Impact of the environment on role performance in older stroke survivors living at home
Bibliographic record
Abstract
This article examines the experiences of older stroke survivors living in Ontario, Canada, in adapting to their changing life roles. A qualitative study using in-depth, focused interviews was conducted with a sample of 18 men and women who had suffered stroke and who lived at home. It aimed to explore interactions among the home environment and disability. Four major themes were uncovered in the data: role adjustment – occupational losses and gains; personal, physical and economical challenges; ‘life is worth living’; and resources and supports. Findings from this study show that stroke survivors lost occupations, modified old ones and regained new ones. There were challenges with which some individuals dealt through modifying the environment and through the use of assistive devices, personal assistance and family support. In other instances, the stroke survivor lived in a world that posed accessibility issues and financial restraints. The study points to the importance of recognizing that stroke survivors use many strategies to regain control over aspects of their home and community environments to enable greater autonomy and participation. This study has implications for health professionals, who can assist stroke survivors on their return to community living.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.004 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".