ArticlePloS one2026
Environmental influences on community participation among people with multiple sclerosis: A mixed methods study.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- Subjective dimensions of community participation following stroke: A qualitative approach.Bioinformation · 2026Article
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11 authors.
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Abstract
objectiveTo examine the influence of environmental factors (EFs) and personal factors (PFs) on community participation among people with multiple sclerosis (PwMS) and identify areas for improvement.
methodsA mixed methods explanatory sequential design was used. A secondary data analysis of patient-reported outcomes and Global Positioning System (GPS) data was completed using multiple linear regression analysis to examine associations between five EFs, five PFs, and six community participation outcomes in 100 PwMS. Four focus groups were completed with 12 PwMS who use mobility aids and 12 who do not to understand how EFs affected community participation experiences. Thematic analysis was used.
resultsRegression results showed significant associations between PFs and five community participation outcomes (R2 = 13% - 48%, p < 0.05), and EFs explained an additional 11% variation in satisfaction with participation and 11% in GPS-derived measures of activity space, after adjusting for PFs (ΔR² = 0.11, p < 0.05). Among individual EFs, after accounting for PFs, perceived financial resources was associated with ability to participate (B = 1.46, p = 0.018), and satisfaction with participation (B = 3.12, p < 0.001). Social support (B = -1.05, p = 0.022) and neighborhood safety (B = 1.3, p = 0.007) were associated with activity space. Qualitative findings revealed that mobility aid users experienced increased challenges in the built environment, and non-users reported more concerns about the attitudinal environment. They also described how environmental support enabled participation despite functional declines. Acceptance and adaptation were useful strategies, but participants called for improvements in the built environment, information access, MS specialty care, and public attitudes towards disability.
conclusionCommunity participation among PwMS is influenced by both PFs and EFs. Statistically, EFs uniquely affected participation satisfaction and activity space, while qualitative findings revealed major barriers and highlighted needs for improvement in physical, social, and attitudinal environments.
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