Leisure Education and Leisure Counseling in Adult Stroke: A Systematic Review

IF 0.7 Q4 REHABILITATION Therapeutic Recreation Journal Pub Date : 2023-05-09 DOI:10.18666/trj-2023-v57-i2-11775
Heather R. Porter, Hannah Goodno, Nicholas Wahl, Emily Bowman, Chelsea Titlow, Ashley Opitz, Grace Maher, Isabel Swingle, S. Roth
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Abstract

Engagement in leisure is difficult for many community-dwelling adults post-stroke, resulting in increased sedentary and solitary leisure activity, and reduced leisure engagement and satisfaction. This, in turn, impacts long-term recovery, health, and quality of life. The aim of this study was to review the efficacy of in-home and community-based leisure education and leisure counseling on meaningful activity engagement and health outcomes for this population. A systematic review of the literature from 2005-2020 resulted in 2,017 references of which three met the inclusion criteria. Findings indicate that leisure education and leisure counseling improved quality of life, leisure satisfaction, autonomous leisure engagement, and leisure competence, as well as reduced depression and perceived barriers. Clinical implications and future research recommendations are provided.
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成人中风的休闲教育与休闲辅导:系统回顾
许多居住在社区的成年人中风后很难参与休闲活动,导致久坐和单独的休闲活动增加,休闲参与度和满意度降低。这反过来又影响长期恢复、健康和生活质量。本研究的目的是回顾家庭和社区休闲教育和休闲咨询对这一人群有意义的活动参与和健康结果的功效。对2005-2020年的文献进行系统回顾,结果有2017篇参考文献,其中3篇符合纳入标准。研究结果表明,休闲教育和休闲咨询提高了生活质量、休闲满意度、自主休闲参与和休闲能力,并减少了抑郁和感知障碍。提供临床意义和未来的研究建议。
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