Patients’ experiences of unilateral spatial neglect between stroke onset and discharge from inpatient rehabilitation : a thematic analysis of qualitative interviews

Tobler-Ammann, Bernadette C.; Weise, Andrea; Knols, Ruud H.; Watson, Martin J.; Sieben, Judith M.; de Bie, Rob A.; de Bruin, Eling D.

doi:10.1080/09638288.2018.1531150

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Patients’ experiences of unilateral spatial neglect between stroke onset and discharge from inpatient rehabilitation : a thematic analysis of qualitative interviews
Authors:	Tobler-Ammann, Bernadette C. Weise, Andrea Knols, Ruud H. Watson, Martin J. Sieben, Judith M. de Bie, Rob A. de Bruin, Eling D.
DOI:	10.1080/09638288.2018.1531150
Published in:	Disability and Rehabilitation
Issue Date:	2018
Publisher / Ed. Institution:	Taylor & Francis
ISSN:	0963-8288 1464-5165
Language:	English
Subjects:	Stroke; Activities of daily living; Awareness; Rehabilitation; Thematic analysis; Unilateral spatial neglect
Subject (DDC):	616.8: Neurology, diseases of nervous system
Abstract:	Purpose: The purpose of this qualitative study was to explore how stroke patients with unilateral spatial neglect experience; (a) performance in activities of daily living; (b) alterations in bodily perceptions; and (c) personal hopes and expectations, looking at the period between stroke onset and discharge from inpatient rehabilitation. Materials and methods: We conducted individual semi-structured interviews with 7 (5 men, 2 women, mean age 69 years) consecutively sampled participants. All interviews were transcribed verbatim and analyzed using thematic analysis. Findings: Participants’ experiences were captured in three over-arching themes: “unawareness of neglect”, “emergent awareness for neglect-related difficulties”, and “comparing the new life with the old one.” Findings showed that participants progressed from initial unawareness to emergent awareness for their neglect-related difficulties over the course of rehabilitation. Comparing their current life situation with the one before their stroke triggered feelings of uncertainty and regret, with associated decreased pleasure in meaningful activities. Conclusions: This study informs health professionals regarding personal experiences of orientation in and reorganization of life of stroke patients with unilateral spatial neglect. The findings highlight that being aware of neglect-related deficits is a prerequisite for using coping strategies and incorporating them in daily life. Possible therapeutic strategies that fit the current stage of recovery and level of awareness are discussed.
URI:	https://digitalcollection.zhaw.ch/handle/11475/13348
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER)
Appears in collections:	Publikationen Gesundheit

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Tobler-Ammann, B. C., Weise, A., Knols, R. H., Watson, M. J., Sieben, J. M., de Bie, R. A., & de Bruin, E. D. (2018). Patients’ experiences of unilateral spatial neglect between stroke onset and discharge from inpatient rehabilitation : a thematic analysis of qualitative interviews. Disability and Rehabilitation. https://doi.org/10.1080/09638288.2018.1531150

Tobler-Ammann, B.C. et al. (2018) ‘Patients’ experiences of unilateral spatial neglect between stroke onset and discharge from inpatient rehabilitation : a thematic analysis of qualitative interviews’, Disability and Rehabilitation [Preprint]. Available at: https://doi.org/10.1080/09638288.2018.1531150.

B. C. Tobler-Ammann et al., “Patients’ experiences of unilateral spatial neglect between stroke onset and discharge from inpatient rehabilitation : a thematic analysis of qualitative interviews,” Disability and Rehabilitation, 2018, doi: 10.1080/09638288.2018.1531150.

TOBLER-AMMANN, Bernadette C., Andrea WEISE, Ruud H. KNOLS, Martin J. WATSON, Judith M. SIEBEN, Rob A. DE BIE und Eling D. DE BRUIN, 2018. Patients’ experiences of unilateral spatial neglect between stroke onset and discharge from inpatient rehabilitation : a thematic analysis of qualitative interviews. Disability and Rehabilitation. 2018. DOI 10.1080/09638288.2018.1531150

Tobler-Ammann, Bernadette C., Andrea Weise, Ruud H. Knols, Martin J. Watson, Judith M. Sieben, Rob A. de Bie, and Eling D. de Bruin. 2018. “Patients’ Experiences of Unilateral Spatial Neglect between Stroke Onset and Discharge from Inpatient Rehabilitation : A Thematic Analysis of Qualitative Interviews.” Disability and Rehabilitation. https://doi.org/10.1080/09638288.2018.1531150.

Tobler-Ammann, Bernadette C., et al. “Patients’ Experiences of Unilateral Spatial Neglect between Stroke Onset and Discharge from Inpatient Rehabilitation : A Thematic Analysis of Qualitative Interviews.” Disability and Rehabilitation, 2018, https://doi.org/10.1080/09638288.2018.1531150.