Deans' stroke musings: Dynamics of perceived social isolation, secondary conditions, and daily activity patterns among individuals with stroke: A network analysis of ecological momentary assessment data

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, September 14, 2024

Dynamics of perceived social isolation, secondary conditions, and daily activity patterns among individuals with stroke: A network analysis of ecological momentary assessment data

All of these problems are easily solved by creating EXACT 100% RECOVERY PROTOCOLS! You then don't need to work on these secondary problems! Or do you NOT UNDERSTAND HOW TO SOLVE STROKE?

Dynamics of perceived social isolation, secondary conditions, and daily activity patterns among individuals with stroke: A network analysis of ecological momentary assessment data

Archives of Physical Medicine and Rehabilitation. Volume 105(7), Pgs. 1314-1321.

NARIC Accession Number: J94136. What's this?
Author(s): Shi, Yun, Fong, Mandy W. M., Metts, Christopher L., LaVela, Sherri L., Bombardier, Charles, Hu, Lu, Wong, Alex W. K..
Publication Year: 2024.
Abstract: Study assessed the dynamic relationships among perceived social isolation (PSI), secondary conditions, and daily activity patterns in 202 individuals with mild-to-moderate chronic stroke. Dynamic network analyses (contemporaneous and temporal) were applied to ecological momentary assessment (EMA) data to investigate the longitudinal relationships among these factors. EMA survey questions measured PSI, secondary conditions (pain, tiredness, stress, anxiety, worthlessness, difficulty concentrating, and cheerfulness), and daily activity patterns (being at home, being alone, and participating in productive activities). The median EMA response rate was 84 percent. Results indicated that PSI was contemporaneously related to all symptoms (fatigue; negative emotions (worthlessness, concentration difficulty, cheerlessness, stress, and anxiety) except pain, and being at home and alone. The temporal model revealed a pathway indicating that feelings of worthlessness predicted PSI, and then PSI predicted stress. After this chain, feeling stressed was followed by a tendency not to be at home. These findings suggest that engaging in out-of-home or outdoor activities may mitigate PSI and negative emotions.
Descriptor Terms: DAILY LIVING, DEPRESSION, EMOTIONS, INTERPERSONAL RELATIONS, MENTAL STRESS, SECONDARY CONDITIONS, SELF CONCEPT, SOCIAL SKILLS, STROKE.

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Citation: Shi, Yun, Fong, Mandy W. M., Metts, Christopher L., LaVela, Sherri L., Bombardier, Charles, Hu, Lu, Wong, Alex W. K.. (2024.) Dynamics of perceived social isolation, secondary conditions, and daily activity patterns among individuals with stroke: A network analysis of ecological momentary assessment data. Archives of Physical Medicine and Rehabilitation., 105(7), Pgs. 1314-1321. Retrieved 9/14/2024, from REHABDATA database.