Centre for Disability and Rehabilitation Studies

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Browsing Centre for Disability and Rehabilitation Studies by Author "Cawood, Judy"

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    Environmental factors influencing participation of stroke survivors in a Western Cape setting
    (AOSIS Publishing, 2015-10) Cawood, Judy; Visagie, Surona
    Background: Environmental factors compound or diminish the effects of impairments; therefore they have a direct influence on participation of stroke survivors. Objectives: To determine environmental barriers and facilitators to participation experienced by a group of stroke survivors in the Western Cape province of South Africa. Methods: A descriptive, mixed methods study was conducted in 2011. Quantitative data was collected with the International Classification for Functioning, Disability and Health core set for stroke (environmental factors), from 53 stroke survivors, sampled through proportional, stratified, random sampling. Data is presented through graphs and tables. Qualitative data was collected from five purposively sampled participants and thematically analysed. Results: Under products and technology, participants regarded assets, food, products and technology for daily living, transportation, mobility and communication, and access to buildings as barriers. The physical geography and attitudes of friends and society created further barriers. With regard to services, systems and policies - housing, communication, transport and social services created barriers. Health services, as well as support from health care service providers and family were considered facilitators. Conclusion: A lack of assets compounded barriers with regard to food, products for daily use, communication and transport. Barriers to participation were exacerbated by a lack of services, systems and implementation of policies focused on the inclusion of people with disabilities, as well as minimal access to assistive devices. Recommendations include provision of assistive devices, structural changes to houses, yards, roads and buildings, lobbying for accessible, affordable public transport, access audits of public buildings, and inclusion of non-governmental organisations and home-based care services in a seamless network of care.
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    Impact of post-stroke impairments on activities and participation as experienced by stroke survivors in a Western Cape setting
    (Occupational Therapy Association of South Africa, 2016) Cawood, Judy; Visagie, Surona; Mji, Gubela
    ENGLISH SUMMARY : Introduction: This paper explores causal connections between impairments, activity limitations and participation restrictions after stroke. Methods: The study population (N=267) of this descriptive study were public health care users, from the eastern sub-district of the Western Cape Metropole, who had a stroke between 1 January 2009 and 31 December 2010. Fifty-three study participants were selected through stratified, proportional, random sampling. Data was collected using the Stroke Impact Scale-3.0; the Modified Barthel Index; the Loewenstein Occupational Therapy Cognitive Assessment and a language screening test. Spearman correlations were used to determine statistical significance. Results: The mean Stroke Impact Scale participation score was 31.3/100. Limb strength (<0.01), visual perception (<0.01), spatial perception (0.02), motor praxis (<0.01), visuomotor organisation (<0.01), and thinking operations (<0.01), impacted participation scores negatively. The mean Modified Barthel Index score was 70.58/100. Limb strength (<0.01), hand function (<0.01), visual perception (<0.01), motor praxis (<0.01), visuomotor organisation (<0.01), and thinking operations (<0.01) impacted Modified Barthel Index scores negatively. Conclusion: Motor, cognitive and perceptual impairments impacted activities and participation negatively. Stroke survivors should receive routine cognitive, perceptual and motor evaluations. The effect of intervention strategies on cognitive and perceptual impairment post-stroke must be studied.