years since injury, wheelchairs use, insurance coverage, personal or household income, and crystallized cognition. Social and physical environments appear to mediate the influence of systems, services, and policies on participation after acquired neurological disorders. These relationships are stable across the three diagnostic groups and many personal and clinical factors. The findings inform health and disability policy, and provide guidance for implementing the initiatives in Healthy People 2020 in particular for people with acquired neurological disorders.
Descriptor Terms: ATTITUDES, BARRIERS, BRAIN INJURIES, CLIENT CHARACTERISTICS, COMMUNITY LIVING, DEMOGRAPHICS, MEASUREMENTS, MODELING, OUTCOMES, SOCIAL SKILLS, SPINAL CORD INJURIES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Wong, Alex W. K., Ng, Sheryl, Dashner, Jeddica, Bau, M. Carolyn, Hammel, Joy, Magasi, Susan, Lai, Jin-Shei, Carlozzi, Noelle E., Tulsky, David S., Miskovic, Ana, Goldsmith, Arielle, Heineman. (2017). Relationships between environmental factors and participation in adults with traumatic brain injury, stroke, and spinal cord injury: A cross-sectional multi-center study. Quality of Life Research , 26(10), Pgs. 2633-2645. Retrieved 5/19/2018, from REHABDATA database.