Evidence map›Paper›PMID 35690031›Full record

ArticleSocial science & medicine (1982)2022

"Well in in this neighborhood I have walked, not at all": Stroke survivors lived experience in the outdoor environment.

Erica Twardzik, Natalie Colabianchi, Lilia Duncan, Lynda D Lisabeth, Susan H Brown, Philippa J Clarke

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. 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 · 2026
    Article
  2. Article
  3. Stakeholder Perspectives on Built Environmental Factors to Support Stroke Rehabilitation and Return to Everyday Life.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. 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

6 authors at 1 institution in 2 countries.

Erica TwardzikSchool of Kinesiology, University of Michigan, 830 N University Ave, Ann Arbor, MI, 48109, USA; Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, Ann Arbor, MI, USA. Electronic address: etwardz1@jh.edu.
Natalie ColabianchiSchool of Kinesiology, University of Michigan, 830 N University Ave, Ann Arbor, MI, 48109, USA; Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI, 48104-1248, USA.
Lilia DuncanSchool of Kinesiology, University of Michigan, 830 N University Ave, Ann Arbor, MI, 48109, USA.
Lynda D LisabethDepartment of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, Ann Arbor, MI, USA.
Susan H BrownSchool of Kinesiology, University of Michigan, 830 N University Ave, Ann Arbor, MI, 48109, USA.
Philippa J ClarkeDepartment of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, Ann Arbor, MI, USA; Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI, 48104-1248, USA.
University of Michigan · US

Funding

Outdoor Environmental Facilitators and Barriers of Stroke Survivors’ Mobility and Functional StatusF31HD098870 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TWARDZIK, ERICA · 2019 to 2020
$74k
NICHD NIH HHS F31 HD098870
6 · The paper itself

Abstract

Stroke survivors face unique challenges in the outdoor environment when returning to their home community following a stroke. Challenges include navigating uneven terrain, social stigma, and adapting to changes in functioning. Outdoor environments may serve as potential points of intervention to promote independence and participation post stroke. This study aimed to understand lived post-stroke experience in the outdoor environment as it pertains to independent mobility.

methodsQualitative semi-structured interviews were conducted with 20 stroke survivors (8 males, 12 females; mean age 64.2 years: range 45 years-90 years). Participants were eligible if they were over the age of 45, could communicate in English, lived outside a nursing home, able to walk safely outdoors, were a minimum of six-months post stroke, and had no severe cognitive impairment. Interviews with participants were tape recorded, audio files were transcribed verbatim, codes were created and applied to transcripts, and themes were generated using interpretative phenomenological analysis.

resultsPost-stroke experiences in the outdoor environment were multidimensional. Three themes emerged from the stroke survivors' description of personal experiences in the outdoor environment. These themes included feelings of vigilance, employing adaptation strategies, and management of dynamic relations between the self and context. DISCUSSION: The findings highlight the post-stroke experience traversing the outdoor environment. Investing in the public outdoor environment to remove barriers and install facilitators could reduce feelings of apprehension and hypervigilance while walking in the outdoor environment. Future research is needed to evaluate the role of environmental interventions on hypervigilance in the outdoor environment post stroke.

Indexed as

StrokeStroke RehabilitationChild, PreschoolFemaleHumansMaleMiddle AgedQualitative ResearchSurvivorsWalkingOutdoor environmentParticipationStroke

Identifiers

PMID35690031
PMCPMC9310555
OpenAlexW4281967795

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.