ORIGINAL RESEARCH article
Front. Psychol.
Sec. Health Psychology
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1674893
Association Between Social Participation and Hope Levels in Stroke Patients: A Cross-Sectional Study
Provisionally accepted
- Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, China
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Objectives: Exploring Factors Influencing the Level of Hope in Stroke Patients and Its Relationship with Social Participation. Methods: We conducted a cross-sectional study at Wuhan University People's Hospital from March to June 2024 and performed a correlation analysis on the sample data. Using convenience sampling, we enrolled 122 stroke patients who met the inclusion criteria. Participants completed questionnaires assessing social participation (Impact on Participation and Autonomy Questionnaire, IPA), hope (Herth Hope Index, HHI), activities of daily living (Barthel Index), and sociodemographic/disease characteristics. Data were analyzed using SPSS 26.0 with descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple linear regression. All statistical tests were two-tailed with significance set at p<0.05. Effect sizes were reported with 95% confidence intervals. Results: Participants demonstrated moderate social participation impairment (IPA: 32.60±16.32), with the most pronounced limitations in autonomous participation in family roles (subscore: 11.10±6.17). Hope levels averaged within the moderate range (HHI: 30.81 ± 7.28). Furthermore, significant negative correlations existed between all dimensions of social participation and all dimensions of hope (P<0.01). Regression analysis indicated that Barthel Index and social participation were key factors influencing hope levels among stroke patients. Conclusion: This study demonstrates that stroke survivors exhibit moderate impairments in social participation and hope levels. These findings suggest that rehabilitation programs should prioritize social participation enhancement while providing targeted interventions for female patients and those with lower socioeconomic status or poorer functional ability. Further longitudinal research is needed to establish causal relationships and optimize intervention strategies.
Keywords: Stroke, Rehabilitation, Social Participation, hope, correlational study
Received: 28 Jul 2025; Accepted: 13 Oct 2025.
Copyright: © 2025 Miao, Yan, Tian, Jiying, Juan and Hen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Liu Yan, 15337218888@163.com
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