An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke

Background: Studies on rehabilitation for falls after a stroke remain limited despite its impact being profound. This scenario justifies a deeper understanding of why falls in stroke rehabilitation received less attention. Current investigations on the perception of falls and stroke also proved inad...

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Main Authors: Ahmad Ainuddin, Husna, Romli, Muhammad Hibatullah, Hamid, Tengku Aizan, Salim, Mazatulfazura Sf, Mackenzie, Lynette
Format: Article
Published: Frontiers Media 2021
Online Access:http://psasir.upm.edu.my/id/eprint/95851/
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author Ahmad Ainuddin, Husna
Romli, Muhammad Hibatullah
Hamid, Tengku Aizan
Salim, Mazatulfazura Sf
Mackenzie, Lynette
author_facet Ahmad Ainuddin, Husna
Romli, Muhammad Hibatullah
Hamid, Tengku Aizan
Salim, Mazatulfazura Sf
Mackenzie, Lynette
author_sort Ahmad Ainuddin, Husna
building UPM Institutional Repository
collection Online Access
description Background: Studies on rehabilitation for falls after a stroke remain limited despite its impact being profound. This scenario justifies a deeper understanding of why falls in stroke rehabilitation received less attention. Current investigations on the perception of falls and stroke also proved inadequate. Therefore, this study aims to explore the perceptions and experiences of older Malaysian stroke survivors, spousal caregivers, and healthcare practitioners on falls in stroke rehabilitation. Method: A qualitative study of three focus groups with 18 individuals from one community-based stroke rehabilitation center was conducted. The discussions were audio-recorded, video-recorded, transcribed, summarized, and analyzed using thematic analysis. Results: Three themes emerged from the analysis: (i) perceived factors and consequences of falls after stroke, (ii) physical-based interventions predominate in rehabilitation for falls after stroke, and (iii) the role of home hazards in fall prevention is taken for granted. Although, awareness of falls is high, they are regarded as a peripheral issue in stroke. Rehabilitation interventions such as improved functionality are believed to be adequate and can indirectly prevent falls. Other interventions for fall prevention such as home hazards management are relatively less known. Conclusion: There is a need for more attention regarding home environment risk assessment and intervention among healthcare professionals, and more education for clients and caregivers is required. Although, other stroke interventions may also benefit stroke survivors, falls prevention should be a central component in stroke rehabilitation. As this study focused on a specific population, the findings should be validated with larger populations, and in diverse settings.
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spelling upm-958512023-03-29T03:49:56Z http://psasir.upm.edu.my/id/eprint/95851/ An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke Ahmad Ainuddin, Husna Romli, Muhammad Hibatullah Hamid, Tengku Aizan Salim, Mazatulfazura Sf Mackenzie, Lynette Background: Studies on rehabilitation for falls after a stroke remain limited despite its impact being profound. This scenario justifies a deeper understanding of why falls in stroke rehabilitation received less attention. Current investigations on the perception of falls and stroke also proved inadequate. Therefore, this study aims to explore the perceptions and experiences of older Malaysian stroke survivors, spousal caregivers, and healthcare practitioners on falls in stroke rehabilitation. Method: A qualitative study of three focus groups with 18 individuals from one community-based stroke rehabilitation center was conducted. The discussions were audio-recorded, video-recorded, transcribed, summarized, and analyzed using thematic analysis. Results: Three themes emerged from the analysis: (i) perceived factors and consequences of falls after stroke, (ii) physical-based interventions predominate in rehabilitation for falls after stroke, and (iii) the role of home hazards in fall prevention is taken for granted. Although, awareness of falls is high, they are regarded as a peripheral issue in stroke. Rehabilitation interventions such as improved functionality are believed to be adequate and can indirectly prevent falls. Other interventions for fall prevention such as home hazards management are relatively less known. Conclusion: There is a need for more attention regarding home environment risk assessment and intervention among healthcare professionals, and more education for clients and caregivers is required. Although, other stroke interventions may also benefit stroke survivors, falls prevention should be a central component in stroke rehabilitation. As this study focused on a specific population, the findings should be validated with larger populations, and in diverse settings. Frontiers Media 2021 Article PeerReviewed Ahmad Ainuddin, Husna and Romli, Muhammad Hibatullah and Hamid, Tengku Aizan and Salim, Mazatulfazura Sf and Mackenzie, Lynette (2021) An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke. Frontiers in Public Health, 9. art. no. 611814. pp. 1-9. ISSN 2296-2565 https://www.frontiersin.org/articles/10.3389/fpubh.2021.611814/full 10.3389/fpubh.2021.611814
spellingShingle Ahmad Ainuddin, Husna
Romli, Muhammad Hibatullah
Hamid, Tengku Aizan
Salim, Mazatulfazura Sf
Mackenzie, Lynette
An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke
title An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke
title_full An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke
title_fullStr An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke
title_full_unstemmed An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke
title_short An exploratory qualitative study with older Malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke
title_sort exploratory qualitative study with older malaysian stroke survivors, caregivers, and healthcare practitioners about falls and rehabilitation for falls after stroke
url http://psasir.upm.edu.my/id/eprint/95851/
http://psasir.upm.edu.my/id/eprint/95851/
http://psasir.upm.edu.my/id/eprint/95851/