Ioulia Barakou, Katie L Hackett, Florentina J Hettinga, Tracy Finch
{"title":"Insights from healthcare professionals on enhancing fatigue management in chronic conditions: a qualitative study.","authors":"Ioulia Barakou, Katie L Hackett, Florentina J Hettinga, Tracy Finch","doi":"10.1080/09638288.2025.2500066","DOIUrl":"https://doi.org/10.1080/09638288.2025.2500066","url":null,"abstract":"<p><strong>Purpose: </strong>Activity pacing is multidimensional and promising for fatigue management and quality of life in chronic conditions. There is a need to develop activity pacing interventions involving healthcare professionals' views on fatigue management and activity pacing. This study explored healthcare professionals' perspectives on activity pacing and its role in fatigue management for individuals with chronic conditions.</p><p><strong>Materials and methods: </strong>Three focus groups and two semi-structured interviews were conducted with ten healthcare professionals. They were audio-recorded, transcribed verbatim, and analyzed using reflexive thematic inductive analysis.</p><p><strong>Results: </strong>Participants described activity pacing as complex. They highlighted barriers experienced by adults with chronic conditions, including fear of overexertion, reluctance disclosing their condition, and lack of understanding their fatigue. Participants underscored the importance of a tailored, holistic activity pacing approach. They viewed activity pacing as essential for improving the quality of life in chronic conditions and discussed physical activity engagement as a strategy to enhance fatigue management.</p><p><strong>Conclusion: </strong>Findings from this study underscore the complexities of activity pacing in chronic conditions and offer insights to inform the development of more effective interventions. Healthcare professionals' perspectives highlight the need to address both practical and psychological aspects of fatigue management through individualized and holistic approaches.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of smartphone-assisted cardiac rehabilitation: a systematic review and meta-analysis.","authors":"Benil Nesli Ata","doi":"10.1080/09638288.2025.2503956","DOIUrl":"https://doi.org/10.1080/09638288.2025.2503956","url":null,"abstract":"","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-2"},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adrian Ram, Alexandre Kovats, Anurag Pandit, Pramod Ram, Mitchell T Gibbs, John Booth, Jeanette M Thom, Matthew D Jones
{"title":"Painful exercise for people with knee osteoarthritis: a randomised controlled feasibility trial.","authors":"Adrian Ram, Alexandre Kovats, Anurag Pandit, Pramod Ram, Mitchell T Gibbs, John Booth, Jeanette M Thom, Matthew D Jones","doi":"10.1080/09638288.2025.2504614","DOIUrl":"https://doi.org/10.1080/09638288.2025.2504614","url":null,"abstract":"<p><strong>Purpose: </strong>Determine the feasibility of painful exercise for people with knee osteoarthritis (KOA) to inform a future randomised controlled trial. <i>Materials and methods:</i> People with KOA were randomised into painful (INT) or non-painful (CON) exercise groups. Both groups performed supervised exercise twice per week for 6 weeks and received standardised education. Feasibility was assessed using participant recruitment and retention rates as well as exercise adherence and compliance. Secondary outcomes included pain, function, strength, pressure pain threshold, psychosocial measures, global impression of change, and adverse events.</p><p><strong>Results: </strong>Twenty participants (67.4 ± 8.9 years old; 18 females) were randomised and 18 completed the study. Feasibility was supported by satisfactory rates of recruitment (INT 89%, CON 89%) and retention (INT 91%, CON 100%) as well as exercise adherence (INT 91%, CON 92%) and compliance (INT 72%, CON 81%). Outcomes improved similarly between groups, except for strength which increased more in INT compared to CON (13.0 [0.2-25.9] kg). Four participants (3 INT, 1 CON) took analgesic medication for exercise-induced pain exacerbations. No other adverse events were reported.</p><p><strong>Conclusion: </strong>When combined with education, painful exercise is feasible for KOA. Future research comparing the effectiveness and safety of painful exercise in KOA is warranted.</p><p><strong>Registration: </strong>ACTRN12622001231730.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohamed O Mohamed, Greg Wood, David J Wright, Liis Uiga, Rich S W Masters, Johnny V V Parr
{"title":"Effects of movement-specific reinvestment on upper-limb prosthesis control and user experience.","authors":"Mohamed O Mohamed, Greg Wood, David J Wright, Liis Uiga, Rich S W Masters, Johnny V V Parr","doi":"10.1080/09638288.2025.2503955","DOIUrl":"https://doi.org/10.1080/09638288.2025.2503955","url":null,"abstract":"<p><strong>Purpose: </strong>Prosthetic hand devices are frequently abandoned as they are difficult to use and impose high mental workload upon users. However, researchers are yet to establish whether personality factors might contribute to these negative prosthetic hand experiences. In this study, we examined whether key prosthetic hand outcome measures were associated with the trait inclination for conscious movement control-a phenomenon termed \"reinvestment\" that can impair motor performance and deplete cognitive resources.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was distributed online to a sample of upper-limb prosthesis users. Thirty-six respondents answered demographic questions and completed three questionnaires related to device satisfaction, trait reinvestment, and mental workload.</p><p><strong>Results: </strong>Correlational analysis revealed that a greater propensity for movement-specific reinvestment was associated with lower prosthesis satisfaction, higher mental workload, and lower levels of perceived device predictability. It was also found that mental workload mediated the relationship between reinvestment tendencies and both device satisfaction and hours of prosthesis use per day.</p><p><strong>Conclusions: </strong>This study provides first evidence that trait reinvestment is negatively implicated in the control and satisfaction of prosthetic hand use. We suggest that training interventions for prosthetic hand use should aim to limit the long-term reliance on conscious control of movements.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oisín Cleary, Orla McBride, Jenny Davison, Niamh C Kennedy
{"title":"An international, multi-perspective survey examining the poststroke impact and unmet needs following young stroke.","authors":"Oisín Cleary, Orla McBride, Jenny Davison, Niamh C Kennedy","doi":"10.1080/09638288.2025.2494234","DOIUrl":"https://doi.org/10.1080/09638288.2025.2494234","url":null,"abstract":"<p><strong>Purpose: </strong>Research into young stroke survivors' unmet needs is limited, despite this cohort accounting for ∼25% of the stroke population.</p><p><strong>Methods: </strong>This international survey acts as the first to explore the post-stroke impact and unmet needs across three key stakeholder groups: young stroke survivors, young stroke carers and healthcare professionals. Surveys were distributed <i>via</i> stroke organization newsletters and support groups. Survey questions consisted of existing validated outcome measures, closed and open-ended questions. Survey responses underwent ANOVA testing and regression modelling on validated measures: Stroke Impact Scale (SIS), Adult Carer Quality of Life questionnaire (AC-QoL) and Zarit Burden Interview (ZBI).</p><p><strong>Results: </strong>Survey data was collected from 316 young stroke survivors, 68 young stroke carers and 117 healthcare professionals. Young stroke survivors' mean (SD) SIS score was 67.15 (25.17) and carers reported AC-QoL scores and ZBI scores of 70.16 (21.10) and 30.47 (19.20) respectively, indicating mid-range quality of life and burden. Common themes that arose in qualitative accounts highlighted impacts and unmet needs in psychosocial, occupational and quality of life support.</p><p><strong>Conclusions: </strong>Participants reported a range of post-stroke impacts and unmet needs specific to a younger cohort. These should be considered when developing and providing services for young stroke survivors.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rayane Quintão Castro, João Victor Volker Oliveira, Priscila Monteiro Veras, Cyntia Pace Schmitz Correa, Jennifer Granja Peixoto, Diogo Simões Fonseca
{"title":"Effect of gait retraining strategies on clinical and biomechanical outcomes in subjects with knee osteoarthritis: a systematic review with meta-analysis and GRADE recommendations.","authors":"Rayane Quintão Castro, João Victor Volker Oliveira, Priscila Monteiro Veras, Cyntia Pace Schmitz Correa, Jennifer Granja Peixoto, Diogo Simões Fonseca","doi":"10.1080/09638288.2025.2502586","DOIUrl":"https://doi.org/10.1080/09638288.2025.2502586","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effects of gait retraining strategies on clinical and/or biomechanical variables in knee osteoarthritis.</p><p><strong>Methods: </strong>This study was registered in PROSPERO-CRD42023402778. Studies were searched up to June/2024. PEDro scale and GRADE approach were used to assess methodological quality and certainty of evidence. A meta-analysis was conducted using R-software.</p><p><strong>Results: </strong>The included studies employed backward walking (5), toe-out (1), and freely strategies (2). The meta-analysis revealed a significant difference with low quality of evidence favoring gait retraining for pain (MD = -1.12; 95% CI: [-1.61; -0.62]; I<sup>2</sup> = 78%; <i>p</i> < 0.01) and with high quality for function (SMD = -0.80; 95% CI: [-1.12; -0.48]; I<sup>2</sup> = 0%; <i>p</i> = 0.42). A significant difference also favoring gait retraining was observed for first knee adduction moment (KAM) (MD = -0.20; 95% CI: [-0.38; -0.02]; I<sup>2</sup> = 84%; <i>p</i> < 0.01). The comparisons indicated similarity between groups for second KAM (MD = -0.16; 95% CI: [-0.47; 0.16]; I<sup>2</sup> = 79%; <i>p</i> = 0.03) and for knee flexion moment (MD = 0.07; 95% CI: [-0.07; 0.20]; I<sup>2</sup> = 76%; <i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>Gait retraining improved pain, function and first KAM. Second KAM and knee flexion moment did not modify.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dominic Prévost, Marc Corbière, Jean-Philippe Lachance, Tania Lecomte, May Wong, Paul H Lysaker
{"title":"Preliminary validation of the Barriers to Employment and Coping Efficacy Scales for Veterans with a mental health condition (BECES-V) - assessing barriers and self-efficacy to returning to work.","authors":"Dominic Prévost, Marc Corbière, Jean-Philippe Lachance, Tania Lecomte, May Wong, Paul H Lysaker","doi":"10.1080/09638288.2025.2492310","DOIUrl":"https://doi.org/10.1080/09638288.2025.2492310","url":null,"abstract":"<p><strong>Purpose: </strong>Released Veterans with mental health conditions are three times more likely than civilians to experience limitations in work reintegration. Various tools have been developed to assess barriers impacting the return-to-work (RTW) process for Veterans transitioning to civilian life. The Barriers to Employment and Coping Efficacy Scales for Veterans (BECES-V) was designed to assess perceived barriers and self-efficacy among Veterans as they reintegrate the workplace following a prolonged absence.</p><p><strong>Methods: </strong>This study offers a preliminary validation of the BECES-V tool, specifically investigating: the dimensions of RTW obstacles while considering the literature and employing concept mapping procedure, the salient RTW obstacles experienced by Veterans with mental health conditions transitioning from military to civilian workplaces in Canada and the USA, and the strongest dimensions of RTW obstacles and self-efficacy, using logistic regression analyses. The study involved 92 Veterans who completed the BECES-V.</p><p><strong>Results: </strong>Health-related limitations and adaptability difficulties were salient in both countries; self-efficacy to overcome work-life balance difficulties, as well as mental health and military stigmatization, emerged as the strongest predictors of RTW. Utilizing BECES-V may help identify Veterans at increased risk for prolonged RTW, allowing rehabilitation professionals to address individualized obstacles and self-efficacy for successful RTW.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating disability awareness programs in schools: a scoping review of longitudinal outcomes and measures.","authors":"Alice Kelen Soper, Melissa Shivnauth, Holly Marini, Amanda Doherty-Kirby, Trinity Lowthian, Shree Dave, Samantha Noyek, Kerry Britt, Michelle Phoenix, Christine Imms, Peter Rosenbaum","doi":"10.1080/09638288.2025.2496356","DOIUrl":"https://doi.org/10.1080/09638288.2025.2496356","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review examined the measures used, outcomes assessed, and the longitudinal impacts of disability awareness programs.</p><p><strong>Materials and methods: </strong>Studies were identified from September 2011 to June 2023 across seven electronic databases. Covidence review software and Microsoft Excel were used to manage data. The data analysis included frequency counts of measures used and categorisation of the types of outcomes assessed. The longitudinal outcomes were synthesised according to the outcomes measured.</p><p><strong>Results: </strong>Seventy-two studies were included from 26 countries, utilising a range of measures to assess cognitive, affective, and behavioural outcomes of programs. A subset of 14 longitudinal studies was identified to explore longer-term outcomes, from 1 to 30-month follow-up. All four longitudinal studies assessing cognitive outcomes demonstrated sustained increases. Ten of 11 studies that assessed changes in attitudes generally found sustained improvements, while only one of five studies found lasting improvements on behaviours.</p><p><strong>Conclusions: </strong>Disability awareness programs can be an effective approach to increase knowledge, improve attitudes and can, to some extent, increase inclusive behaviours of students towards peers with disabilities.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Wintle, Nicholas F Taylor, Katherine Harding, Paul O'Halloran, Made Rimayanti, Andrew Rank, Casey L Peiris
{"title":"Motivational interviewing to facilitate goal setting in rehabilitation: a feasibility study.","authors":"Elizabeth Wintle, Nicholas F Taylor, Katherine Harding, Paul O'Halloran, Made Rimayanti, Andrew Rank, Casey L Peiris","doi":"10.1080/09638288.2025.2502576","DOIUrl":"https://doi.org/10.1080/09638288.2025.2502576","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the feasibility of using embedded motivational interviewing (MI) to develop patient-centred goals in rehabilitation.</p><p><strong>Method: </strong>Sixty adults (mean age 68 years, 60% female) referred with any health condition for community rehabilitation and four MI trained clinicians participated to inform feasibility of embedding motivational interviewing in goal setting to facilitate patient-centred discussions. Feasibility domains of acceptability, demand, implementation (including MI fidelity), practicality and limited efficacy were evaluated.</p><p><strong>Results: </strong>Over the 14-month recruitment period, 70 patients were eligible and 60 agreed to participate (86% uptake). Patient participants reported high levels of acceptance (median 10/10, IQR 9 to 10) and identified a median of 2 (IQR 2 to 4) patient-centred goals, of which 69% were achieved at discharge. MI goal setting took a median of 20 mins (IQR 17 to 24) and most commonly occurred during the second rehabilitation session (<i>n</i> = 28, 47%). There were no adverse events and no instances where goal setting was incomplete. Clinicians proficiently integrated MI into clinical practice and supported the application of MI within routine rehabilitation goal setting.</p><p><strong>Conclusion: </strong>Integrating motivational interviewing into rehabilitation goal setting was a feasible way to elicit patient-centred goals, which were accepted by patients and rehabilitation clinicians.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lynn R Tanner, Kathy S Grinde, Nancy L Slater, Kelsey J Gustner, Adriene Thornton, Stella Evans, Amanda Nickel
{"title":"The interaction of COVID-19 and sociodemographic factors on pediatric rehabilitation service initiation.","authors":"Lynn R Tanner, Kathy S Grinde, Nancy L Slater, Kelsey J Gustner, Adriene Thornton, Stella Evans, Amanda Nickel","doi":"10.1080/09638288.2025.2500062","DOIUrl":"https://doi.org/10.1080/09638288.2025.2500062","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the effect of the COVID-19 (COVID) pandemic on pediatric rehabilitation referrals and service initiation.</p><p><strong>Materials and methods: </strong>In a retrospective cohort study, we examined rehabilitation service utilization in 32 721 children between 2018 and 2022. Descriptive statistics compared service initiation rates by key patient characteristics during the pre-COVID/COVID periods and logistic regression estimated the changes in service initiation.</p><p><strong>Results: </strong>During COVID, service initiation decreased significantly by 23% (<i>p</i> < 0.001), whereas referral rates remained stable. The multivariate model showed that the rate of service initiation decreased faster for children aged 13-18 years than children aged 0-2 years (-11.1 vs. -6.8 percentage points (pps)). Speech-language pathology service initiation decreased significantly more than physical therapy during COVID (-12.2 vs. -6.5 pps), and urban service initiation rates decreased more than rural rates (9.2 vs. 0.9 pps). Disparities in service initiation by race, insurance type, urban/rural location, and primary language were persistent prior to and during COVID.</p><p><strong>Conclusions: </strong>Policies and procedures are needed to address disparities that existed prior to and during COVID in rehabilitation services access. It is critical to screen children for rehabilitation needs that may have gone untreated during COVID to optimize functional outcomes and quality of life.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}