Social participation and quality of life for geriatric stroke survivors: A retrospective study



Journal Title

Journal ISSN

Volume Title



The purpose of this dissertation was to explore the intersection of social determinants of health and post-stroke quality of life using a retrospective, cross-sectional analysis of data from the Health and Retirement Study (HRS). Despite evidence linking social participation to well-being, there is limited research exploring how this correlation varies across subsets of the population. The purpose of this study was to fill a gap in the literature with an investigation into the factors that influenced social participation and exploration of the moderating effect of social determinants on the relationship between social participation and quality of life. Two objectives guided this research: first, to describe the relationship between social participation and income, race, and functional ability for older adults with stroke; second, to investigate whether socioeconomic, sociodemographic, and health-related variables moderated the relationship between social participation and quality of life for older adults with stroke. Correlational analysis was employed for the first aim, with interpretations based on pre-established criteria and significance set at p < .05. For the second aim, moderation analysis and hierarchical linear regression were used to explore relationships within the data. Frequency and variety of participation were explored using measures piloted in this study. Quality of life was measured by the Satisfaction with Life Scale. Key findings revealed that informal social activities like spending time with family or engaging in phone calls were the most popular activities among geriatric stroke survivors. This study identified patterns in social participation related to income, sex, functional ability, and education. Additionally, functional ability emerged as a significant moderator of the relationship between social participation and quality of life in older adult stroke survivors. Findings from this study support the idea that the HRS is a valuable tool for occupational therapy research. The Social Participation Frequency Scale and the Social Participation Variety Scale were two measures developed for this dissertation. They proved instrumental in investigating occupational participation within the HRS. The collective findings contribute to a deeper understanding of the interactions between social participation, socioeconomic factors, and quality of life among geriatric stroke survivors, with implications for occupational therapy practitioners and researchers.



Health Sciences, Rehabilitation and Therapy