Rehabilitation and Therapy Commons^™

The Perception Of Stroke On Iadl, Paula O. Buari

Occupational Therapy Doctorate Capstone Projects

Background: Residents in a skilled nursing home receiving rehabilitative services following a stroke may value instrumental activity of daily living (IADL) tasks more than ADL tasks. This research investigates the impact of IADL tasks on quality of life (QoL). Purpose: The research questions were: How do individuals post-stroke and receiving occupational therapy services in a skilled nursing facility perceive their participation, or lack of participation, in IADL, and how does this impact their perceived QoL? Theoretical Framework. The theoretical framework that guided this project was the Model of Human Occupation. Methods. A phenomenological research-based qualitative approach designed to understand …

A Phenomenological Study Of The Impact Of Stroke On Marriage: Life Satisfaction And Occupational Performance In Daily Life, Melissa Arwood

Online Theses and Dissertations

Introduction: Following a stroke, an individual may experience physical, cognitive, and emotional changes. For individuals in a marital relationship, the spouse’s life is also impacted post-stroke. The majority of current literature regarding the impact of stroke on marriage focuses on one spouse. This study sought to address this gap by exploring the impact of stroke on the marital dyad.

Method: A qualitative, phenomenological approach was used for this study. Semi-structured phone interviews were conducted. The interviews were transcribed verbatim and analyzed using Colaizzi’s method as explained by Shosha (2012).

Findings: Four couples, eight participants were included in this study. One …

Development Of A Training Program To Increase Student Clinician Competency When Communicating With People With Aphasia, Meghan Doherty, Chevie Lay

Journal of Occupational Therapy Education

The Washington University in St. Louis Stroke Clinic is a student-run free clinic (SRSC) designed to enhance student learning and provide the community with no-cost evidence-based occupational therapy services. Aphasia is a common communication impairment after stroke that affects the ability to access services and give and get information, and impacts life participation and satisfaction. Conversation partner training is an evidence-based treatment approach to improve communication with people with aphasia (PWA). The purpose of this project was to develop and evaluate the effectiveness of student clinician training about communicating with PWA using conversation partner training in the SRSC. This study …

The Lived Experience Of Informal Caregivers Of Chronic Stroke Patients, Ann Snider Wigginton

Online Theses and Dissertations

The purpose of this phenomenological study is to contribute to the literature surrounding stroke-survivor caregivers and to understand the caregivers’ perspective on leisure participation and quality of life. Four caregivers of clients with chronic stroke were recruited for the study via convenience sampling. Participants were audio-recorded during a semi-structured interview lasting 60-80 minutes. The interview guide was consistent across participants and included open-ended questions about the caregiver’s leisure participation and quality of life. Recorded data was transcribed and in-vivo coding was completed. Eight categories were developed from the identified codes and narrowed into primary meaning units: role shift, loss of …

The Experience Of Adults With Chronic Stroke Who Have Participated In Occupation-Based Or Modified Constraint Induced Interventions As A Part Of A Research Study, Ariel Wilson

Online Theses and Dissertations

There is a lack of qualitative research about the client perspective of specific chronic stroke interventions for motor recovery. The purpose of this phenomenological study was to understand the experiences of adults with chronic stroke who have participated in occupation-based (OBP) or modified constraint-induced (MCIT) interventions as a part of a research study. Four participants were recruited through convenience sampling and interviewed about their participation in research. Interviews were audio recorded, transcribed, and analyzed until themes emerged. Results showed participants engaged in the research interventions because of a desire to achieve a lost sense of ‘normalcy’ and perceptions of their …

Ability And Skill Retraining With Task-Oriented Intervention To Improve Functional Independence In Persons With Stroke, Trista Thacker

Online Theses and Dissertations

The purpose of the study was to examine the difference that ability and skill retraining used with task-oriented intervention can make on functional independence (as measured by FIM subscales) in persons with stroke. The findings of this study can contribute to the body of literature to support occupational therapy. Review of related literature includes background support for the use of FIM with the stroke population through analysis of the psychometric properties of the instrument. Also, the review of related literature provides support for the use of ability and skill retraining and task-oriented interventions with the stroke population. This supports the …