Deans' stroke musings: From Literature to Lived Experiences: Architectural determinants of Subjective Well-Being in Post-Stroke Rehabilitation

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.

Friday, July 10, 2026

From Literature to Lived Experiences: Architectural determinants of Subjective Well-Being in Post-Stroke Rehabilitation

Actual well-being is the better measurement! Ask the survivor; 'Are you 100% recovered?' That is the only question needed, didn't get there; FAILURE OF YOUR STROKE MEDICAL 'PROFESSIONALS'!

From Literature to Lived Experiences: Architectural determinants of Subjective Well-Being in Post-Stroke Rehabilitation

Louise MASCIARELLIa, b , Ann PETERMANS b, Clémentine SCHELINGS a, Jan VANRIE b and Catherine ELSEN a aUniversity of Liège, Belgium bUniversity of Hasselt, Belgium ORCiD ID: Louise MASCIARELLI https://orcid.org/0000-0003-2051-7632 Ann PETERMANS https://orcid.org/0000-0001-7023-4628 Clémentine SCHELINGS https://orcid.org/0000-0001-7718-4539 Jan VANRIE https://orcid.org/0000-0003-2633-5194 Catherine ELSEN https://orcid.org/0000-0003-1433-3298

Abstract.

Post-stroke rehabilitation environments involve multiple user profiles. While the influence of architecture on well-being is increasingly acknowledged in healthcare settings, a comprehensive understanding of how architectural determinants relate to the subjective well-being of these users in post-stroke rehabilitation remains limited. Based on a previous systematic literature review, twenty-one architectural themes impacting subjective well-being in post-stroke rehabilitation contexts were identified. These themes reflect a wide range of spatial, environmental, and experiential aspects discussed in existing research. Building on this review synthesis, this article explores how these themes are perceived and experienced by different user profiles in a real-life post-stroke rehabilitation setting within a Belgian context: not only long-term inpatients, but also healthcare professionals, informal caregivers, and visitors (family members). To do so, the study adopts a qualitative methodology combining walking interviews in the rehabilitation service with semi-structured interviews relying on photo-elicitation (n=10). Participants are invited to discuss photographs of rehabilitation environments to support their reflection on experiences, perceptions, and priorities related to architectural space and subjective well-being. This methodology aims to facilitate expression in a sensitive clinical context and to capture nuanced, subjective perspectives that may not emerge through verbal or self-administered questioning alone. The article brings into dialogue the insights from the systematic literature and the empirical material. It also examines whether engagement with various users' profiles in a real rehabilitation context reveals additional architectural themes related to subjective well-being beyond those identified in the literature. By articulating insights from the literature with situated user experiences, this research seeks to refine and extend current knowledge on the relationship between architecture and subjective well-being in post-stroke rehabilitation contexts.