{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:26:16Z","timestamp":1777533976346,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:00:00Z","timestamp":1544572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100004411","name":"Heart and Stroke Foundation of Canada","doi-asserted-by":"publisher","award":["CS I 7468"],"award-info":[{"award-number":["CS I 7468"]}],"id":[{"id":"10.13039\/100004411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To characterize environmental barriers to leisure participation among individuals living with stroke; examine relationships between environmental barriers and leisure interest and satisfaction; and investigate participant factors associated with the perception of environmental barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Convenience sample of 51 community-dwelling adults less than six months post stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measure(s):<\/jats:title>\n                    <jats:p>Craig Hospital Inventory of Environmental Factors-Short Form.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Physical and structural environmental barriers were reported as the most frequent and large barrier to leisure participation ( n\u2009=\u200926 (51%) rated as \u201cmonthly or more,\u201d n\u2009=\u200912 (24%) rated as \u201cbig problem\u201d). While attitude and support and policy barriers were not as commonly encountered, participants labeled these as \u201cbig problem(s)\u201d (attitude and support n\u2009=\u20096 (12%), policy n\u2009=\u20097 (14%)). The presence of depressive symptoms was associated with the frequency in which attitudinal and support (rho\u2009=\u20090.50, P\u2009&lt;\u20090.001), physical and structural (rho\u2009=\u20090.46, P\u2009&lt;\u20090.001), and service and assistance (rho\u2009=\u20090.28, P\u2009=\u20090.04) barriers were reported, as well as magnitude of attitude and support barriers (rho\u2009=\u20090.48, P\u2009&lt;\u20090.001). In multivariable regression analysis, depressive symptoms and walking capacity explained 21% of the variance of the frequency of attitude and support barriers ( P\u2009=\u20090.004), where depressive symptoms was an independent correlate ( P\u2009=\u20090.004). No other factors were associated with environmental barriers to leisure participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Individuals with stroke report frequent and large physical and structural environmental barriers to leisure participation, which may be associated with the presence of depressive symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215518818234","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T04:57:58Z","timestamp":1544590678000},"page":"796-804","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Examining the relationships between environmental barriers and leisure in community-dwelling individuals living with 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