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Racial and Ethnic Disparities in Stroke Outcomes: A Scoping Review of Post-Stroke Disability Assessment Tools
DOI: 10.1080/09638288.2018.1448467
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Title:
Racial and Ethnic Disparities in Stroke Outcomes: A Scoping Review of Post-Stroke Disability Assessment Tools
Author:
Burns, Suzanne Perea
;
Adams, Robert J
;
Ellis, Charles
;
Logan, Ayaba
;
Magwood, Gayenell
;
Jones Buie, Joy N
;
White, Brandi M
Subjects:
Continental Population Groups
;
Disability Evaluation
;
Disabled Persons
;
Health Status Disparities
;
Humans
;
minority health
;
Patient Outcome Assessment
;
Race and Ethnicity
;
Rehabilitation and Therapy
;
Stroke
;
Stroke Rehabilitation
Description:
Purpose: To identify how post-stroke disability outcomes are assessed in studies that examine racial/ethnic disparities and to map the identified assessment content to the International Classification of Functioning, Disability, and Health (ICF) across the time course of stroke recovery. Methods: We conducted a scoping review of the literature. Articles published between January 2001 and July 2017 were identified through Scopus, PubMed, CINAHL, and PsycINFO according to predefined inclusion and exclusion criteria. Results: We identified 1791 articles through database and hand-searching strategies. Of the articles, 194 met inclusion criteria for full-text review, and 41 met inclusion criteria for study inclusion. The included studies used a variety of outcome measures encompassing domains within the ICF: body functions, activities, participation, and contextual factors across the time course of stroke recovery. We discovered disproportionate representation among racial/ethnic groups in the post-stroke disability disparities literature. Conclusions: A wide variety of assessments are used to examine disparities in post-stroke disability across the time course of stroke recovery. Several studies have identified disparities through a variety of assessments; however, substantial problems abound from the assessments used including inconsistent use of assessments, lacking evidence on the validity of assessments among racial/ethnic groups, and inadequate representation among all racial/ethnic populations comprising the US. Implications for Rehabilitation An enhanced understanding of racial/ethnic disparities in post-stroke disability outcomes is inherently important among rehabilitation practitioners who frequently engage with racial/ethnic minority populations across the time course of stroke recovery. Clinicians should carefully consider the psychometric properties of assessment tools to counter potential racial bias. Clinicians should be aware that many assessments used in stroke rehabilitation lack cultural sensitivity and could result in inaccurate assessment findings.
Published in Disability and Rehabilitation, v. 41, issue 15, p. 1835-1845. The copyright holder has granted the permission for posting the article here. This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on July 2019, available online: http://www.tandfonline.com/10.1080/09638288.2018.1448467 .
Creation Date:
2019
Language:
English
Identifier:
DOI: 10.1080/09638288.2018.1448467
Source:
UKnowledge
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