Social Determinants of Health and the Use of Community-Based Rehabilitation Following Stroke: Methodologic Considerations

Elizabeth R. Mormer, MS, CCC-SLP; Sara B. Jones Berkeley, PhD, MPH; Anna M. Johnson, PhD, MSPH; Kristin Ressel, MS, ATC; Shuqi Zhang, MS; Amy M. Pastva, PT, PhD, MA; Cheryl D. Bushnell, MD, MHS; Pamela Duncan, PT, PhD; Janet K. Freburger, PT, PhD

Archives of Rehabilitation Research and Clinical Translation (Sep 2024)

Social Determinants of Health and the Use of Community-Based Rehabilitation Following Stroke: Methodologic Considerations

Elizabeth R. Mormer, MS, CCC-SLP,
Sara B. Jones Berkeley, PhD, MPH,
Anna M. Johnson, PhD, MSPH,
Kristin Ressel, MS, ATC,
Shuqi Zhang, MS,
Amy M. Pastva, PT, PhD, MA,
Cheryl D. Bushnell, MD, MHS,
Pamela Duncan, PT, PhD,
Janet K. Freburger, PT, PhD

Affiliations

Elizabeth R. Mormer, MS, CCC-SLP: Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.; Corresponding author Elizabeth R. Mormer, MS, CCC-SLP, Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Bridgeside Point 1, Suite 210, Pittsburgh, PA.
Sara B. Jones Berkeley, PhD, MPH: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Anna M. Johnson, PhD, MSPH: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kristin Ressel, MS, ATC: Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
Shuqi Zhang, MS: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Amy M. Pastva, PT, PhD, MA: Department of Orthopaedic Surgery, Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA.
Cheryl D. Bushnell, MD, MHS: Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Pamela Duncan, PT, PhD: Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Janet K. Freburger, PT, PhD: Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Journal volume & issue: Vol. 6, no. 3
p. 100358

Abstract

Read online

Social determinants are nonmedical factors frequently used to study disparities in health outcomes but have not been widely explored in regard to rehabilitation service utilization. In our National Institutes of Child Health and Human Development-funded study, Access to and Effectiveness of Community-Based Rehabilitation After Stroke, we reviewed several conceptual models and frameworks for the study of social determinants to inform our work. The overall objective of this special communication is to describe our approach to identifying, selecting, and using area-level measures of social determinants to explore the relationship between social determinants and rehabilitation use. We present our methods for developing a conceptual model and a methodologic framework for the selection of social determinant measures relevant to rehabilitation use, as well as an overview of publicly available data on social determinants. We then discuss the methodologic challenges encountered and future directions for this work.

Published in Archives of Rehabilitation Research and Clinical Translation

ISSN: 2590-1095 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General)
Website: https://www.journals.elsevier.com/archives-of-rehabilitation-research-and-clinical-translation

About the journal

Abstract

Keywords