ArticlePloS one2023
The role of the physical environment in stroke recovery: Evidence-based design principles from a mixed-methods multiple case study.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Influences on the physical activity behaviour of inpatients after stroke outside of staff-led rehabilitation sessions: a systematic review.Clinical rehabilitation · 2025Pooled it
- Neurorehabilitation needs a qualitative perspective: a case exemplar from stroke recovery and rehabilitation.Frontiers in human neuroscience · 2026Article
- Article
- Ending the single versus multi-bedroom debate: Hybrid rooms meet stroke rehabilitation needs.PloS one · 2026Article
- Article
- 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 · 2025Article
- Economic Argument for Innovative Design From Valuing Patient-Centered Stroke Rehabilitation.HERD · 2025Article
- Towards personalized immersive virtual reality neurorehabilitation: a human-centered design.Journal of neuroengineering and rehabilitation · 2025Article
- Article
- 'Physical well-being is our top priority': Healthcare professionals' challenges in supporting psychosocial well-being in stroke services.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hospital design can impact patient outcomes, but there is very little healthcare design evidence specific to stroke rehabilitation facilities. Our aim was to explore, from the patient perspective, the role of the physical environment in factors crucial to stroke recovery, namely, stroke survivor activity (physical, cognitive, social), sleep, emotional well-being, and safety. We conducted a mixed-methods multiple-case study at two inpatient rehabilitation facilities in Victoria, Australia, (n = 20 at Case 1, n = 16 at Case 2) using "walk-through" semi-structured interviews, behavioural mapping, questionnaires, and retrospective audit. Four interrelated themes emerged: 1) entrapment and escape; 2) power, dependency, and identity in an institutional environment; 3) the rehabilitation facility is a shared space; and 4) the environment should be legible and patient-centred. Quantitative data revealed patterns in patient activity; stroke survivors spent over 75% of their time in bedrooms and were often inactive. Convergent mixed methods analysis was used to generate a new conceptual model of the role of the physical environment in stroke survivors' behaviour and well-being, highlighting the importance of variety and interest, privacy without isolation, and patient-centred design. This model can be used by designers, healthcare providers, and policy makers to inform the design of rehabilitation environments.
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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.