{"id":"https://openalex.org/W7223087600","doi":"https://doi.org/10.66285/jams.2027.015","title":"Impacts on productivity and leisure among stroke patients and caregivers at a community rehabilitation center: A descriptive exploratory survey","display_name":"Impacts on productivity and leisure among stroke patients and caregivers at a community rehabilitation center: A descriptive exploratory survey","publication_year":2026,"publication_date":"2026-10-20","ids":{"openalex":"https://openalex.org/W7223087600","doi":"https://doi.org/10.66285/jams.2027.015"},"language":"en","primary_location":{"id":"doi:10.66285/jams.2027.015","doi":"https://doi.org/10.66285/jams.2027.015","is_oa":true,"landing_page_url":"https://doi.org/10.66285/jams.2027.015","pdf_url":"https://he01.tci-thaijo.org/index.php/bulletinAMS/article/download/288089/193602","source":{"id":"https://openalex.org/S4220651305","display_name":"Journal of Associated Medical Sciences","issn_l":"2539-6056","issn":["2539-6056"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310319374","host_organization_name":"Chiang Mai University","host_organization_lineage":["https://openalex.org/P4310319374"],"host_organization_lineage_names":["Chiang Mai University"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Associated Medical Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://he01.tci-thaijo.org/index.php/bulletinAMS/article/download/288089/193602","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001389285","display_name":"Supaluck Phadsri","orcid":"https://orcid.org/0000-0003-2699-4616","observed_orcids":["https://orcid.org/0000-0003-2699-4616"]},"institutions":[{"id":"https://openalex.org/I48076826","display_name":"Chiang Mai University","ror":"https://ror.org/05m2fqn25","country_code":"TH","type":"education","lineage":["https://openalex.org/I48076826"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Supaluck Phadsri","raw_affiliation_strings":["Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand"],"raw_orcid":"https://orcid.org/0000-0003-2699-4616","affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand","institution_ids":["https://openalex.org/I48076826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159172603","display_name":"Pattadon Laosat","orcid":"https://orcid.org/0009-0002-3069-8465","observed_orcids":["https://orcid.org/0009-0002-3069-8465"]},"institutions":[{"id":"https://openalex.org/I48076826","display_name":"Chiang Mai University","ror":"https://ror.org/05m2fqn25","country_code":"TH","type":"education","lineage":["https://openalex.org/I48076826"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Pattadon Laosat","raw_affiliation_strings":["Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand"],"raw_orcid":"https://orcid.org/0009-0002-3069-8465","affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand","institution_ids":["https://openalex.org/I48076826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159212404","display_name":"Rachata Ponhan","orcid":"https://orcid.org/0009-0002-6381-8339","observed_orcids":["https://orcid.org/0009-0002-6381-8339"]},"institutions":[{"id":"https://openalex.org/I48076826","display_name":"Chiang Mai University","ror":"https://ror.org/05m2fqn25","country_code":"TH","type":"education","lineage":["https://openalex.org/I48076826"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Rachata Ponhan","raw_affiliation_strings":["Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand"],"raw_orcid":"https://orcid.org/0009-0002-6381-8339","affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand","institution_ids":["https://openalex.org/I48076826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059133823","display_name":"Sopida Apichai","orcid":"https://orcid.org/0000-0002-7235-8891","observed_orcids":["https://orcid.org/0000-0002-7235-8891"]},"institutions":[{"id":"https://openalex.org/I48076826","display_name":"Chiang Mai University","ror":"https://ror.org/05m2fqn25","country_code":"TH","type":"education","lineage":["https://openalex.org/I48076826"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Sopida Apichai","raw_affiliation_strings":["Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand"],"raw_orcid":"https://orcid.org/0000-0002-7235-8891","affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand","institution_ids":["https://openalex.org/I48076826"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077658889","display_name":"Waranya Chingchit","orcid":"https://orcid.org/0009-0000-5168-0665","observed_orcids":["https://orcid.org/0009-0000-5168-0665"]},"institutions":[{"id":"https://openalex.org/I48076826","display_name":"Chiang Mai University","ror":"https://ror.org/05m2fqn25","country_code":"TH","type":"education","lineage":["https://openalex.org/I48076826"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Waranya Chingchit","raw_affiliation_strings":["Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand"],"raw_orcid":"https://orcid.org/0009-0000-5168-0665","affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand","institution_ids":["https://openalex.org/I48076826"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I48076826"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85652092,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"60","issue":"1","first_page":"149","last_page":"162"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11759","display_name":"Occupational Therapy Practice and Research","score":0.9106000065803528,"subfield":{"id":"https://openalex.org/subfields/3609","display_name":"Occupational Therapy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11759","display_name":"Occupational Therapy Practice and Research","score":0.9106000065803528,"subfield":{"id":"https://openalex.org/subfields/3609","display_name":"Occupational Therapy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.08609999716281891,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13986","display_name":"Medical Practices and Rehabilitation","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.9760000109672546},{"id":"https://openalex.org/keywords/stroke-patients","display_name":"stroke patients","score":0.6460000276565552},{"id":"https://openalex.org/keywords/caregivers","display_name":"caregivers","score":0.847000002861023},{"id":"https://openalex.org/keywords/community-rehabilitation-centers","display_name":"community rehabilitation centers","score":0.7459999918937683},{"id":"https://openalex.org/keywords/occupational-therapy","display_name":"occupational therapy","score":0.703000009059906},{"id":"https://openalex.org/keywords/productivity","display_name":"productivity","score":0.8970000147819519},{"id":"https://openalex.org/keywords/leisure","display_name":"leisure","score":0.9829999804496765},{"id":"https://openalex.org/keywords/occupational-impact","display_name":"occupational impact","score":0.5690000057220459},{"id":"https://openalex.org/keywords/sedentary-behavior","display_name":"sedentary behavior","score":0.8849999904632568},{"id":"https://openalex.org/keywords/caregiver-fatigue","display_name":"caregiver fatigue","score":0.8849999904632568},{"id":"https://openalex.org/keywords/economic-instability","display_name":"economic instability","score":0.8220000267028809},{"id":"https://openalex.org/keywords/vocational-rehabilitation","display_name":"vocational rehabilitation","score":0.8539999723434448},{"id":"https://openalex.org/keywords/self-worth","display_name":"self-worth","score":0.48399999737739563}],"concepts":[{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.6947000026702881},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5392000079154968},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5304999947547913},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.527400016784668},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5249000191688538},{"id":"https://openalex.org/C102190203","wikidata":"https://www.wikidata.org/wiki/Q380141","display_name":"Occupational therapy","level":2,"score":0.5077999830245972},{"id":"https://openalex.org/C85973986","wikidata":"https://www.wikidata.org/wiki/Q1091731","display_name":"Exploratory research","level":2,"score":0.48919999599456787},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.47609999775886536},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.412200003862381},{"id":"https://openalex.org/C204983608","wikidata":"https://www.wikidata.org/wiki/Q2111958","display_name":"Productivity","level":2,"score":0.4041999876499176},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.37130001187324524},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3402999937534332},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3228999972343445},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3111000061035156},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.310699999332428},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.302700012922287},{"id":"https://openalex.org/C2776406656","wikidata":"https://www.wikidata.org/wiki/Q5154598","display_name":"Community-based rehabilitation","level":3,"score":0.29179999232292175},{"id":"https://openalex.org/C2780656516","wikidata":"https://www.wikidata.org/wiki/Q40357","display_name":"Prison","level":2,"score":0.2892000079154968},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.28519999980926514},{"id":"https://openalex.org/C2776737852","wikidata":"https://www.wikidata.org/wiki/Q464163","display_name":"Sick leave","level":2,"score":0.2727999985218048},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.2703000009059906},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2646999955177307},{"id":"https://openalex.org/C2780792277","wikidata":"https://www.wikidata.org/wiki/Q5154971","display_name":"Community integration","level":2,"score":0.2635999917984009},{"id":"https://openalex.org/C57868080","wikidata":"https://www.wikidata.org/wiki/Q7075807","display_name":"Occupational prestige","level":4,"score":0.25600001215934753},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2554999887943268},{"id":"https://openalex.org/C2991746682","wikidata":"https://www.wikidata.org/wiki/Q180910","display_name":"Leisure time","level":3,"score":0.25270000100135803}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.66285/jams.2027.015","doi":"https://doi.org/10.66285/jams.2027.015","is_oa":true,"landing_page_url":"https://doi.org/10.66285/jams.2027.015","pdf_url":"https://he01.tci-thaijo.org/index.php/bulletinAMS/article/download/288089/193602","source":{"id":"https://openalex.org/S4220651305","display_name":"Journal of Associated Medical Sciences","issn_l":"2539-6056","issn":["2539-6056"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310319374","host_organization_name":"Chiang Mai University","host_organization_lineage":["https://openalex.org/P4310319374"],"host_organization_lineage_names":["Chiang Mai University"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Associated Medical Sciences","raw_type":"journal-article"},{"id":"pmh:oai:he01.tci-thaijo.org:article/288089","doi":null,"is_oa":true,"landing_page_url":"https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/288089","pdf_url":null,"source":{"id":"https://openalex.org/S4220651305","display_name":"Journal of Associated Medical Sciences","issn_l":"2539-6056","issn":["2539-6056"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310319374","host_organization_name":"Chiang Mai University","host_organization_lineage":["https://openalex.org/P4310319374"],"host_organization_lineage_names":["Chiang Mai University"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2539-6056","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:doaj.org/article:c44c0fec781f427c90d060ca9ab7acae","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/c44c0fec781f427c90d060ca9ab7acae","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Associated Medical Sciences, Vol 60, Iss 1 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.66285/jams.2027.015","doi":"https://doi.org/10.66285/jams.2027.015","is_oa":true,"landing_page_url":"https://doi.org/10.66285/jams.2027.015","pdf_url":"https://he01.tci-thaijo.org/index.php/bulletinAMS/article/download/288089/193602","source":{"id":"https://openalex.org/S4220651305","display_name":"Journal of Associated Medical Sciences","issn_l":"2539-6056","issn":["2539-6056"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310319374","host_organization_name":"Chiang Mai University","host_organization_lineage":["https://openalex.org/P4310319374"],"host_organization_lineage_names":["Chiang Mai University"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Associated Medical Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7257999777793884,"id":"https://metadata.un.org/sdg/8","display_name":"Decent work and economic growth"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223087600.pdf","grobid_xml":"https://content.openalex.org/works/W7223087600.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W124324500","https://openalex.org/W2004093248","https://openalex.org/W2048795968","https://openalex.org/W2085028749","https://openalex.org/W2152540128","https://openalex.org/W2166003388","https://openalex.org/W2317233658","https://openalex.org/W2783699401","https://openalex.org/W2898819527","https://openalex.org/W2902865335","https://openalex.org/W3091777071","https://openalex.org/W4285195656","https://openalex.org/W4361215288","https://openalex.org/W4381137402","https://openalex.org/W4388428499","https://openalex.org/W4391729689","https://openalex.org/W4405078499","https://openalex.org/W4409586859","https://openalex.org/W4415362092","https://openalex.org/W4417149287","https://openalex.org/W6942133466"],"related_works":["https://openalex.org/W2783699401","https://openalex.org/W2911497728","https://openalex.org/W2113608855","https://openalex.org/W4322734452","https://openalex.org/W2154640731","https://openalex.org/W1832688977","https://openalex.org/W2586816261","https://openalex.org/W2074133134","https://openalex.org/W7203463694","https://openalex.org/W2075711166"],"abstract_inverted_index":{"Background:":[0],"Stroke":[1,304],"patients":[2,60,91,117,305],"and":[3,7,13,18,38,61,87,92,100,130,139,156,166,178,193,227,231,246,274,278,291,300,306,319,329,341,352,360],"caregivers":[4,62,93,282,307],"need":[5],"productive":[6,192],"leisure":[8,88,194,248,320,354],"activities":[9,249,355],"to":[10,54,63,81,243,298,334,356],"support":[11],"recovery":[12],"maintain":[14],"family":[15,342],"income,":[16],"health,":[17],"well-being.":[19,361],"Among":[20,208],"those":[21],"participating":[22],"in":[23,72,163,190,338],"the":[24,45,83,123,144,151,157,191,204,209,212,221,237,259,268,309,315,323],"Thai":[25,158],"community":[26,73,96,205,310],"rehabilitation":[27,74,97,206,311,351],"center,":[28],"few":[29],"studies":[30],"have":[31],"been":[32],"conducted.":[33],"However,":[34],"local":[35],"government-supported":[36],"facilities":[37],"accessibility":[39],"challenges":[40],"influenced":[41],"these":[42,48],"occupations.":[43],"Thus,":[44],"impacts":[46,84,184,199,235],"on":[47,85,200],"occupations":[49],"remain":[50],"a":[51,95],"knowledge":[52],"gap":[53],"be":[55],"explored":[56],"among":[57,89],"both":[58],"stroke":[59,90,187,324],"better":[64],"understand":[65],"them":[66],"before":[67],"improving":[68],"occupational":[69,119,146,161,240],"therapy":[70,120,346],"services":[71,121,202],"centers.":[75],"Objectives:":[76],"This":[77,102],"survey":[78],"research":[79],"aimed":[80],"explore":[82],"productivity":[86,318],"at":[94,122,308],"center.":[98,207],"Materials":[99],"methods:":[101],"exploratory":[103],"study":[104],"recruited":[105],"participants":[106,112],"using":[107,175],"purposive":[108],"sampling.":[109],"The":[110],"voluntary":[111],"comprised":[113],"24":[114],"participants:":[115],"11":[116],"receiving":[118,201],"Lamphun":[124],"Municipality":[125],"Public":[126],"Health":[127],"Service":[128],"Center":[129],"13":[131],"caregivers.":[132],"Data":[133,172],"were":[134,170,173,188,229,276],"collected":[135],"between":[136],"October":[137],"2025":[138],"February":[140],"2026.":[141],"Demographic":[142],"data,":[143],"developed":[145],"impact":[147],"form":[148],"(adapted":[149],"from":[150,186,203],"Canadian":[152],"Occupational":[153,345],"Performance":[154],"Measure":[155],"assessment":[159],"of":[160,216,225,239,317,327],"performance":[162,226,273,328],"psychiatric":[164],"patients),":[165],"semistructured":[167],"interview":[168],"questions":[169],"used.":[171],"analyzed":[174],"descriptive":[176],"statistics":[177],"thematic":[179],"analysis.":[180],"Results:":[181],"Most":[182],"negative":[183],"resulting":[185],"found":[189],"aspects,":[195],"with":[196],"only":[197],"positive":[198],"patient":[210],"group,":[211],"total":[213,222,260,269],"average":[214,223,261,270],"score":[215,262],"importance":[217,264,316],"was":[218,265,331],"7.88,":[219],"while":[220,267],"scores":[224,271],"satisfaction":[228,275,330],"4.21":[230],"5.83,":[232],"respectively.":[233,280],"Major":[234],"included":[236],"loss":[238],"roles,":[241],"leading":[242],"decreased":[244],"productivity,":[245],"limited":[247],"characterized":[250],"by":[251],"sedentary":[252],"behaviors,":[253],"which":[254,296],"affected":[255],"self-value.":[256],"For":[257],"caregivers,":[258],"for":[263,272,294],"7.15,":[266],"7.59":[277],"7.59,":[279],"Although":[281],"perceived":[283],"caregiving":[284],"as":[285],"meaningful,":[286],"they":[287],"experienced":[288],"increased":[289],"responsibilities":[290],"reduced":[292],"time":[293],"leisure,":[295],"contributed":[297],"fatigue":[299],"economic":[301],"instability.":[302],"Conclusion:":[303],"center":[312],"still":[313],"recognize":[314],"activities;":[321],"however,":[322],"patients\u2019":[325],"perception":[326],"low.":[332],"According":[333],"their":[335],"perceptions,":[336],"limitations":[337],"restoring":[339],"work":[340],"roles":[343],"remain.":[344],"programs":[347],"should":[348],"integrate":[349],"vocational":[350],"meaningful":[353],"promote":[357],"holistic":[358],"health":[359]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-22T00:00:00"}