Darin B.Zahuranec, University of Michigan, Ann Arbor, MIzdarin@umich.edu
Lesli E. Skolarus, James F. Burke
Submitted November 16, 2017
We thank Dr. Ganesh for the interest in our work. [1] It was never our intention to suggest activity limitations have no bearing on subjective wellbeing. Rather, it appears that the relative importance of activity limitations may be no greater than other factors such as pain, depression, and ability to participate in valued activities. To the extent existing outcome measures primarily focus on activities, they may be omitting key contributors to subjective wellbeing. Thus, we agree with the ongoing movement in stroke research to supplement activity-based outcome scales with other factors important to patients and families.
We also agree that the pathways between activity limitations and subjective wellbeing are likely complex. An earlier draft of our article included a prespecified exploratory analysis assessing the interaction between restricted participation in valued activities and activity limitations. This analysis was ultimately cut from the final article due to space considerations; while statistical power was limited, there was no evidence of an interaction.
1. Zahuranec DB, Skolarus LE, Feng C, Freedman VA, Burke JF. Activity limitations and subjective well-being after stroke. Neurology 2017;89:944-950.
For disclosures, please contact the editorial office at journal@neurology.org.
We thank Dr. Ganesh for the interest in our work. [1] It was never our intention to suggest activity limitations have no bearing on subjective wellbeing. Rather, it appears that the relative importance of activity limitations may be no greater than other factors such as pain, depression, and ability to participate in valued activities. To the extent existing outcome measures primarily focus on activities, they may be omitting key contributors to subjective wellbeing. Thus, we agree with the ongoing movement in stroke research to supplement activity-based outcome scales with other factors important to patients and families.
We also agree that the pathways between activity limitations and subjective wellbeing are likely complex. An earlier draft of our article included a prespecified exploratory analysis assessing the interaction between restricted participation in valued activities and activity limitations. This analysis was ultimately cut from the final article due to space considerations; while statistical power was limited, there was no evidence of an interaction.
1. Zahuranec DB, Skolarus LE, Feng C, Freedman VA, Burke JF. Activity limitations and subjective well-being after stroke. Neurology 2017;89:944-950.
For disclosures, please contact the editorial office at journal@neurology.org.