{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:18:04Z","timestamp":1789604284644,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T00:00:00Z","timestamp":1712793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006937","name":"National Center for Medical Rehabilitation Research","doi-asserted-by":"publisher","award":["1R01HD092398-01"],"award-info":[{"award-number":["1R01HD092398-01"]}],"id":[{"id":"10.13039\/100006937","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institutes of Health\u2019s Eunice Kennedy Shriver National Institute of Child Health & Human Development"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stroke survivors are one of the largest consumer groups of rehabilitation services. Despite improvement in daily activities while in inpatient rehabilitation, many have difficulty performing daily activities at home after discharge. The difference in performance between a standard clinical context and at home is poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To better understand differences in activity performance during transition from inpatient rehabilitation facility (IRF) to home, we examined daily activity performance scores from 2 different environments (IRF and home) at the same time point (discharge).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross-sectional analysis using baseline data from a randomized controlled trial. Participants were stroke survivors aged \u226550 who planned to discharge home from the IRF. The Functional Independence Measure and Section GG codes (both converted to International Classification of Functioning, Disability, and Health scores) were conducted per protocol first at home and then in the IRF at discharge (\u22643\u2009days apart, order not randomized).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 57 participants, activity scores at home were significantly worse than scores at IRF discharge. Over 40% of participants had discharge scores indicating no-to-mild impairment for shower\/tub transfer, walking, and going up\/down stairs, while home visit scores indicated moderate-to-complete impairment for those activities. The greatest differences in scores were for shower\/tub transfer (median difference 1.5, 95% CI 1.00-2.00) and going up\/down stairs (median difference 1.50, 95% CI 1.00-2.00).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The environment plays an important role in stroke survivors\u2019 functioning at home. Future studies should further examine how the environment impacts activity performance upon returning home following stroke.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15459683241246266","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T05:56:12Z","timestamp":1712814972000},"page":"403-412","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Differences in Daily Activity Performance Between Inpatient Rehabilitation Facility and Home Among Stroke Survivors"],"prefix":"10.1177","volume":"38","author":[{"given":"Emily","family":"Somerville","sequence":"first","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Blenden","sequence":"additional","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Kretzer","sequence":"additional","affiliation":[{"name":"The Rehabilitation Institute of St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna","family":"Holden","sequence":"additional","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca M.","family":"Bollinger","sequence":"additional","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa J.","family":"Krauss","sequence":"additional","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Haxton","sequence":"additional","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah","family":"Martin","sequence":"additional","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Carter","sequence":"additional","affiliation":[{"name":"Division of Neurorehabilitation, Department of Neurology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2816-7158","authenticated-orcid":false,"given":"Susan L.","family":"Stark","sequence":"additional","affiliation":[{"name":"Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,11]]},"reference":[{"key":"bibr1-15459683241246266","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1649503"},{"key":"bibr2-15459683241246266","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/3238165"},{"key":"bibr3-15459683241246266","unstructured":"National Center for Chronic Disease Prevention. Stroke Facts. Centers for Disease Control and Prevention. 2023. Accessed February 10, 2023. https:\/\/www.cdc.gov\/stroke\/facts.htm"},{"key":"bibr4-15459683241246266","unstructured":"Johnson M, Holthaus D, Harvell J, Coleman E, Eilertsen T, Kramer A. Medicare post-acute care: quality measurement final report. 2001. 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