The measure of stroke environment (MOSE): Development and validation of the MOSE in post-stroke populations with and without aphasia

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Topics in Stroke Rehabilitation , Volume 23(5) , Pgs. 348-357.

NARIC Accession Number: J77368.  What's this?
ISSN: 1074-9357.
Author(s): Babulal, Ganesh M.; Connor, Lisa T..
Publication Year: 2016.
Number of Pages: 10.
Abstract: Article describes the development and psychometric properties of a new environmental measure that identifies barriers and facilitators in receptivity, physical environment, and communication for post-stroke populations, including survivors with aphasia. The Measure of Stroke Environment (MOSE) was developed using information from semi-structured interviews and three pilot studies. It contains 47 items across 33 questions in three domains (receptivity, physical environment, and communication). The MOSE is able to determine how frequently a stroke survivor faces challenges in their environment and how that impacts his or her participation. Reliability and validity were assessed in 43 post-stroke participants. Internal consistency reliability was high (.83 to .85) across each domain and over the entire assessment (.91). Convergent validity showed moderate correlation with the Stroke Impact Scale (.33 to .37), the National Institute of Health Stroke Scale (-.31 to -.46), and the Boston Diagnostic Aphasia Examination (.55 to .61). Subjects with aphasia had significantly lower scores on the communication domain. Stroke survivors with (26 percent overall difficulty) and without aphasia (31 percent overall difficulty) continue to experience difficulty 2 or more years post-stroke. The MOSE offers a brief, reliable, and valid assessment of environmental barriers and facilitators to participation for post-stroke survivors reintegrating into their communities. Stroke survivors with very mild deficits continue to experience barriers from the environment many years post-stroke. These barriers are not typically identified during the rehabilitation process but persist post-reintegration.
Descriptor Terms: APHASIA, BARRIERS, COMMUNICATION, COMMUNITY INTEGRATION, COMMUNITY LIVING, MEASUREMENTS, OUTCOMES, PERFORMANCE STANDARDS, STROKE.


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Citation: Babulal, Ganesh M., Connor, Lisa T.. (2016). The measure of stroke environment (MOSE): Development and validation of the MOSE in post-stroke populations with and without aphasia.  Topics in Stroke Rehabilitation , 23(5), Pgs. 348-357. Retrieved 1/14/2018, from REHABDATA database.