<b>Exploring Sensory Health Changes Post-Stroke and Their Impact on Activity Participation</b>

Sensory impairments following a stroke significantly affect survivors' ability to engage in meaningful daily activities, yet these changes remain underexplored. This qualitative study investigates how alterations in sensory health impact participation in health-promoting activities among stroke survivors. Using focus groups with 20 stroke survivors and 15 stakeholders (including therapists and caregivers), we examined sensory changes across visual, auditory, tactile, gustatory, and olfactory domains. Findings revealed four key themes: (1) sensory impairments are often unrecognised in clinical settings, (2) these changes notably disrupt participation in daily activities, (3) sensory overload leads to social withdrawal, and (4) insufficient resources hinder sensory health management. Supported by an increased sample size and rigorous thematic analysis, this study highlights the need for targeted sensory assessments and interventions in stroke rehabilitation to enhance participation and quality of life. Future research should aim to develop standardised sensory health protocols and incorporate culturally diverse perspectives脑卒中（stroke）后感觉障碍会显著影响幸存者参与有意义的日常活动的能力，但此类感觉变化尚未得到充分探索。本项质性研究旨在探究感觉健康状况的改变如何影响脑卒中幸存者参与健康促进活动的情况。本研究通过对20名脑卒中幸存者及15名利益相关者（包括治疗师与照护者）开展焦点小组访谈，对视觉、听觉、触觉、味觉与嗅觉领域的感觉变化进行了考察。研究结果揭示了四大核心主题：其一，临床场景中常难以识别感觉障碍；其二，此类感觉变化会显著干扰日常活动参与；其三，感觉过载会导致社交退缩；其四，资源不足会阻碍感觉健康管理工作。本研究通过扩大样本量并采用严谨的主题分析法，强调了脑卒中康复中需开展针对性感觉评估与干预，以提升幸存者的活动参与度与生活质量。未来研究应致力于制定标准化的感觉健康评估方案，并纳入多元文化视角。