Social Rehabilitation to Strengthen the Autonomy and Self-Sufficiency of Disabled People: Pre–Post Study

IF 1.7 4区社会学 Q1 SOCIAL WORK

Research on Social Work Practice Pub Date : 2025-05-21 DOI:10.1177/10497315251339628

Magdalena Hanková, Radana Kroutilová Nováková, Jana Martincová, Alena Hricová

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Abstract

Purpose: To assess how social rehabilitation (SR) services in Zlín Region, Czechia, strengthen the autonomy and self-sufficiency of disabled persons by monitoring nine areas: exercising rights, safety, work and self-actualization, social relations, eating, coping with everyday tasks and self-care, communication, autonomy, and health care. Methods: Mixed-methods (Embedded) design was used with two data collection waves (2020-2021), involving structured rating interview with disabled individuals ( N 2020 = 105, N 2021 = 95) and semistructured interviews with social workers ( N 2020 , 2021 = 16). Results: Improvements were quantitatively observed and qualitatively validated across all monitored areas ( p < 0.001 for all domains), with the most notable gains in communication (pre mean = 2.95; post mean = 3.27; Cohen's d = .619, p < 0.001), less in social relations (pre mean = 2.82; post mean = 3.02; Cohen's d = .716, p < 0.001). Conclusions: SR enhances autonomy and self-sufficiency, particularly in communication. Improvements were most notable among 25% of participants, who also saw gains in other areas, highlighting abilities interconnectedness.

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社会康复增强残疾人自主自立能力：前后研究

目的：评估捷克Zlín地区的社会康复服务如何通过监测九个方面来加强残疾人的自主性和自给自足：行使权利、安全、工作和自我实现、社会关系、饮食、应对日常任务和自我照顾、沟通、自主性和保健。方法：采用混合方法（嵌入式）设计，采用两波数据收集（2020-2021），包括对残疾人士（N 2020 = 105, N 2021 = 95）和对社会工作者（N 2020, 2021 = 16）进行结构化评分访谈。结果：在所有监测区域中，定量观察和定性验证了改进(p <；所有领域0.001)，其中通信领域的收益最为显著(前均值= 2.95；后均值= 3.27；Cohen's d = .619, p <；0.001)，在社会关系中较少(前均值= 2.82；后均值= 3.02；Cohen's d = .716, p <；0.001)。结论：SR增强了自主性和自给性，尤其是在沟通方面。25%的参与者的进步最为显著，他们在其他领域也取得了进步，突出了能力的关联性。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.