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Ethnic
and social differences in attitudes towards stroke:the effect on recovery
after stroke
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Funded by:
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The Stroke
Association
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Study team:
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Dr
Anthony Rudd
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Dr Pandora Pound
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Prof
Charles Wolfe
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Background:
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Ethnic and
social differences in attitudes towards stroke: the effect on recovery
after stroke. This project was conducted by Niall Maclean, with Pandora
Pound, Tony Rudd and a Steering Group supervising the research.
It is a widely held view among professionals in stroke rehabilitation that
an individual's attitudes and beliefs play a significant role in outcome
after stroke. However, little research has been conducted in this field.
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Aims:
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1)
Examine the variation in attitudes and beliefs about stroke and
rehabilitation among patients from different ethnic and social backgrounds.
2) Explore how these attitudes and beliefs may be associated with outcome.
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Design:
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A
questionnaire to assess peoples' attitudes towards stroke and
rehabilitation was developed and administered to 300 stroke patients over
the period of one year.
Scores from the questionnaire were for their association with outcome in
terms of disability and reintegration into the community at three months
and one year post stroke.
Depth interviews have been conducted with a sample of twenty stroke
patients and the data from these are currently being analysed to
investigate the reasons why some patients may not wish to participate in
rehabilitation.
Depth interviews have also been conducted with rehabilitation professionals
to explore the ways in which patients are identified as 'motivated' or
'unmotivated'.
Two papers have been published and two submitted for publication.
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References:
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MacLean N, Pound P, Wolfe CDA, Rudd AG. The concept of
patient motivation. A qualitative analysis of professionals' views on the
concept of motivation. Stroke 2002;33:444-8.
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