SynthesisClinical rehabilitation2017
What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings.
Synthesis in Clinical rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Leaving no one behind? Social inclusion of health insurance in low- and middle-income countries: a systematic review.International journal for equity in health · 2019Pooled it
- Enhancing Societal Participation for Stroke Survivors With Cognitive Impairments: A Randomized Controlled Trial.Journal of the American Heart Association · 2025Trial
- Reactive Exercises with Interactive Objects: Interim Analysis of a Randomized Trial on Task-Driven NMES Grasp Rehabilitation for Subacute and Early Chronic Stroke Patients.Sensors (Basel, Switzerland) · 2021Trial
- Applications of ICF-Based Assessments and Interventions in Post-Stroke Rehabilitation: A Narrative Review.NeuroRehabilitation · 2026Review
- Housing and Stroke Outcomes: Why Aging in Place Needs to Be Equitable.International journal of environmental research and public health · 2026Article
- Lived Experiences of Returning to Participation After Mild Stroke: A Phenomenological Study in Spain.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Access to neighborhood destinations that offer opportunities for physical activity and socialization is associated with favorable post-stroke outcomes.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026Article
- What stroke survivors say about living with upper limb spasticity and how they manage it.Australian occupational therapy journal · 2025Article
- Personal Health and Well-Being Determinants Associated with the Day-to-Day Variability of Sedentary Behaviour in Community-Dwelling People with Stroke.Journal of clinical medicine · 2025Article
- Quality of life measures for people following stroke: a structured content review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Review
- Neighborhood Resources and Health Outcomes Among Stroke Survivors in a Population-Based Cohort.Journal of the American Heart Association · 2024Article
- Predictors of social risk for post-ischemic stroke reintegration.Scientific reports · 2024Article
- Association of Neighborhood Recreation Centers and Poststroke Outcomes in a Population-Based Cohort.Stroke · 2023Article
- Predictors of not maintaining regular medical follow-up after stroke.BMC neurology · 2023Article
- Exploring community reintegration among Nigerian stroke survivors.The South African journal of physiotherapy · 2023Article
- Returning to Leisure Activity Post-Stroke: Barriers and Facilitators to Engagement.International journal of environmental research and public health · 2022Article
- The Relationship Between Environmental Exposures and Post-Stroke Physical Activity.American journal of preventive medicine · 2022Article
- "Well in in this neighborhood I have walked, not at all": Stroke survivors lived experience in the outdoor environment.Social science & medicine (1982) · 2022Article
- Factors that facilitate and hinder the return to work after stroke: an overview of systematic reviews.La Medicina del lavoro · 2022Review
- Understanding the Experiences of Rural- and Remote-Living Patients Accessing Sub-Acute Care in Queensland: A Qualitative Descriptive Analysi.Journal of multidisciplinary healthcare · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIdentify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. DATA SOURCES: PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms for stroke, activities, disability, and home and community environments. REVIEW
methodsAn integrated mixed-method systematic review of qualitative, quantitative and mixed-design studies was conducted. Two researchers independently identified relevant studies, assessed their methodological quality and extracted relevant findings. To validly compare and combine the various findings, all findings were classified and grouped by environmental category and level of evidence.
resultsThe search yielded 4024 records; 69 studies were included. Most findings came from low-evidence-level studies such as single qualitative studies. All findings were consistent in that the following factors facilitated reengagement post-stroke: personal adapted equipment; accessible environments; transport; services; education and information. Barriers were: others' negative attitudes and behaviour; long distances and inconvenient environmental conditions (such as bad weather). Each type of valued activity, such as mobility or work, had its own pattern of environmental influences, social support was a facilitator to all types of activities. Although in many qualitative studies others' attitudes, behaviour and stroke-related knowledge were seen as important for reengagement, these factors were hardly studied quantitatively.
conclusionA diversity of environmental factors was related to stroke-survivors' reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted.
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Registered trials
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.