Exploring dimensions of quality-of-life in survivors of stroke with communication disabilities–a brief report

T. Thayabaranathan, C. Baker, N. E. Andrew, R. Stolwyk, A. G. Thrift, H. Carter, K. Moss, J. Kim, S. J. Wallace, E. Brogan, R. Grimley, N. A. Lannin, M. L. Rose, D. A. Cadilhac

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Background: People with communication disabilities post-stroke have poor quality-of-life. Objectives: We aimed to explore the association of self-reported communication disabilities with different dimensions of quality-of-life between 90 and 180 days post-stroke. Methods: Cross-sectional survey data were obtained between 90 and 180 days post-stroke from registrants in the Australian Stroke Clinical Registry recruited from three hospitals in Queensland. The usual follow-up survey included the EQ5D-3L. Responses to the Hospital Anxiety and Depression Scale, and extra questions (e.g. communication disabilities) were also collected. We used χ2 statistics to determine differences. Results: Overall, 244/647 survivors completed the survey. Respondents with communication disabilities (n = 72) more often reported moderate to extreme problems in all EQ5D-3L dimensions, than those without communication disabilities (n = 172): anxiety or depression (74% vs 40%, p < .001), pain or discomfort (58% vs 39%, p = .006), self-care (46% vs 18%, p < .001), usual activities (77% vs 49%, p < .001), and mobility (68% vs 35%, p < .001). Respondents with communication disabilities reported less fatigue (66% vs 89%, p < .001), poorer cognitive skills (thinking) (16% vs 1%, p < .001) and lower social participation (31% vs 6%, p < .001) than those without communication disabilities. Conclusions: Survivors of stroke with communication disabilities are more negatively impacted across different dimensions of quality-of-life (as reported between 90 and 180 days post-stroke) compared to those without communication disabilities. This highlights the need for timely and on-going comprehensive multidisciplinary person-centered support.

Original languageEnglish
Pages (from-to)603–609
Number of pages7
JournalTopics in Stroke Rehabilitation
Volume30
Issue number6
DOIs
Publication statusPublished - 2023

Keywords

  • anxiety
  • communication disorders
  • depression
  • quality-of-life
  • self-report
  • Stroke

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