Evidence map›Paper›PMID 25365057›Full record

ArticleThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses2014

Quality of life and loneliness in stroke survivors living in Appalachia.

Laurie Theeke, Patricia Horstman, Jennifer Mallow, Noelle Lucke-Wold, Stacey Culp, Jennifer Domico, Taura Barr

Open access · greenAbstract read
In one paragraph

Article in The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 45 citations in OpenAlex.

  1. The association of social isolation and family structure on stroke-specific quality of life in a community-based study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  2. Article
  3. Article
  4. A Longitudinal Investigation of the Association Between Stroke and Loneliness.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  5. Article
  6. Article
  7. Depressive Symptoms and Anger Expression Among Survivors After Stroke.Advances in experimental medicine and biology · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Trade-Offs in Quality-of-Life Assessment Between the Modified Rankin Scale and Neuro-QoL Measures.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2020
    Article
  12. Loneliness and ED Visits in Chronic Obstructive Pulmonary Disease.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019
    Article
  13. Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Article
  14. Observational
  15. Article
  16. Life after stroke in Appalachia.International journal of nursing sciences · 2017
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Laurie TheekeQuestions or comments about this article may be directed to Laurie Theeke, PhD FNP-BC GCNS-BC, at ltheeke@hsc.wvu.edu. She is an Associate Professor, West Virginia University (WVU) School of Nursing, Morgantown, WV. Patricia Horstman, RN MSN NEA-BC, is Director, Clinical Program Development, WVU Healthcare, Morgantown, WV. Jennifer Mallow, PhD FNP-BC, is Assistant Professor, WVU School of Nursing, Morgantown, WV. Noelle Lucke-Wold, BSN RN, is Student, WVU School of Nursing, Morgantown, WV. Stacey Culp, PhD, is Research Assistant Professor, WVU Healthcare, Morgantown, WV. Jennifer Domico, RN CCRP, is Nurse Clinician, WVU Healthcare, Morgantown, WV. Taura Barr, PhD RN, is Assistant Professor, WVU School of Nursing and Emergency Medicine, Morgantown, WV.
Patricia Horstman
Jennifer Mallow
Noelle Lucke-Wold
Stacey Culp
Jennifer Domico
Taura Barr
West Virginia University Hospitals · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

background and purposeNegative outcomes of stroke are associated with poorer quality of life (QoL) and impact stroke recovery. The purpose of this study was to characterize QoL and loneliness in a sample of rural Appalachian stroke survivors within 1 year of stroke.

methodsUsing mail survey methodology, survey data were collected from 121 ischemic and hemorrhagic stroke survivors living in West Virginia using 13 subscales from the Neuro-QOL survey and the three-item UCLA Loneliness Scale. Statistical Package for Social Sciences v. 20 was used to conduct descriptive, comparative, and predictive analyses. Multiple linear regression models were used to assess explanatory value of loneliness for QoL domains while controlling for comorbidities.

resultsParticipants who were discharged to a nursing home had poorer QoL when compared with those who were discharged to home. Stroke survivors who continued to smoke were less satisfied with social roles and reported higher mean loneliness and depression scores. History of psychological problems negatively correlated with all QoL domains and loneliness scores. Loneliness predicted poorer QoL even when controlling for age, gender, and significant comorbidities.

conclusionNurses need to assess for loneliness, include loneliness in care planning, and implement smoking cessation and cognitive behavioral interventions. Interventions that target loneliness for stroke survivors could potentially diminish psychological sequelae after stroke and enhance QoL.

Indexed as

Poverty AreasRural PopulationAgedAged, 80 and overAppalachian RegionCognitive Behavioral TherapyFemaleHealth SurveysHumansLonelinessMaleMiddle AgedPatient Care PlanningQuality of LifeRehabilitation NursingSmoking Cessation

Identifiers

PMID25365057
PMCPMC4413920
OpenAlexW2054554866

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.