This study investigates spiritual wellbeing in stroke survivors using a convergent parallel mixed-methods design, combining qualitative data from virtual focus groups with caregivers and survivors and quantitative spirituality measures from the All of Us database. Qualitative analysis employed the framework method.
A 7-item spirituality survey from All of Us provided descriptive statistics for a large comparison sample. In the focus groups (n=41 across six groups), spirituality was described as trust in a higher power and the maintenance of emotional balance, with practices including mindfulness, prayer, and time in nature.
Survey results (n=5,428) showed that 70% endorsed connection with God or a higher power, while religious service attendance did not define practice for many (51.7% reported not attending religious services). Nature exposure emerged as a salient spiritual activity, with 90.4% feeling spiritually touched by nature at least occasionally.
The results converge to highlight spiritual wellbeing as a component of post-stroke adaptation, suggesting potential avenues for targeted interventions. Uncertainty remains regarding applicability across diverse populations, and further research is needed to tailor approaches.