Evidence map›Paper›PMID 32588979›Full record

ArticleBrain and behavior2020

A qualitative exploration of the sociology of poststroke visual impairments and the associated health inequalities.

Kerry Hanna, David Mercer, Fiona Rowe

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In one paragraph

Article in Brain and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

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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

9 citing papers in PubMed.

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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

3 authors.

Kerry HannaDepartment of Health Services Research, University of Liverpool, Liverpool, UK.ORCID 0000-0001-7357-7749
David MercerDepartment of Health Services Research, University of Liverpool, Liverpool, UK.
Fiona RoweDepartment of Health Services Research, University of Liverpool, Liverpool, UK.ORCID 0000-0001-9210-9131

Funding

Department of Health CDF-2012-05-126NIHR Collaboration for Leadership and Applied Health Research (North West Coast)
6 · The paper itself

Abstract

introductionInequalities have been found to exist within the visually impaired stroke population on an individual level, in relation to demographic differences, unequal access to vision services, transport, employment, and financial repercussions. The long-term impact of living with poststroke visual impairments must be explored, in order to identify complications accessing NHS services and to inform possible changes to service planning and delivery in order to tackle such complications.

aimTo explore the extent of health inequalities within visually impaired stroke survivors in the northwest of England and discuss potential solutions to these.

methodsFocus groups and individual interviews (n = 13 stroke survivors and n = 1 spouse) were conducted between October 2016 and January 2017. Transcription and thematic analysis of the transcripts was undertaken, using line-by-line coding, underpinned with social constructionism.

resultsThe findings draw on lived experiences of stroke survivors across their journey from prestroke to life after stroke. The three overarching experiences of stroke and visual impairment that emerged in respondent accounts were constructed in terms of "loss," concerning (a) the physical being, (b) the psychosocial being and, (c) the systematic organization of health care.

conclusionThe stroke survivors frequently reported a complete lack of visual care, with many recounting apathetic experiences, often resonating power imbalance in the healthcare system. Where suitable care is being offered after stroke, a desire for a personalized approach to rehabilitation, with adapted communication methods specific to individual needs, featured strongly in many of the respondent accounts. The findings emphasize a need to ensure vision rehabilitation is offered to all stroke survivors suffering from poststroke visual impairment, and to educate stroke clinicians and patients of the bigger picture of life after stroke, highlighting all forms of available support.

Indexed as

Health Status DisparitiesStrokeStroke RehabilitationVision DisordersAdultAgedEnglandFemaleHumansMaleMiddle AgedSociologyhealth inequalitiesqualitativesociologystrokevisual impairment

Identifiers

PMID32588979
PMCPMC7428468

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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.