Rehabilitation Process and Outcome最新文献

{"title":"Cardiac Specialists' Perspectives on Barriers to Cardiac Rehabilitation Referral and Participation in a Low-Resource Setting.","authors":"Mahdieh Ghanbari-Firoozabadi,&nbsp;Masoud Mirzaei,&nbsp;Khadijeh Nasiriani,&nbsp;Mozhgan Hemati,&nbsp;Jamal Entezari,&nbsp;Mohammadreza Vafaeinasab,&nbsp;Sherry L Grace,&nbsp;Hasan Jafary,&nbsp;Seyed Mahmood Sadrbafghi","doi":"10.1177/1179572720936648","DOIUrl":"https://doi.org/10.1177/1179572720936648","url":null,"abstract":"<p><strong>Background: </strong>Cardiac specialists are arguably the most influential providers in ensuring patients access cardiac rehabilitation (CR). Physician barriers to referral have been scantly investigated outside of high-income settings, and not qualitatively.</p><p><strong>Aim: </strong>This study investigated cardiac specialists' perceptions of barriers and facilitators to patient CR participation in a low-resource setting, with a focus on referral.</p><p><strong>Methods: </strong>In this qualitative study, focus groups were conducted with conventional content analysis. Thirteen of 14 eligible cardiac specialists working in Yazd, Iran, participated in 1 or both focus groups (n = 9 and n = 10, respectively). The recording of the first focus group was transcribed into a word file verbatim, and the accuracy of the content of all field notes and the transcripts was approved by the research team, which was then analyzed inductively. Following a similar process, saturation was achieved with the second focus group.</p><p><strong>Results: </strong>Four themes emerged: \"physician factors,\" \"center factors,\" \"patient factors,\" and \"cultural factors.\" Regarding \"physician factors,\" most participants mentioned shortage of time. Regarding \"center factors,\" most participants mentioned poor physician-patient-center coordination. In \"patient factors,\" the subcategories that arose were socioeconomic challenges and clinical condition of the patients. \"Cultural factors\" related to lack of belief in behavioral/preventive medicine.</p><p><strong>Conclusions: </strong>Barriers to CR referral and participation were multilevel, as in high-resource settings. However, relative recency of the introduction of CR in these settings seemed to cause great lack of awareness. Cultural beliefs may differ, and communication from CR programs to referring providers was a particular challenge in this setting.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"9 ","pages":"1179572720936648"},"PeriodicalIF":0.0,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572720936648","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39414722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience of Information Provision at the Stroke Unit From the Perspective of Relatives to Stroke Survivors.","authors":"Linda Kristensson,&nbsp;Ann Björkdahl","doi":"10.1177/1179572720947086","DOIUrl":"https://doi.org/10.1177/1179572720947086","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke not only affects the stroke survivor, it also significantly affects their families. Given the important supportive role that relatives of stroke survivor have, they should receive information that helps them plan and cope with the new situation. The objective of the study was to explore how relatives to stroke survivors perceived the information provided by the stroke unit.</p><p><strong>Methods: </strong>This qualitative study was based on extensive semi-structured interviews with an inductive approach. A heterogeneous convenience sample of relatives to stroke survivor (n=14) was selected. Qualitative content analysis served to analyze the transcribed interview texts.</p><p><strong>Results: </strong>The content analysis yielded four categories, each with 2-3 subcategories. The overall theme was \"to be acknowledged or not\": it encompassed the underlying meaning and the relationships between the categories. The four categories were as follows: shifting information needs; striving for information; lacking of continuity and structure; and taking part and being acknowledged.</p><p><strong>Conclusions: </strong>The study highlighted that the relatives of stroke survivors have a strong need for information and showed that the relatives experienced that they did not always feel satisfactorily informed and supported by the healthcare professionals in the stroke unit. A challenge for the healthcare professionals was to be able to give the right information at the right time and in the appropriate way. The study also showed that when the relatives were acknowledged and invited to participate in the rehabilitation process, they were less anxious of the discharge.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"9 ","pages":"1179572720947086"},"PeriodicalIF":0.0,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572720947086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39414725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Construct Validity of the Work Instability Scale for People With Common Mental Disorders in a Sample of Depressed and Anxious Workers: A Rasch Analysis.","authors":"Louise Danielsson, Robin Fornazar, Kristina Holmgren, Åsa Lundgren Nilsson, Gunnel Hensing","doi":"10.1177/1179572720936664","DOIUrl":"10.1177/1179572720936664","url":null,"abstract":"<p><strong>Background: </strong>Sick leave due to common mental disorders, encompassing depression and anxiety disorders, is high. Capturing early signs of reduced function could aid adjustments of work tasks and environment and, thus, endorse a pro-active approach to occupational and health care interventions to prevent long-term sick-leave spells. However, few measurements exist to identify early signs of imbalance, and none that is illness-specific. The aim of this study was to develop a work instability scale for people with common mental disorders and to test the fundamental psychometric properties of the scale.</p><p><strong>Methods: </strong>Participants were working adults 18-65 years old with depression or anxiety. The scale development started with qualitative interviews (n = 27) which informed the drafting of a dichotomous, self-report questionnaire. Cognitive debriefing (n = 12) was used to check face validity and modify the draft. Internal construct validity of the draft was tested using Rasch analysis (n = 128). The work ability index was used as a comparator measure.</p><p><strong>Results: </strong>The initial 63-item draft showed poor fit to Rasch model expectations. Items displaying poor fit or local response dependency were stepwise removed, resulting in a unidimensional 34-item scale fitting the model expectations, and with no differential item functioning. Person-item threshold distribution showed that the scale is better suited to measure low to moderate work instability, than to measure high instability. Correlations between the newly developed scale and the work ability index showed a significant, moderately strong correlation.</p><p><strong>Conclusions: </strong>In the initial target sample, the 34-item scale showed acceptable fundamental properties and internal construct validity. Further validation of the scale in a larger sample, including tests for external validity, is warranted.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"9 ","pages":"1179572720936664"},"PeriodicalIF":2.3,"publicationDate":"2020-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/19/10.1177_1179572720936664.PMC8282151.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39414723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Pediatric Inpatient Rehabilitation Services and Children's Functional Outcomes: King Fahad Medical City Experience.","authors":"Sanaa Mohammed Madi,&nbsp;Naif Ibrahim Alraddadi","doi":"10.1177/1179572720928394","DOIUrl":"https://doi.org/10.1177/1179572720928394","url":null,"abstract":"Background: Disability may affect children’s performance of functional activities. This may translate to difficulties in returning to home and/or school. It has been documented that intensive rehabilitation programs for children with disabilities lead to an improvement in their functional abilities. Wee-FIM is a valid and reliable outcome measure that is used commonly with children undergoing rehabilitation. Objectives: To study changes in the functional status of children admitted to a specialized pediatric inpatient rehabilitation unit. Design: A retrospective cohort study. Setting: King Fahad Medical City—Rehabilitation Hospital, Riyadh, Saudi Arabia. Methods: Investigators reviewed records of children admitted to a pediatric rehabilitation unit between January 1, 2012, and December 31, 2017. The outcome measures used were rehabilitation length of stay (LOS), Wee-FIM gain, and Wee-FIM efficiency. Results: The total number of records included in this study was 361 records. Sixty percent of the children were boys. The mean age was 8.7 ± 3.8 years (range, 3-17 years). Children with cerebral palsy accounted for 45.2% of the children. The mean LOS was 43 days. Children with brain tumors had the shortest LOS compared with children with other diagnoses. Mean (SD) Wee-FIM efficiency was 0.58 (±0.6). Highest Wee-FIM efficiency was observed in children with brain tumors. Average Wee-FIM gain was 20 (±15). The highest functional gain was 27 in children with brain tumors while the lowest was 16 in children with cerebral palsy. Conclusions: Intensive inpatient rehabilitation program is associated with improvement in functional performance in children with a variety of impairments and disabilities.","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"9 ","pages":"1179572720928394"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572720928394","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39414721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Narrative Review: The Use of the Topical NSAID Ibuprofen for the Treatment of Knee Osteoarthritis. Supporting Clinician Decision-Making in the First-Line Treatment of Osteoarthritis.","authors":"Catrin Hawthorn","doi":"10.1177/1179572720914945","DOIUrl":"https://doi.org/10.1177/1179572720914945","url":null,"abstract":"<p><strong>A narrative review: </strong>The use of the topical nonsteroidal anti-inflammatory drugs (NSAID) ibuprofen for the treatment of knee osteoarthritis. Supporting clinician decision-making in the first-line treatment of osteoarthritis.</p><p><strong>Objective: </strong>To open discussion at a clinical level on the guidelines for the pharmacological management of osteoarthritis of the knee, this narrative review looks into the use of topical NSAID being a clinically effective, safe, and cost-efficient treatment compared to an oral alternative.</p><p><strong>Background: </strong>With the over prescription of NSAIDs in the age of above 65 years, there has been a call for increased restrictions of the sale of oral preparations of NSAIDs. It is our view that there is still a lack of awareness in the benefit of topical NSAIDs to the patient (no evidence of adverse reactions recorded by the Joint Formulary Committee [JFC] to date) as well as provider (topical application is cheaper as a National Health Service [NHS] prescription).</p><p><strong>Methods: </strong>Key online resources included PubMed, Athens, Cochrane Library, Google Scholar, MEDLINE, and relevant clinical and commissioning guidelines with the final date of data collection in March 2017. We also contacted the manufacturer and license holder directly for further clarification. Randomized, double-blind control studies, commissioned reports, International Guidelines, MEHA Guidelines, and license holder data were included. Where possible studies included had to have fair randomization and adhere to key treatment pathways as highlighted by National Institute for Health and Clinical Excellence (NICE) and other guidelines.</p><p><strong>Discussion: </strong>Current guidelines advise that patients who seek initial treatment of osteoarthritis of the knee should consider a combination of treatment modalities, including pharmacological therapies, particularly the use of NSAIDs. At a clinical level, a reoccurring issue identified with this advice is the inappropriate use of oral NSAIDs, and the concern that the risks associated with ease of access (\"over the counter\"), and overuse, may result in systemic adverse events in this cohort of patients. Multiple studies have examined the negative effect of oral NSAIDs and the associated risks of use. We were unable to source studies that showed any adverse systemic events from the use of topical NSAIDs; however, there are good quality trials comparing oral to topical NSAIDs, showing similar levels of efficacy at 6 and 12 weeks.</p><p><strong>Conclusion: </strong>Topical NSAIDs provide good levels of pain relief in subjects with mild to moderate knee osteoarthritis. There is also evidence for the use of the topical application being a clinically effective, safe, and cost-efficient treatment.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"9 ","pages":"1179572720914945"},"PeriodicalIF":0.0,"publicationDate":"2020-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572720914945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39414720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the Most Common CrossFit Injuries in a Variety of Athletes.","authors":"Kirill Alekseyev,&nbsp;Alex John,&nbsp;Andrew Malek,&nbsp;Malcolm Lakdawala,&nbsp;Nikhil Verma,&nbsp;Colton Southall,&nbsp;Argyrios Nikolaidis,&nbsp;Sudheer Akella,&nbsp;Samantha Erosa,&nbsp;Rayeed Islam,&nbsp;Efrain Perez-Bravo,&nbsp;Marc Ross","doi":"10.1177/1179572719897069","DOIUrl":"https://doi.org/10.1177/1179572719897069","url":null,"abstract":"<p><strong>Background: </strong>CrossFit is an increasingly popular, rapidly growing exercise regimen. Few studies have evaluated CrossFit-associated musculoskeletal injuries on a large scale. This study explores such injuries and associated risk factors in detail.</p><p><strong>Objective: </strong>To identify the most common musculoskeletal injuries endured during CrossFit training among athletes at different levels of expertise.</p><p><strong>Design: </strong>Survey-based retrospective cross-sectional study.</p><p><strong>Setting: </strong>Distribution at CrossFit gyms in the United States and internationally. Also published on active online forums.</p><p><strong>Participants: </strong>A total of 885 former and current CrossFit athletes.</p><p><strong>Methods: </strong>Institutional review board-approved 33-question Web-based survey focused on CrossFit injuries and associated risk factors. Survey submissions were accepted for a period of 6 months.</p><p><strong>Main outcome measurements: </strong>Specific injuries with associated workouts, risk factors that affected injury including (1) basic demographics, (2) regional differences in reported injuries, (3) training intensity, and (4) expertise level at time of injury.</p><p><strong>Results: </strong>Of the 885 respondents, 295 (33.3%) were injured. The most common injuries involved the back (95/295, 32.2%) and shoulder (61/295, 20.7%). The most common exercises that caused injury were squats (65/295, 22.0%) and deadlifts (53/295, 18.0%). Advanced-level (64/295, 21.7%) athletes were more significantly injured than beginner-level (40/295, 13.6%) athletes. International participants were 2.2 times more likely than domestic US participants to suffer injury. Individuals with 3+ years of CrossFit experience were 3.3 times more likely to be injured than those with 2 or less years of experience. Participants who trained for 11+ h/week were significantly more likely to be injured than those who trained less than or equal to 10 h/week.</p><p><strong>Conclusions: </strong>As CrossFit becomes more popular, it is important to monitor the safety of its practitioners. Further studies are needed to explore how to lower this injury prevalence of 33.3%. Areas to focus on include factors that have caused the regional (international vs US states) differences, level of expertise/experience differences (advanced level vs intermediate and beginner levels), and stretching routine modifications.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"9 ","pages":"1179572719897069"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572719897069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39396748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accepting the Challenge-Moderate-Intensity Exercise with Individuals with Dementia: A Case Series.","authors":"Nicole Dawson,&nbsp;Katherine Judge","doi":"10.1177/1179572719853592","DOIUrl":"https://doi.org/10.1177/1179572719853592","url":null,"abstract":"<p><strong>Background and purpose: </strong>The global impact of dementia demands a response from researchers and clinicians to not only assist with prevention and a cure, but also to assist in the management of symptoms related to this progressive disease. The purpose of this case series is to highlight the participation of 3 individuals with varying levels of dementia in a moderate-intensity functional exercise program.</p><p><strong>Intervention: </strong>The intervention, developed using principles from exercise science and a Strength-Based Approach, consisted of 24 sessions of moderate-intensity exercises delivered in participant's home.</p><p><strong>Outcomes: </strong>Each participant completed a pre- and post-assessment including gait speed, strength, balance, depressive symptoms, cognition, and perceived difficulty with activities of daily living. Despite various clinical presentations, each participant successfully completed all 24 sessions with noted improvements in at least two measures.</p><p><strong>Discussion: </strong>These findings highlight the flexibility of using the Strength-Based Approach to enhance participation in a standardized exercise program.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"8 ","pages":"1179572719853592"},"PeriodicalIF":0.0,"publicationDate":"2019-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572719853592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39396747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minor Head Injury Symptoms and Recovery From Whiplash Injury: A 1-Year Prospective Study.","authors":"Helge Kasch,&nbsp;Luana Leonora Jensen","doi":"10.1177/1179572719845634","DOIUrl":"https://doi.org/10.1177/1179572719845634","url":null,"abstract":"<p><strong>Aim: </strong>To examine concussion-related disability in neck injuries, the Rivermead Head Injury Follow-Up Questionnaire (RHFUQ) was applied. Furthermore, we wanted to investigate symptoms found in post-concussion syndrome (PCS) and global pain, neck pain intensities obtained from acute whiplash patients within 1 week and at 6 months after injury in a prospective study on 1-year work disability.</p><p><strong>Methods: </strong>A total of 143 consecutive acute whiplash-injured patients were admitted to the study from the Emergency Unit (Aarhus University Hospital). Patients with direct head trauma or reported retro- or anterograde amnesia were excluded from the study. Average neck pain and global pain intensity were measured on a Visual Analogue Scale (VAS 0-10). The RHFUQ (10 items, score from 0 to 4, total score from 0 to 40) was fulfilled after 1 week and 6 months. Patients underwent neurological examination within 1 week after injury. Recovery (return to work) was assessed 1 year post-injury.</p><p><strong>Results: </strong>In total, 97% completed the study, and 9% (12/138) did not recover. Non-recovered patients reported more neck pain and global pain after 1 week (<i>P</i> < .003) and 6 months (<i>P</i> < .008) and higher PCS symptom score after 1 week (<i>P</i> < .001) and 6 months (<i>P</i> < .002). Using the RHFUQ total score as a predictive test, a receiver-operating characteristic curve (ROC) area of 0.77 (0.61-0.92) and a cut-off at 10 points revealed a sensitivity of 75% and a specificity of 67.2%. At 1 week, 8 of 10 items reached higher scores among non-recovered and 10 of 10 items after 6 months post-injury.</p><p><strong>Conclusions: </strong>RHFUQ is useful in acute whiplash patients for predicting 1-year work disability. PCS-related symptoms along with neck pain and global pain are more burdensome in the non-recovered group. This emphasizes that post-concussion symptoms are not a sign of brain injury alone, but are found in other types of mishaps like whiplash injuries.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"8 ","pages":"1179572719845634"},"PeriodicalIF":0.0,"publicationDate":"2019-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572719845634","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39396746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Our Peers-Empowerment and Navigational Support (OP-ENS): Development of a Peer Health Navigator Intervention to Support Medicaid Beneficiaries With Physical Disabilities.","authors":"Susan Magasi,&nbsp;Christina Papadimitriou,&nbsp;Judy Panko Reis,&nbsp;Kimberly The,&nbsp;Jennifer Thomas,&nbsp;Laura VanPuymbrouck,&nbsp;Tom Wilson","doi":"10.1177/1179572719844759","DOIUrl":"https://doi.org/10.1177/1179572719844759","url":null,"abstract":"<p><p>People with disabilities (PWD) are a health disparities population who experience well-documented physical, structural, attitudinal, and financial barriers to health care. The disability rights community is deeply engaged in advocacy to promote health care justice for all PWD. As the community continues to work toward systems change, there is a critical need for community-directed interventions that ensure individuals with disabilities are able to access the health care services they need and are entitled to. Peer health navigator (PHN) programs have been shown to help people from diverse underserved communities break down barriers to health care. The PHN model has not been systematically adapted to meet the needs of PWD. In this article, we describe the collaborative process of developing <i>Our Peers-Empowerment and Navigational Supports (OP-ENS)</i>, an evidence-informed PHN intervention for Medicaid beneficiaries with physical disabilities in Chicago, IL, USA. <i>Our Peers-Empowerment and Navigational Supports</i> is a 12-month community-based PHN intervention that pairs Medicaid beneficiaries with physical disabilities (peers) with disability PHNs who use a structured recursive process of barrier identification and asset mapping, goal setting, and action planning to help peers meet their health care needs. <i>Our Peers-Empowerment and Navigational Supports</i> was developed by a collaborative team that included disability rights leaders, representatives from a Medicaid managed care organization, and academic disability health care justice researchers. We highlight both the conceptual and empirical evidence that informed <i>OP-ENS</i> as well as the lessons learned that can assist future developers.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"8 ","pages":"1179572719844759"},"PeriodicalIF":0.0,"publicationDate":"2019-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572719844759","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39396745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence and Continued Participation in a Wellness Class for Individuals with Disabilities.","authors":"Megan Elizabeth Ware,&nbsp;Kathleen B deMarrais,&nbsp;Kevin K McCully","doi":"10.1177/1179572719843257","DOIUrl":"https://doi.org/10.1177/1179572719843257","url":null,"abstract":"<p><strong>Background: </strong>For individuals with disabilities, adherence and participation in wellness programs is a challenge. Adherence and participation were explored in a wellness class for people with disabilities.</p><p><strong>Objective: </strong>Understand what factors impact participant adherence and participation in the wellness class.</p><p><strong>Methods: </strong>Eight wellness class participants, who have been in the class for 6 to 36 months, were chosen for qualitative interviews. Interview responses were coded and analyzed for overarching themes.</p><p><strong>Results: </strong>A total of 77 codes were obtained from interview data. The primary theme identified from the codes was related to social interaction with the student-trainers, divided into subthemes of social accountability, motivation, supporting classroom environment, and participant-student interaction.</p><p><strong>Conclusion: </strong>The primary factor influencing adherence and participation was related to social interaction with student-trainers. These results suggest that social interaction can play a major role in continued participation in exercise as well as exercise adherence.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"8 ","pages":"1179572719843257"},"PeriodicalIF":0.0,"publicationDate":"2019-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179572719843257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39396744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}