Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-19T14:20:47.619Z Has data issue: false hasContentIssue false

Asset Literacy Following Stroke: Implications for Disaster Resilience

Published online by Cambridge University Press:  17 October 2017

Tracey L. O’Sullivan*
Affiliation:
Interdisciplinary School of Health Sciences, University of Ottawa, Ontario, Canada Telfer School of Management, University of Ottawa, Ontario, Canada
Christine Fahim
Affiliation:
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
Elizabeth Gagnon
Affiliation:
Telfer School of Management, University of Ottawa, Ontario, Canada
*
Correspondence and reprint requests to Tracey O’Sullivan, Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, 25 University Pvt, Ottawa, Ontario, K1N 6N5 (email: tosulliv@uottawa.ca).

Abstract

Objective

The World Stroke Organization “1 in 6” campaign aims to raise awareness that 1 in 6 persons will experience a stroke during their lifetime. With aging populations and improved survival rates, an increased number of survivors live with functional limitations and require supportive care. This has important implications for implementing an all-of-society approach to disaster risk reduction. In this study, we explore the assets that stroke survivors and caregivers consider useful in supporting their capacity to manage routine activities and independent living and to respond to a disaster.

Methods

Transcripts from interviews with stroke survivors and caregivers were analyzed by use of content analysis.

Results

Assets were categorized into 4 classes: social, physical, energy, and personal characteristics and are presented as a household map. Emergent themes suggested that understanding how to mobilize assets is complicated yet essential for building resilience. Household resilience requires people have self-efficacy and motivation to move from awareness to action. The findings informed development of a conceptual model of asset literacy and household resilience following stroke.

Conclusions

Interventions to enhance asset literacy can support an all-of-society approach to disaster risk reduction through awareness, empowerment, participation, innovation, and engagement. (Disaster Med Public Health Preparedness. 2018; 12: 312–320)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Cameron, J, Gignac, MA. “Timing it right”: a conceptual framework for addressing the support needs of family caregivers to stroke survivors from hospital to home. Patient Educ Couns. 2008;70(3):305-314. https://doi.org/10.1016/j.pec.2007.10.020.Google Scholar
2. Public Health Agency of Canada. Tracking Heart Disease and Stroke in Canada: Stroke Highlights 2011. http://www.phac-aspc.gc.ca/cd-mc/cvd-mcv/sh-fs-2011/pdf/StrokeHighlights_EN.pdf. Published 2011. Accessed September 19, 2017.Google Scholar
3. World Stroke Organization. WSO Declares a Public Health Emergency. World Stroke Campaign website. http://www.worldstrokecampaign.org/learn/wso-declares-public-health-emergency.html. Published October 29, 2010. Accessed September 19, 2017.Google Scholar
4. Heart & Stroke Foundation. 2014 Stroke Report: Together Against a Rising Tide: Advancing Stroke Systems of Care. https://www.heartandstroke.ca/-/media/pdf-files/canada/stroke-report/hsf-stroke-report-2014.ashx?la=en&hash=4FD2B18A0EEDA2A193EFDBBDB983F23B1FBD570D. Published 2014. Accessed September 19, 2017.Google Scholar
5. Michael, YL, Yen, IH. Aging and place – neighbourhoods and health in a world growing older. J Aging Health. 2014;26(8):1251-1260. https://doi.org/10.1177/0898264314562148.Google Scholar
6. Fast, J. Caregiving for older adults with disabilities: present costs, future challenges. IRPP Study. 2015;58. http://irpp.org/wp-content/uploads/2015/12/study-no58.pdf. Accessed September 19, 2017.Google Scholar
7. Levac, J, Toal-Sullivan, D, O’Sullivan, T. Household emergency preparedness: a literature review. J Community Health. 2012;37(3):725-733. https://doi.org/10.1007/s10900-011-9488-x.Google Scholar
8. Bloodworth, DM, Kevorkian, CG, Rumbaut, E, Chiou-Tan, FY. Impairment and disability in the Astrodome after Hurricane Katrina: lessons learned about the needs of the disabled after large population movements. Am J Phys Med Rehabil. 2007;86(9):770-775. https://doi.org/10.1097/PHM.0b013e31813e0439.Google Scholar
9. O’Sullivan, T, Ghazzawi, A, Stanek, A, et al. We don’t have a back-up plan: an exploration of family contingency planning following stroke. Soc Work Health Care. 2012;51(6):531-551. https://doi.org/10.1080/00981389.2012.681539.Google Scholar
10. O’Sullivan, TL, Kuziemsky, CE, Corneil, W, Lemyre, L, Franco, Z. The EnRiCH Community Resilience Framework for high-risk populations [published online October 2, 2014]. PLOS Curr Disasters. https://doi.org/10.1371/currents.dis.11381147bd5e89e38e78434a732f17db.Google Scholar
11. Antonovsky, A. The salutogenic model as a theory to guide health promotion. Health Promot Int. 1996;11(1):11-18. https://doi.org/10.1093/heapro/11.1.11.Google Scholar
12. McKnight, JL, Kretzmann, JP. Mapping community capacity. Chapter 9. In: Minkler M, ed. Community Organizing and Community Building for Health. 2nd ed. New Brunswick, NJ: Rutgers University Press; 2011:158-172.Google Scholar
13. Morgan, A, Ziglio, E. Revitalising the evidence base for public health: an assets model. Health Promot Educ. 2007;14(suppl 2):17-22. https://doi.org/10.1177/10253823070140020701x.Google Scholar
14. Moser, C, Satterthwaite, D. Towards Pro-poor Adaptation to Climate Change in the Urban Centres of Low- and Middle-income Countries. Human Settlement Development Series: Climate Change and Cities Discussion Paper 3. London: International Institute for Environment and Development (IIED); 2008. http://pubs.iied.org/10564IIED/ Google Scholar
15. Bandura, A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall; 1986.Google Scholar
16. Bandura, A. Self-Efficacy: The Exercise of Control. New York: W.H. Freeman; 1997.Google Scholar
17. Hrostowski, S, Rehner, T. Five years later: resiliency among older adult survivors of Hurricane Katrina. J Gerontol Soc Work. 2012;55(4):337-351. https://doi.org/10.1080/01634372.2011.639055.Google Scholar
18. United Nations Office for Disaster Risk Reduction (UNISDR). Sendai Framework for Disaster Risk Reduction 2015-2030. http://www.unisdr.org/files/43291_sendaiframeworkfordrren.pdf. Accessed May 2016.Google Scholar
19. Alkire, S, Deneulin, S. The human development and capability approach. In: Deneulin S, Shahani L, eds. An Introduction to the Human Development and Capability Approach: Freedom and Agency. Sterling, VA: Earthscan; 2009:22-48.Google Scholar
20. Hobfoll, S. The influence of culture, community, and the nested-self in the stress process: advancing conservation of resources theory, applied psychology. Int Rev. 2001;50(3):337-421.Google Scholar
21. World Health Organization Regional Office for Europe. Health Literacy: The Solid Facts. http://www.euro.who.int/__data/assets/pdf_file/0008/190655/e96854.pdf. Published 2013. Accessed May 2016Google Scholar
22. Nutbeam, D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-2078. https://doi.org/10.1016/j.socscimed.2008.09.050.Google Scholar
23. Edwards, F. All hazards, whole community. In: Kapucu N, Hawkins CV, Rivera FI, eds. Disaster Resiliency. Interdisciplinary Perspectives. New York: Routledge; 2013:21-47.Google Scholar
24. Israel, B, Eng, E, Schulz, A, Parker, E. Introduction to methods in community-based participatory research for health. In: Israel B, Eng E, Schulz A, Parker E, eds. Methods in Community-Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2005:3-26.Google Scholar
25. Lemyre, L, O’Sullivan, T. Enhancing community resilience: a matter of multi-level framework, mixed methods and multi-sectoral tools. In: Kapucu N, Hawkins CV, Rivera FI. Disaster Resiliency. Interdisciplinary Perspectives. New York: Routledge; 2013:271-290.Google Scholar