{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:57:30Z","timestamp":1791485850157,"version":"4.3.4"},"reference-count":52,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["2-T32-HP14001-36-00"],"award-info":[{"award-number":["2-T32-HP14001-36-00"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Young adulthood is characterized by role developmental and occupational transitions; however, rehabilitation for young adult stroke survivors (YASS) is largely informed by evidence from older adults. Understanding the unique participation challenges of YASS is important for identifying tailored intervention targets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To systematically map, synthesize, and identify gaps in the literature examining YASS participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>EBSCO search across Academic Search Ultimate, CINAHL Plus with Full Text, MEDLINE, and APA PsycInfo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Selection and Data Collection<\/jats:title>\n                    <jats:p>Peer-reviewed studies reporting original data from YASS aged 18\u201345 that address participation in a role (e.g., parent, spouse), activity (e.g., education), or set of activities (e.g., activities of daily living). Data were extracted and synthesized to describe poststroke participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Fifteen studies reflected a heterogeneous evidence base. Findings suggest that stroke leads to occupational disruption with multi-layered and compounding effects on roles and activities during young adulthood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>Stroke disrupts the life course trajectory through which roles, identities, future possibilities, and life structures are formed, negotiated, and adjusted.<\/jats:p>\n                    <jats:p>This review charted the limited and fragmented literature, indicating a need for evidence to inform clinical practices tailored to the distinct and evolving needs of YASS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261478051","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:26:14Z","timestamp":1790767574000},"page":"1100-1110","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Participation in Personal and Professional Roles After Young Adult Stroke: A Scoping Review"],"prefix":"10.1177","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1983-3008","authenticated-orcid":false,"given":"M. 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