Clinical Rehabilitation最新文献

{"title":"Investigating changes in quality-of-life after high-dose high-intensity upper limb rehabilitation in chronic stroke survivors: A mixed-methods analysis of the Queen Square Programme.","authors":"Amanda Strawson, Jill J Francis, Fran Brander, Kate Kelly, Mark Haddad, Nick S Ward","doi":"10.1177/02692155251363439","DOIUrl":"10.1177/02692155251363439","url":null,"abstract":"<p><p>ObjectiveTo evaluate changes in quality-of-life and explore psychosocial influences on social participation and recovery in chronic stroke survivors following intensive upper limb neurorehabilitation.DesignMixed-methods design with quantitative (pre-post design with follow-up) and qualitative (semi-structured interview) phases.SettingThree-week Queen Square upper limb neurorehabilitation programme.Participants65 stroke survivors who participated in the programme from July 2016 to March 2018.Main measuresStroke Impact Scale (3.0) (SIS) and Action Research Arm Test, collected on admission, discharge, 6-week and 6-month follow-up (n = 65). Beliefs and psychosocial factors influencing quality-of-life were investigated through thematic analysis of semi-structured interviews in two subgroups, based whether the SIS-participation domain change from admission to follow-up was high (> 20, n = 5) or low (<-24, n = 5).ResultsSeven out of eight SIS domains, overall self-rated recovery (<i>p</i> < 0.001) and Action Research Arm Test (<i>p</i> < 0.001) improved from admission to discharge. The emotion domain improved from admission to discharge (<i>p</i> < 0.001) and reduced from discharge to 6-month follow-up (<i>p</i> < 0.001). Interviews highlighted four key psychosocial themes with contrasting positive and negative perspectives between higher change and lower change groups; themes 'hidden negative effects' and 'loneliness' were evident in the lower change group and 'getting on with my life' in the higher change group.ConclusionThe Queen Square upper limb neurorehabilitation programme led to measurable therapeutic benefits on physical and non-physical quality-of-life outcomes. However, the lack of sustained improvement in self-reported emotion contrasts with the clear benefits in other domains. This indicates a need for ongoing psychosocial support for some stroke survivors, supported by the qualitative findings.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1324-1339"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived barriers and facilitators to high-intensity gait training in stroke rehabilitation: A Delphi study.","authors":"Annie Tapp, David Griswold, Jennifer Bent, Susan Linder","doi":"10.1177/02692155251371429","DOIUrl":"10.1177/02692155251371429","url":null,"abstract":"<p><p>ObjectiveTo identify common barriers and facilitators among physical therapists to implementing high-intensity gait training for patients post-stroke during inpatient rehabilitation.DesignA three-round Delphi study using free text responses and five-point Likert scales for agreement.Participants60 physical therapists with expertise treating patients with stroke in inpatient rehabilitation were invited. 33 participants completed all three rounds of surveys.Main MeasuresRound 1 consisted of two free text questions. Qualitative responses from round one were coded using the Theoretical Domains Framework and used to generate Likert scale survey items for rounds two and three. Consensus was defined a priori as ≥75% agreement. Response stability was evaluated with the Wilcoxon rank sum test.ResultsAnalysis identified 24 themes (12 facilitators, 12 barriers). Seven facilitators reached consensus: access to equipment (84.9%), built environment (78.8%), administrative support (78.8%), peer support (75.8%), team commitment to evidence-based practice (75.8%), high-intensity gait training-specific training (75.8%), and observable patient improvement (75.8%). Only one barrier reached consensus: treatment time interruptions (97.9%), including delays from toileting, hygiene, and medication administration. Other themes ranged from 18.2% to 57.6% agreement. No significant change in responses was found between rounds (p > 0.05).ConclusionsMore facilitators than barriers reached consensus, with treatment time interruptions as the primary agreed-upon barrier. Despite knowledge of high-intensity gait training and supportive factors, fewer than half of participants reported daily use. Targeted implementation strategies addressing time and workflow disruptions are needed to increase high-intensity gait training adoption in inpatient rehabilitation.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1390-1401"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual reality for total hip arthroplasty rehabilitation: Kinect versus Nintendo Wii, a single-blind randomised controlled trial.","authors":"Jonathan Zavala-Gonzalez, Gustavo López-Alarcón, Diego Martinez, Sergio Jara, Igor Cigarroa, Héctor Gutiérrez-Espinoza","doi":"10.1177/02692155251363417","DOIUrl":"10.1177/02692155251363417","url":null,"abstract":"<p><p>ObjectiveCompare the effectiveness of integrating virtual reality systems, Nintendo Wii and Microsoft Kinect, integrated with conventional physiotherapy versus conventional physiotherapy alone, in improving lower limb physical function in people over 60 years of age undergoing total hip arthroplasty.DesignRandomised, single-blind clinical trial.SettingSan Borja Arriaran Clinical Hospital, Santiago, Chile.Participants111 individuals over 60 years of age, divided into three groups (n = 37 each).InterventionsFor six weeks, the control group received conventional physiotherapy. The Wii and Kinect groups received the same physiotherapy programme plus 15 min of exercise using virtual reality platforms.Outcome measuresThe primary outcome was the function subscale of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Secondary outcomes included WOMAC pain, Berg Balance Scale, Six-Minute Walk Test, and weight-bearing.ResultsAll groups improved. For WOMAC function, the Wii group surpassed the Kinect group (mean difference: 40.48 points; <i>p</i> < 0.001; minimum clinically important difference MCID: 11.9 points) but not the control group. The Wii group also led in balance (Berg Balance Scale mean difference: 19.41 points; <i>p</i> < 0.001; MCID: 11.5 points). The Kinect group was superior in the Six-Minute Walk Test (mean difference: 133.10 metres; <i>p</i> = 0.001) and WOMAC pain reduction (mean difference: 11.45 points; <i>p</i> < 0.003) exceeding the MCID of 2.2 points. No significant changes were observed in weight-bearing.ConclusionVirtual reality combined with physiotherapy improves clinically meaningful outcomes following hip arthroplasty. The Wii favours balance, while Kinect enhances pain and gait, supporting personalised rehabilitation.Trial registrationThis research was registered in the Clinical Trials Registry of Australia and New Zealand (ACTRN12618001252202).</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1311-1323"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What components and formats of rehabilitation interventions are more effective to reduce pain in patients with cervical radiculopathy? A Systematic review and component network meta-analysis.","authors":"Sergio Núñez de Arenas-Arroyo, Dimitris Mavridis, Vicente Martínez-Vizcaíno, Ana Torres-Costoso, Sara Reina-Gutiérrez, Eva Rodríguez-Gutiérrez, Iván Cavero-Redondo, Irene Sequí-Domínguez","doi":"10.1177/02692155251365193","DOIUrl":"10.1177/02692155251365193","url":null,"abstract":"<p><p>ObjectivesTo estimate the comparative efficacy of rehabilitation interventions for pain reduction in cervical radiculopathy and evaluate the individual components of combined treatments to support clinical decision-making.Data sourcesA systematic search was conducted across the Cochrane, PubMed, Scopus, WOS, and PEDro databases up to 1 July 2025, for randomized controlled trials comparing rehabilitation interventions against no intervention or other rehabilitation approaches for cervical radiculopathy-related pain.Review methodsWe conducted a frequentist random effects network meta-analysis and a component network meta-analysis to isolate the effects of individual treatment components. We used CINeMA software to assess the confidence in our estimates.ResultsWe included 36 trials comparing 25 interventions composed by eight active components. The components associated with a decrease in pain were neurodynamic techniques (SMD = -1.45; 95%CI: -1.88 to -1.02), cervical traction(SMD = -0.66; 95%CI: -1.08 to -0.25), articular treatment (SMD = -0.72; 95%CI:-1.29 to -0.15), and dry needling(SMD = -3.40; 95%CI: -5.40 to -1.39). The most promising interventions for reducing pain in cervical radiculopathy patients were a combination of the above components (except dry needling) with analgesic electrotherapy and strengthening exercises with a moderate confidence rating.ConclusionsA combination of articular treatment, analgesic electrotherapy neurodynamic techniques strengthening exercises and cervical traction appears to offer the most effective pain relief for patients with cervical radiculopathy, with a moderate confidence rating. Individually, neurodynamic techniques, cervical traction, and articular treatment were the components associated with a significant reduction in pain. Although dry needling showed encouraging results, its limited presence in the network prevents drawing firm conclusions about its effectiveness.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1296-1310"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation of the Spanish version of the physiotherapy critical thinking in clinical practice questionnaire.","authors":"Beatriz Hernández-Méndez, Àlex Ginés-Puertas, Javier Jerez-Roig, Joan-Daniel Martí-Romeu, David Cámara-Menoyo, Jordi Cuartero-Archs, Mercedes Piqueras-Céspedes, María Llaberia-Marcual, Esperanza Zuriguel-Pérez","doi":"10.1177/02692155251362999","DOIUrl":"10.1177/02692155251362999","url":null,"abstract":"<p><p>ObjectiveThe aim was to adapt and validate the Nursing Critical Thinking in Clinical Practice Questionnaire of 109 items in four dimensions, for its application in physiotherapists in Spain.DesignDescriptive, cross-sectional, multicenter psychometric study carried out in two phases: phase 1, adaptation of the Nursing Critical Thinking in Clinical Practice Questionnaire to the physiotherapy setting and analysis of its content validity; phase 2, evaluation of the psychometric properties of the new instrument.SettingPhysiotherapists from a variety of work environments (public and private hospitals, geriatric institutions, home care services, clinics, and primary care, social health, educational and sports centers).ParticipantsA sample of 235 physiotherapists participated, of whom 108 completed the questionnaire for a second time after a two-week interval.Main measuresConstruct validity was analyzed using Confirmatory Factor Analysis, convergent validity and discriminant validity; reliability was analyzed using internal consistency and temporal stability (test-retest method).ResultsThe Average Scale Content Validity Index of 0.96 indicated high content validity. Confirmatory Factor Analysis confirmed the four-dimensional structure on which the original questionnaire is based, with acceptable model fit indices. Cronbach's alpha for the total questionnaire was 0.97, reaching values above 0.70 in each of the dimensions. Lin's Intraclass Correlation Coefficient was 0.71.ConclusionsThe Physiotherapy Critical Thinking in Clinical Practice Questionnaire showed appropriate psychometric properties. Its use among Spanish physiotherapists is recommended.ClinicalTrials.gov IdentifierNCT05059483.URLhttps://clinicaltrials.gov.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1355-1365"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The added value of sensor-based tests in explaining the variance in walking and ADL independency after stroke: An exploratory study.","authors":"Natasja Charon Wouda, Marieke Geerars, Martijn Frits Pisters, Johanna Maria Augusta Visser-Meily, Michiel Punt","doi":"10.1177/02692155251362742","DOIUrl":"10.1177/02692155251362742","url":null,"abstract":"<p><p>ObjectiveTo evaluate the added value of sensor-based tests over conventional tests in explaining the variance in independence in activities of daily living (ADL) and independent walking in patients during inpatient stroke rehabilitation.DesignCross-sectional designSettingInpatient stroke rehabilitationParticipantsData were collected from 115 patients with stroke admitted to inpatient rehabilitation.InterventionNo intervention has been applied.Main measuresConventional measures and sensor-based tests in which postural sway and gait variables were measured using inertial measurement units. Outcome measures were ADL independence (determined by Barthel Index [BI]) and independent walking (determined by Functional Ambulation Categories [FAC]).ResultsWith univariable linear regression analyses showed that the Berg Balance Scale (BBS) explained most variance in ADL independence (<i>R</i>²<i> =</i> .527) and independent walking (<i>R</i>²<i> =</i> .727). In hierarchical multivariable regression analyses, symmetry during walking without a walking aid contributed most (Δ<i>R</i>²=18.6%) in explaining variance in ADL independency, resulting in a model explaining 15.7% (<i>p</i> = .029) of the variance in the BI. Tempo during walking with a walking aid contributed most (Δ<i>R² =</i> 20.1%) in explaining variance in independent walking, resulting in a model explaining 23.3% (<i>p</i> = .002) of the variance in the FAC. Adding sensor-based variables to models with the BBS did not significantly improve variance explanation.ConclusionsThe added value of variables measured with an inertial measurement unit in explaining ADL independence and walking ability after stroke is limited. These findings contribute to understanding the use of inertial measurement units in stroke rehabilitation, but caution is needed when applying them to predict physical recovery.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1366-1377"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of interventions in increasing physical activity of inpatients after stroke: A systematic review and meta-analysis.","authors":"Peter Hartley, Katie Bond, Rachel Dance, Isla Kuhn, Joanne McPeake, Faye Forsyth","doi":"10.1177/02692155251362735","DOIUrl":"10.1177/02692155251362735","url":null,"abstract":"<p><p>ObjectiveTo synthesise the evidence of the effectiveness of interventions to increase levels of physical activity or reduce levels of sedentary activity of inpatients after a new stroke.Data sourcesMedline, PsychINFO, AMED and CINAHL were search between inception and June 2025 for randomised controlled studies of in-hospital interventions for adults after stroke which measured physical activity.Review methodsInterventions were grouped by common components. For each intervention group, the outcomes of physical activity (primary outcome), physical functional ability, and quality of life were analysed with meta-analysis. Adverse events were synthesised narratively.ResultsTen studies (696 participants) were included in the review. General activity feedback (SMD = 0.52, 95% CI: -0.07 to 1.10; <i>I</i>² = 76.7%, 4 trials, <i>n</i> = 272) and additional physiotherapy (SMD = 0.89, 95% CI: -0.02 to 0.99; <i>I</i>² = 94.2%, 4 trials, <i>n</i> = 246) may result in moderate to large increases of in-hospital physical activity (very low certainty). Patient-directed activity programmes (one study) may have no effect on physical activity (low certainty). Upper-limb activity feedback (one study) may increase upper-limb activity (very low certainty).The evidence regarding the secondary outcomes demonstrated no effect (very low to moderate certainty), with the exception that additional physiotherapy may increase the risk of falls (low certainty).ConclusionsInterventions incorporating activity feedback or additional physiotherapy are promising, but further evidence is required for all interventions to increase the certainty in their estimates of effect.PROSPERO ID: CRD42024611456.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1277-1295"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144820706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of a programme for safer mobility (INTEGRATE): Perspectives of people with Parkinson's disease and their care-partners.","authors":"Natalie E Allen, Annabel Darmali, Cecelia Koch, Sammi Tran, Serene S Paul, Colleen G Canning, Simone Edwards, Susan Harkness, Roslyn Savage, Lyndell Webster, Genevieve Zelma, Lina Goh","doi":"10.1177/02692155251365151","DOIUrl":"10.1177/02692155251365151","url":null,"abstract":"<p><p>ObjectiveThis study aimed to explore the acceptability and factors that influenced implementation of a multidomain, home-based fall prevention programme (<i>Integrate</i>) for people with Parkinson's disease who fall recurrently, and their care-partners.DesignQualitative, inductive thematic analysis of semi-structured interviews.SettingHomes of <i>Integrate</i> participants in Sydney, Australia.ParticipantsEighteen interviews with people with Parkinson's disease and/or their care-partner who were purposively sampled after completing <i>Integrate</i>.Intervention<i>Integrate</i> was delivered by occupational therapists and physiotherapists and included personally tailored home fall-hazard reduction, exercise (leg muscle strength, balance and freezing of gait) and safer mobility strategies delivered over 6 months.ResultsFive themes were identified: (a) the importance of personalisation, (b) a collaborative effort, (c) capacity building, (d) navigating fall risk with Parkinson's is complex and (e) the ease (or not) of making changes. Participants and their care-partners appreciated the personalised, home-based programme that involved shared decision-making and was delivered by expert therapists. They developed increased safety awareness and problem-solving skills. Making improvements, receiving ongoing support from therapists and care-partners and making change easier promoted sustained engagement. However, some participants faced emotional and psychological barriers to engagement including fatalistic beliefs about disease progression and a desire to avoid appearing 'disabled'. The reality of Parkinson's disease motivated participants to make changes but Parkinson's-related impairments such as apathy and motor fluctuations hindered this.ConclusionsPeople with Parkinson's disease who are recurrent fallers, and their care-partners, found the <i>Integrate</i> programme acceptable and were able to engage with it with guidance and support from therapists.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1378-1389"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intermittent pneumatic compression therapy for patients after arthroscopic release of post-traumatic elbow stiffness: A randomised controlled trial.","authors":"Lihua Huang, Yanhong Ma, Yanmao Wang, Shiyang Yu, Jian Ding, Yifei Yao, Shengdi Lu","doi":"10.1177/02692155251371423","DOIUrl":"10.1177/02692155251371423","url":null,"abstract":"<p><p>ObjectiveTo evaluate the efficacy of intermittent pneumatic compression therapy after arthroscopic release for post-traumatic elbow stiffness.DesignRandomised controlled trial.SettingSingle-centre trial conducted in Shanghai Sixth People's Hospital, Shanghai, China.ParticipantsA total of 197 patients undergoing arthroscopic elbow release were randomised into intervention (<i>n</i> = 99) and control (<i>n</i> = 98) groups; 176 completed the study (intervention: <i>n</i> = 89, control: <i>n</i> = 87).InterventionThe intervention group received intermittent pneumatic compression therapy (GameReady™) for 2 weeks plus four-week standard rehabilitation; the control group had rehabilitation alone.Main measuresThe primary outcome was improvement in elbow flexion-extension range-of-motion at 12 weeks. Secondary outcomes included forearm rotation range-of-motion, elbow strength (measured by Baltimore Therapeutic Equipment), and patient-reported outcomes at 4, 12, and 24 weeks.ResultsAt 12 weeks, elbow flexion-extension range-of-motion did not differ significantly between groups. Secondary objective outcomes (forearm rotation and elbow strength) were also similar. However, the Intervention group reported significantly better elbow function at 24 weeks (American Shoulder and Elbow Surgeons Shoulder Score function subscore: 95% confidence intervals: 0.186-1.719; <i>P</i> = 0.015). Pain and disabilities of the arm, shoulder, and hand questionnaire scores showed no significant differences between groups.ConclusionsIntermittent pneumatic compression therapy did not significantly improve early elbow mobility or strength following arthroscopic release, but enhanced patient-reported elbow function at longer-term follow-up. Intermittent pneumatic compression therapy may be beneficial as an adjunct to standard rehabilitation. Further studies with larger samples and extended follow-up are needed.Trial registration numberChiCTR2500101221 (Chinese Clinical Trial Registry, https://www.chictr.org.cn/, date of registration: 2025-04-22).</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1340-1354"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting financial empowerment after brain injury: Findings from focus groups.","authors":"Lisa Engel, Kafayat Adedotun, Roheema Ewesesan, Ibiyemi Arowolo","doi":"10.1177/02692155251382507","DOIUrl":"https://doi.org/10.1177/02692155251382507","url":null,"abstract":"<p><p>ObjectiveTo cocreate and synthesize financial empowerment ideas for people living with acquired brain injury from multiple perspectives.DesignWe completed a qualitative descriptive study using focus-group methods. Content analysis was guided by deductive categorization across overlapping idea areas of educational products, human-interaction services, and advocacy approaches, followed by inductive idea subcategorization.SettingWe held seven focus groups, five online and two in-person. Participants were recruited via community organization advertisements and convenience sampling. Four researchers analyzed transcripts using a triangulation approach.ParticipantsTwenty-five adults (ages 18+) participated in seven different focus groups: 15 individuals living with acquired brain injury (five groups); 2 close others (one group); and 8 project advisory members (one group). Demographics varied across age, education, and time since injury; most were women.ResultsWe generated 20 idea subcategories for financial empowerment after brain injury. Participants discussed ideas related to advocacy and service ideas more than products, but noted the salience of varied option availability to meet different needs across individuals. Participants living with brain injury identified seven unique ideas compared to the close other group and project advisory group.ConclusionsFinancial empowerment to address economic factors of financial capability and financial well-being after brain injury is important to brain injury rehabilitation, health, and well-being. Including lived experience voices provided unique ideas for addressing financial empowerment. Providing a spectrum of options and addressing contextualization factors could enhance the financial well-being of adults living with brain injury, which can contribute to brain injury recovery and improve community participation.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251382507"},"PeriodicalIF":2.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}