Igniting the fire within: An innovative residential rehabilitation program for people with spinal cord injury

IF 3 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Disability and Health Journal Pub Date : 2025-10-01 Epub Date: 2025-06-12 DOI:10.1016/j.dhjo.2025.101913

Lori Hochman , Anita Santasier

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引用次数: 0

Abstract

Background

Shortened rehabilitation stays following spinal cord injury (SCI) limits rehabilitation potential and adversely impacts psychosocial health, functional goal capacity, and quality of life. Designed to fill this healthcare gap, Empower SCI (ESCI) was established to provide a second chance at rehabilitation using a short-term residential rehabilitation model shaped by participant-driven goals through physical and occupational therapy, adaptive recreation, rehabilitation counseling, and education sessions. A volunteer staff of multidisciplinary healthcare professionals and health professional students provides the supportive environment.

Objective

This qualitative inquiry aimed to reveal the outcomes and subsequent impact of the ESCI 2023 programs on the participants' physical, emotional, and psychosocial development.

Methods

Nine participants from the ESCI 2023 programs volunteered to participate in semi-structured interviews. The interviews were analyzed using a grounded theory approach, and themes and subthemes were established. Methodological rigor was established through multiple means.

Results

Three themes, each with subthemes, emerged from the data: 1. Positive participant change, 2. Positive life changing perspective shift, and 3. Integral ESCI program ingredients.

Conclusion

The comprehensive nature of the impactful changes on participant's physical, emotional, and psychosocial development are well aligned with the International Classification of Functioning, Disability, and Health, a biopsychosocial model of disability. Additionally, the motivation for the participants' perspective shift is consistent with Maslow's Hierarchy of Needs. The evidence from this study supports the value of short-term residential rehabilitation programs that are driven by participant centered goals and occur in the SCI healthcare continuum when individuals can maximize their potential to live more meaningful lives.

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点燃内心之火：为脊髓损伤患者提供的创新住宅康复计划。

背景：脊髓损伤（SCI）后缩短的康复时间限制了康复潜力，并对心理社会健康、功能目标能力和生活质量产生不利影响。为了填补这一医疗保健缺口，Empower SCI （ESCI）的建立是为了提供第二次康复机会，采用短期住院康复模式，通过物理和职业治疗、适应性娱乐、康复咨询和教育课程来塑造参与者驱动的目标。由多学科医疗保健专业人员和卫生专业学生组成的志愿工作人员提供支持性环境。目的：本定性调查旨在揭示ESCI 2023项目对参与者身体、情感和心理社会发展的结果和后续影响。方法：来自ESCI 2023项目的9名参与者自愿参加半结构化访谈。访谈采用扎根理论的方法进行分析，并建立主题和副主题。通过多种手段确立了方法的严谨性。结果：从数据中出现了三个主题，每个主题都有子主题：积极的参与者改变，2。2、积极改变生活的视角转变；集成ESCI程序成分。结论：对参与者身体、情感和心理社会发展的影响变化的综合性质与国际功能、残疾和健康分类（残疾的生物心理社会模型）完全一致。此外，参与者视角转变的动机与马斯洛需求层次理论是一致的。本研究的证据支持短期住院康复项目的价值，这些项目是由参与者为中心的目标驱动的，发生在脊髓损伤医疗连续体中，当个人可以最大限度地发挥他们的潜力，过上更有意义的生活。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

7.50

自引率

6.70%

发文量

134

审稿时长

34 days

期刊介绍： Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.