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Title: Support following stroke : an evaluation of a service for individuals aged 18 to 55 years
Author: Corr, S.
Awarding Body: University of Wales Swansea
Current Institution: Swansea University
Date of Award: 2003
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A common perception is that only old people have strokes. However this condition also occurs in adults under retirement age. Few studies have been conducted elating to this age group post stroke and there is a paucity of services available for them once they are discharged from traditional rehabilitation services. A Day Service Pilot Project was launched in Cardiff, in July 1995 for people who were aged between 18 and 55 years and had a stroke. This unique service aimed to provide them with the opportunity to identify and pursue meaningful and realistic opportunities within the community. It was established in the belief that these adults were not fully participating in society. This study is an evaluation of the service provided and used quantitative and qualitative methods to assess the effectiveness and cost effectiveness. Twenty-six participants were recruited to the study between June 1998 and January 2000. The findings suggest that attendance at the service increased participation in leisure activities, perceptions of increased occupational performance and feelings of independence. The environment was considered a 'safe' one which prevented isolation, promoted social interaction and aided general recovery. The findings also indicated that post-stroke these individuals were not fully independent in activities of daily living, over 50% were depressed and anxious, they had a poor quality of life, the did not retain the range of roles they had prior to the stroke and although they had a range of self-care, productivity and leisure occupations which were important to them, they had difficulty in performing them. Although there were some gains from attending the service there were also many unmet needs. The service providers need to reconsider the aims and structure of such services to target these needs. Further research is required to continue to identify how best to meet the needs of individuals post stroke under retirement age.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available