ArticleAfrican journal of primary health care & family medicine2019
'No one prepared me to go home': Cerebrovascular accident survivors' experiences of community reintegration in a peri-urban context.
Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Barriers and facilitators experienced by people with neurological disabilities: A South African health systems perspective.Journal of public health in Africa · 2026Article
- Understanding healthcare providers' perspectives on barriers to accessing stroke care at a resource-limited hospital in East Africa: A qualitative study from Mnazi Mmoja Referral Hospital in Zanzibar.PLOS global public health · 2025Article
- Exploring the care pathway for neurological conditions in a Gauteng rehabilitation hospital, South Africa.African journal of disability · 2025Article
- The Lived Experience of Caregivers in the Older Stroke Survivors' Care Pathway during the Transitional Home Program-A Qualitative Study.International journal of environmental research and public health · 2024Article
- Perceptions of integrated rehabilitation service delivery in a metropolitan district.African journal of primary health care & family medicine · 2024Article
- Factors that influence the provision of home-based rehabilitation services for people needing rehabilitation: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2023Review
- Exploring community reintegration among Nigerian stroke survivors.The South African journal of physiotherapy · 2023Article
- Adult stroke survivor's reintegration to normal living: a scoping review protocol.Systematic reviews · 2021Article
- Healthcare professionals' perceptions of community-based rehabilitation in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2021Article
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6 authors.
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Abstract
backgroundThe South African health system has policies and strategies to ensure effective rehabilitation and reintegration of individuals who have survived a cerebrovascular accident into their respective communities. However, implementation of such guidelines remains an issue.
aimThis study sought to explore cerebrovascular accident (CVA) survivors' experiences of community integration.
settingThe study was located in a peri-urban community within the KwaZulu-Natal Province, South Africa.
methodsAn explorative qualitative study with eight purposively selected CVA survivors was conducted via semi-structured individual interviews. Data were audio-recorded and manually transcribed prior to thematic analysis. Trustworthiness of the study was maintained by strategies such as analyst triangulation, an audit trail and use of thick descriptions. Ethical principles of autonomy, informed consent, confidentiality and privacy were also maintained in the study.
resultsSix themes emerged that highlighted (1) loss of autonomy and roles, (2) barriers to community reintegration, (3) social isolation of participants, (4) finding internal strength, (5) enablers of community reintegration including the positive influence of support and the benefits derived from rehabilitation and (6) recommendations for rehabilitation.
conclusionThe study revealed both positive and negative influences that impact CVA survivors' ability to effectively reintegrate into their respective communities following a CVA. Recommendations include the need for education and awareness around access to rehabilitation services for CVA survivors, advice on how to improve CVA survivors' ability to mobilise in the community and make environmental adaption to facilitate universal access, provision of home programmes and caregiver training for continuity of care and for inclusion of home-based rehabilitation into current models of care.
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