Asghar Dalvandi - Department of Neurobiology, Caring sciences and Society, School of Health Science and Social Work, Växjö University, Växjö, Karolinska Institutet, Stockholm, Sweden.
Sirkka-Liisa Ekman - Department of Neurobiology, Caring sciences and Society, School of Health Science and Social Work, Växjö University, Växjö, Karolinska Institutet, Stockholm, Sweden.
Sadat Seyed Bagher Maddah - University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Hamid Reza Khankeh - Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Kristiina Heikkilä - Department of Neurobiology, Caring sciences and Society, School of Health Science and Social Work, Växjö University, Växjö, Karolinska Institutet, Stockholm, Sweden.

Objectives: Stroke survivors develop their own strategies to combat disabilities, developing strategies to maintain or reestablish a sense of continuity after the disruptive life event that stroke represents, using strategies to foster hope during the process of adjusting to life after stroke and drawing on spiritual practices. The aim of this study is to identify the used and recommended strategies of life after stroke among Iranian people. Methods: A grounded theory approach was recruited using semi-structured interviews with ۱۰ stroke survivors, ۱۲ family caregivers and ۶ formal care givers. Results: Five main concepts emerged describing as the used and recommended strategies of the participants including, improving functional performance, re-learning life skills and educational support, accessing to rehabilitative services, socio-economical support and well-suited coping strategies. Discussion: Participants valued better knowledge and skills regarding the adaptive strategies for stroke survivors and their family care givers are essential in accomplishing with activities of daily living and doing social roles for improving life after stroke. Also developing the socio- economic supports is crucial for assuring a more supportive approach to achieve rehabilitation services and design better educational program for them.

Stroke survivors lived, Used and recommended strategies, Life modification