Social participation involves individuals engaging in various social activities, groups and networks to contribute to their community and provide a sense of belonging. Social participation of stroke survivors is significantly associated with a decline in their functional level and cognitive state. Around 65% of people with stroke experience difficulties in social participation, while 54% face limitations in performing higher-level daily tasks such as shopping. It is crucial to assess the level of social participation in people with stroke. The Assessment of Life Habits (LIFE-H 3.1) assesses the level of difficulty with and assistance needed for various life tasks, and offers a comprehensive view of an individual’s ability to engage in daily activities. This study aimed to investigate the psychometric properties of LIFE-H 3.1 in people with stroke. This study was a cross-sectional study with 64 participants (34 people with chronic stroke and 30 healthy older adults). All participants were assessed with The LIFE-H 3.1, the Fugl-Meyer Assessment of Upper Extremity and Lower Extremity, the Berg Balance Scale, the Timed Up and Go Test (TUG) and the 12-Item Short Form Survey (SF-12). Our results demonstrated that the LIFE-H 3.1 demonstrated excellent test-retest reliability (intraclass correlation coefficient=0.912-0.934). The LIFE-H score was significantly correlated with the TUG and SF-12 scores (p<0.008). The cut-off for LIFE-H total score that best differentiated between people with stroke and healthy older adults was 9.462. To conclude, the LIFE-H is a simple, reliable, sensitive, and specific measurement tool for evaluating social participation in people with stroke.

Authors:
Shamay S.M. Ng, The Hong Kong Polytechnic University, Hong Kong
Peiming Chen, The Hong Kong Polytechnic University, Hong Kong
Desmond Y.W. Lam, Physiotherapy Clinic, Hong Kong
Thomson W.L. Wong, The Hong Kong Polytechnic University, Hong Kong

About the Presenter(s)
Prof. Ng serves as the Professor of Department of Rehabilitation Sciences, and Associate Director of the Research Centre of Chinese Medicine Innovation at The Hong Kong Polytechnic University, Hong Kong.

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