ArticleJournal of rehabilitation medicine2026
Latent profile analysis of social participation in stroke survivors with limb dysfunction: a mixed-methods study.
Article in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Latent Profiles of Post-Stroke Fatigue and Their Association with Anxiety, Depression, and Sleep in Patients with First-Ever Stroke: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Kinesiophobia in older patients after stroke: a mixed-methods study using a life-course perspective.BMC geriatrics · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
objectiveThis study aimed to identify profiles of social participation among stroke survivors with limb dysfunction and explore the factors influencing these profiles.
designA convergent mixed-methods design.
methodsThe quantitative phase involved 499 participants recruited from 5 neurorehabilitation centres in Shanghai between December 2023 and June 2025. Participants completed measures including the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P), the Connor-Davidson Resilience Scale (CD-RISC-10), and the Modified Rankin Scale (mRS). Qualitative semi-structured interviews were performed with 16 participants to explore lived experiences of social participation.
resultsLatent profile analysis revealed 4 distinct social participation profiles: "Active Integration", "Contented Conservatism", "Cautious Conservatism", and "Alienated Disengagement". A multivariate analysis identified age, resilience, and physical function as significant predictors of profile membership. Qualitative findings uncovered 2 core emotional experiences (a sense of loss vs a sense of rebuilding) and 3 behavioural patterns (activist, conservative, alienated), which effectively explained the quantitative profiles' characteristics and their underlying mechanisms. The integration of data provided a nuanced person-centred framework depicting the heterogeneity in post-stroke social participation.
conclusionSocial participation among stroke survivors is heterogeneous and can be classified into 4 distinct profiles shaped by the interplay of physical function, resilience, and sociodemographic factors. The findings underscore the necessity of implementing profile-specific, stepped-care interventions for effectively enhancing post-stroke social participation.
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