{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:08:44Z","timestamp":1790831324079,"version":"4.1.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2011,10,24]],"date-time":"2011-10-24T00:00:00Z","timestamp":1319414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>Objectives: To investigate how contextual factors, as described by the World Health Organisation\u2019s International Classification of Functioning, Disability and Health (ICF), impact on stroke survivors\u2019 functioning and how needs are perceived in the long term after stroke.<\/jats:p>\n                  <jats:p>Methods: Semi-structured interviews were conducted with 35 participants between 1 and 11\u2009years after stroke. Data were analysed thematically using the ICF conceptual framework.<\/jats:p>\n                  <jats:p>Results: Long-term needs related to activities of daily living, social participation, mobility aids, home adaptations, housing, financial support, rehabilitation, information and transport. Participants identified a range of ICF environmental and personal factors including \u2018support and relationships,\u2019 \u2018products and technology,\u2019 \u2018services, systems and policies,\u2019 \u2018attitudes,\u2019 life experiences, social position and personal attitudes. Interactions between these contextual factors shaped functioning and how long-term needs were perceived. Social support from family and friends was a key facilitator of functioning for most participants, buffering the impact of disabilities and mediating perceived needs. Needs were not always stroke specific as many participants experienced other health problems.<\/jats:p>\n                  <jats:p>Discussion: The ICF framework was useful to investigate how contextual factors shaped functioning and mediated perceived long-term needs. Development of services to meet long-term needs among stroke survivors should consider the range of environmental and personal factors affecting how needs are perceived.<\/jats:p>","DOI":"10.1177\/1742395311423848","type":"journal-article","created":{"date-parts":[[2011,10,25]],"date-time":"2011-10-25T01:17:54Z","timestamp":1319505474000},"page":"31-44","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":85,"title":["Identifying the long-term needs of stroke survivors using the International Classification of Functioning, Disability and Health"],"prefix":"10.1177","volume":"8","author":[{"given":"Kethakie","family":"Sumathipala","sequence":"first","affiliation":[{"name":"Division of Health and Social Care Research, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eloise","family":"Radcliffe","sequence":"additional","affiliation":[{"name":"Division of Health and Social Care Research, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euan","family":"Sadler","sequence":"additional","affiliation":[{"name":"Division of Health and Social Care Research, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles DA","family":"Wolfe","sequence":"additional","affiliation":[{"name":"Division of Health and Social Care Research, King\u2019s College London, London, UK"},{"name":"NIHR Biomedical Research Centre, UK"},{"name":"Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"McKevitt","sequence":"additional","affiliation":[{"name":"Division of Health and Social Care Research, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,10,24]]},"reference":[{"key":"bibr1-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(03)00266-7"},{"key":"bibr2-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1142\/9789814299527_0009"},{"key":"bibr3-1742395311423848","unstructured":"Royal College of Physicians Intercollegiate Stroke Working Party.\n                      National clinical guidelines for stroke\n                      London: Royal College of Physicians, 2008."},{"key":"bibr4-1742395311423848","unstructured":"Department of Health.\n                      National stroke strategy\n                      London: Department of Health, 2007."},{"issue":"493","key":"bibr5-1742395311423848","first-page":"803","volume":"53","author":"Murray J","year":"2003","journal-title":"Br J Gen Pract"},{"key":"bibr6-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000127532.64840.36"},{"key":"bibr7-1742395311423848","unstructured":"Bradshaw J. A taxonomy of social need. In: McLaghlan G (ed).\n                      Problems and progress in medical care\n                      . Oxford: Oxford University Press; 1972."},{"key":"bibr8-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1080\/09638280500534796"},{"key":"bibr9-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1080\/09687590601141535"},{"key":"bibr10-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1177\/0269215509347433"},{"key":"bibr11-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-6712.2003.00217.x"},{"key":"bibr12-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-2-53"},{"key":"bibr13-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.598839"},{"key":"bibr14-1742395311423848","unstructured":"World Health Organization.\n                      International Classification of Functioning, Disability and Health\n                      Geneva: WHO, 2001."},{"issue":"11","key":"bibr15-1742395311423848","first-page":"30","volume":"46","author":"O'Halloran R","year":"2010","journal-title":"Int J Lang Commun Disord"},{"key":"bibr16-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1080\/09638280802639004"},{"key":"bibr17-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001033"},{"key":"bibr18-1742395311423848","unstructured":"The English Indices of Deprivation 2007.\n                      Queen's Printer and Controller of Her Majesty's Stationery Office\n                      2008."},{"key":"bibr19-1742395311423848","unstructured":"Stroke Research Patient and Family Group.\n                      Kings College London\n                      http:\/\/www.kcl.ac.uk\/schools\/medicine\/research\/hscr\/sections\/stroke\/patients (accessed August 2011)."},{"key":"bibr20-1742395311423848","first-page":"61","volume":"14","author":"Mahoney FI","year":"1965","journal-title":"Md State Med J"},{"key":"bibr21-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1080\/09638280210142158"},{"key":"bibr22-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1159\/000075783"},{"key":"bibr23-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.10.2131"},{"key":"bibr24-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1177\/1359105308095967"},{"key":"bibr25-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.1.64"},{"key":"bibr26-1742395311423848","first-page":"241","volume-title":"Handbook for theory and research for the sociology of education","author":"Bourdieu P","year":"1986"},{"key":"bibr27-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1080\/09638280802051721"},{"key":"bibr28-1742395311423848","doi-asserted-by":"publisher","DOI":"10.1097\/01.mrr.0000230051.24228.c8"},{"key":"bibr29-1742395311423848","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.523104"}],"container-title":["Chronic Illness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742395311423848","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1742395311423848","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742395311423848","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:58:58Z","timestamp":1777388338000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1742395311423848"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,24]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,3]]}},"alternative-id":["10.1177\/1742395311423848"],"URL":"https:\/\/doi.org\/10.1177\/1742395311423848","relation":{},"ISSN":["1742-3953","1745-9206"],"issn-type":[{"value":"1742-3953","type":"print"},{"value":"1745-9206","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,24]]}}}