| Poor concurrence between disabilities as described by patients and established assessment tools three months after stroke: A mixed methods approach. | |
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MedLine Citation:
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PMID: 21937062 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Disability/problems, one phenomenon underlying people's need for health care services, can be viewed both from the perspectives of people with stroke (felt problems), and the health professionals (assessed problems). OBJECTIVE: The aim was to describe felt problems three months after stroke and to explore the concurrence between felt problems and assessed problems. METHOD: The patients (n=203) received care in the stroke units at Karolinska University Hospital, Sweden. Felt problems, drawn from an open question, were categorized. Results from established assessment tools: Katz Extended Index of ADL (KI); Barthel Index (BI) and Stroke Impact Scale (SIS) represented assessed problems. Items/domains in the assessment tools that corresponded to the categories of felt problems were identified and comparisons performed. RESULT: The category Fatigue had the largest number of felt problems (n=58, 28%). Fourteen out of the 24 categories of felt problems had corresponding items/domains in the assessment tools. KE/BI failed to identify 16-57% and SIS 0-33% of the felt problems. CONCLUSION: There was a substantial lack of concurrence between felt and assessed problems. The results indicate that the use of standardized instruments should be complemented by a dialog if health services are to be based on problems experienced by the patients. |
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Authors:
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Malin Tistad; Charlotte Ytterberg; Kerstin Tham; Lena von Koch |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-19 |
Journal Detail:
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Title: Journal of the neurological sciences Volume: - ISSN: 1878-5883 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375403 Medline TA: J Neurol Sci Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier B.V. All rights reserved. |
Affiliation:
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Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Fack 23 200, 141 83 Huddinge, Sweden; Karolinska Institutet, Department of Clinical Neuroscience, Division of Neurology, Karolinska University Hospital, Huddinge, 141 86 Stockholm, Sweden; Dalarna University, School of Health and Social Studies, 791 88 Falun, Sweden. |
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