Disability and Rehabilitation最新文献

Translation, cross-cultural adaptation, and validation of the patient-rated wrist evaluation into Spanish (Mexico). 翻译，跨文化适应，并验证患者评定腕关节评估到西班牙语（墨西哥）。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-14 DOI: 10.1080/09638288.2025.2574534

Mario Simental-Mendía, Juan Carlos Rodríguez-Azcona, Sergio Salvador García-Rodríguez, Ximena Guadalupe Carrillo-Cárdenas, Víctor Manuel Peña-Martínez, Carlos Alberto Acosta-Olivo

{"title":"Translation, cross-cultural adaptation, and validation of the patient-rated wrist evaluation into Spanish (Mexico).","authors":"Mario Simental-Mendía, Juan Carlos Rodríguez-Azcona, Sergio Salvador García-Rodríguez, Ximena Guadalupe Carrillo-Cárdenas, Víctor Manuel Peña-Martínez, Carlos Alberto Acosta-Olivo","doi":"10.1080/09638288.2025.2574534","DOIUrl":"https://doi.org/10.1080/09638288.2025.2574534","url":null,"abstract":"Purpose: This study aimed to translate, cross-culturally adapt, and validate the psychometric properties of the Patient-Rated Wrist Evaluation (PRWE) for use in Mexican Spanish-speaking patients (PRWE-MX) with distal radius fractures.Materials and methods: The translation and cross-cultural adaptation followed international guidelines. Reliability was assessed using test-retest intraclass correlation coefficients (ICC) and internal consistency (Cronbach's alpha). Validity was analyzed by correlating PRWE-MX scores with the QuickDASH and EQ-5D instruments. Floor and ceiling effects were also examined.Results: A total of 76 patients participated. The PRWE-MX demonstrated excellent reliability, with ICC values of 0.95 (total score), 0.92 (pain), and 0.94 (function). Cronbach's alpha exceeded 0.94 for all subscales. Construct validity was supported by strong correlations with the QuickDASH (r = 0.772, 8 weeks; r = 0.864, 12 weeks) and moderate correlations with the EQ-5D (r = -0.562, 8 weeks; r = -0.427, 12 weeks). Floor and ceiling effects were minimal.Conclusions: The PRWE-MX is a reliable and valid tool for evaluating wrist function and pain in Spanish-speaking patients in Mexico. Its strong psychometric properties support its use in both clinical and research settings.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293757","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}

引用次数: 0

Challenges and supports for ageing well with spinal cord injury: a scoping review. 挑战和支持老化与脊髓损伤：范围审查。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-14 DOI: 10.1080/09638288.2025.2570413

Emma Tan, Lynette Mackenzie, Jacqueline Wesson, Shane Clifton

{"title":"Challenges and supports for ageing well with spinal cord injury: a scoping review.","authors":"Emma Tan, Lynette Mackenzie, Jacqueline Wesson, Shane Clifton","doi":"10.1080/09638288.2025.2570413","DOIUrl":"https://doi.org/10.1080/09638288.2025.2570413","url":null,"abstract":"Purpose: To identify the scope of current knowledge concerning challenges and supports for people ageing with spinal cord injury (SCI) and determine evidence gaps that must be addressed to guide policy development, education, and clinical practice to help people to age well.Methods: A scoping review methodology was selected to systematically investigate the current state of knowledge on the experience, challenges, barriers, and enablers required for people ageing with SCI and identify gaps in knowledge.Results: Ninety-eight studies fulfilled the eligibility criteria. The main themes identified were the ageing process, accelerated ageing, deterioration in mobility and self-care over time, the effects of ageing on social, leisure and productive life roles, and environmental impacts such as physical, social, policy and resources, and lack of knowledge about ageing with SCI.Conclusions: A lifelong multidisciplinary approach is required to support people ageing with SCI, to maintain health, quality of life and participation in meaningful roles, and to facilitate people's ageing well. Disparities between the disability and aged-care funding systems must also be addressed to ensure equity of access to support for people ageing both with or without disability. There are many gaps in knowledge about ageing with SCI that require further research.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-24"},"PeriodicalIF":2.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294380","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}

引用次数: 0

Exploring trauma-informed principles for empowering physical and psychological recovery in a multidisciplinary inpatient rehabilitation unit: a qualitative study. 探索创伤知情的原则，赋予身体和心理康复的多学科住院康复单位：一项定性研究。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-11 DOI: 10.1080/09638288.2025.2568566

Nadia Bicchi, Irina Churilov, Carrie Lethborg, Carol Silberberg, Rachel Zordan, Jessica Harvey, John Forster, Kim Brock, Sophie Heywood

{"title":"Exploring trauma-informed principles for empowering physical and psychological recovery in a multidisciplinary inpatient rehabilitation unit: a qualitative study.","authors":"Nadia Bicchi, Irina Churilov, Carrie Lethborg, Carol Silberberg, Rachel Zordan, Jessica Harvey, John Forster, Kim Brock, Sophie Heywood","doi":"10.1080/09638288.2025.2568566","DOIUrl":"https://doi.org/10.1080/09638288.2025.2568566","url":null,"abstract":"Purpose: To describe the experiences of people admitted to inpatient rehabilitation related to the trauma-informed principles of safety, trustworthiness, choice, collaboration and empowerment, and to define the barriers and enablers to trauma-informed care from the perspective of clinicians.Methods: This qualitative study included semi-structured interviews with 14 people admitted to a sub-acute rehabilitation unit. Interviews were transcribed, coded and reflexive thematic analysis used to generate themes. Three focus groups with multidisciplinary health professionals (n = 14) were conducted, with barriers and enablers to trauma-informed care identified.Results: Themes generated on trauma-informed principles included: human connection touches the heart; clear communication of expectations, and hope, facilitates safety and trust; pushing back to be heard; using the link between the mind and body to advantage; loss of independence and control; and wanting room to breathe. Nursing and allied health clinicians identified enablers to providing trauma-informed care: holistic, empathic and team approaches, and supporting clinician psychological safety. Barriers identified included: limited time and resources, increasing complexity, prioritisation of physical safety, organisational processes, and limitations of the environment.Conclusion: Building relationships with empathy, clear communication, and holistic approaches, facilitate interpersonal safety, trust and empowerment. System constraints, processes and resources are barriers to implementing trauma-informed care.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276113","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}

引用次数: 0

Dyadic psychosocial interventions in couples facing multiple sclerosis: a systematic review. 双重心理社会干预夫妇面临多发性硬化症：系统回顾。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-11 DOI: 10.1080/09638288.2025.2569692

Jörn Nielsen, Sandra Verhülsdonk, Annika Lansu, Ina Monsef, Nicole Skoetz, Elke Kalbe, Ann-Kristin Folkerts

{"title":"Dyadic psychosocial interventions in couples facing multiple sclerosis: a systematic review.","authors":"Jörn Nielsen, Sandra Verhülsdonk, Annika Lansu, Ina Monsef, Nicole Skoetz, Elke Kalbe, Ann-Kristin Folkerts","doi":"10.1080/09638288.2025.2569692","DOIUrl":"https://doi.org/10.1080/09638288.2025.2569692","url":null,"abstract":"Purpose: People with multiple sclerosis (MS) and their partners face numerous disease-related challenges, affecting both their mental health and partnership quality. However, limited research has examined dyadic interventions aimed at addressing these issues in couples living with MS. This systematic review aimed to identify clinical studies involving couples affected by MS that focused on the effects of dyadic interventions, such as partnership quality, sexual rehabilitation/satisfaction, quality of life (QoL), and psychological well-being.Methods: We systematically searched the MEDLINE, Embase, CINAHL, CENTRAL, PsycINFO, and Web of Science databases for randomized (RCT) and nonrandomized controlled trials assessing dyadic psychosocial interventions for couples affected by MS published in peer-reviewed journals up to November 2024.Results: This review included eight of the 2,878 articles identified, involving 4,185 couples affected by MS (60 - 80% females with MS). Various dyadic intervention approaches suggest potential positive effects, particularly in partnership quality, sexual rehabilitation, and QoL, with enhanced communication skills being the key. However, comparability was limited due to methodological shortcomings and heterogeneity in intervention approaches and outcomes.Conclusion: This review underscores the lack of dyadic-focused intervention studies for couples living with MS, highlighting the need for more RCTs with comparable outcomes to assess the effectiveness of such interventions.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276124","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}

引用次数: 0

Does resistance training improve pain intensity, quality of life, and disability in people with chronic nonspecific low back pain? A systematic review and meta-analysis. 抗阻训练能改善慢性非特异性腰痛患者的疼痛强度、生活质量和残疾吗？系统回顾和荟萃分析。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-09 DOI: 10.1080/09638288.2025.2566275

Álvaro-José Rodríguez-Domínguez, Jose A Moral-Munoz, Juan-David Guzmán-Gómez, Javier Valero-Ortiz, Luis González-Gómez, Melania Cardellat-González

{"title":"Does resistance training improve pain intensity, quality of life, and disability in people with chronic nonspecific low back pain? A systematic review and meta-analysis.","authors":"Álvaro-José Rodríguez-Domínguez, Jose A Moral-Munoz, Juan-David Guzmán-Gómez, Javier Valero-Ortiz, Luis González-Gómez, Melania Cardellat-González","doi":"10.1080/09638288.2025.2566275","DOIUrl":"https://doi.org/10.1080/09638288.2025.2566275","url":null,"abstract":"Purpose: Systematic review with meta-analysis to evaluate the efficacy of resistance training (RT) in improving pain intensity, quality of life, and disability in people with nonspecific chronic low back pain (NSCLBP).Method: Searches were conducted in April 2025 using MEDLINE, Scopus, Web of Science, and the Cochrane Library. Randomized controlled trials (RCTs) that compared RT interventions with any treatment and assessed pain intensity, quality of life, or disability in adults with NSCLBP were included. A pairwise random-effects meta-analysis was performed by subgroup according to the comparison treatment. Risk of bias was assessed with the Cochrane Risk of Bias 2.0 tool (RoB 2), and certainty of evidence was evaluated using the GRADE approach.Results: Ten RCTs (n = 434) showed significant improvements in pain intensity (SMD = -1.15; 95% CI [-1.67, -0.62], p < 0.0001) and disability (SMD = -2.76; 95% CI [-3.90, -1.62], p < 0.00001) favoring RT. No statistical or clinical significance was observed in the quality of life. Only pain intensity reached clinical significance. The certainty of the evidence was rated as \"moderate\" for all variables.Conclusions: RT programs effectively reduce pain intensity and disability in patients with NSCLBP. Moderate certainty of evidence suggests that RT can be recommended for NSCLBP. Further research is required to confirm these findings.Prospero registration no.: CRD42024505897.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253525","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}

引用次数: 0

The experiences of rehabilitation healthcare professionals with the use of the self-regulation assessment (SeRA) in routine care: a qualitative pilot study. 康复保健专业人员在日常护理中使用自我调节评估（SeRA）的经验：一项定性试点研究。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-09 DOI: 10.1080/09638288.2025.2571067

B M P Mourits, J M P Leenders, E W M Scholten, J A de Graaf, C M C van Leeuwen, V R M Moulaert, F B van de Weg, C A J Smit, M W M Post, J M A Visser-Meily

{"title":"The experiences of rehabilitation healthcare professionals with the use of the self-regulation assessment (SeRA) in routine care: a qualitative pilot study.","authors":"B M P Mourits, J M P Leenders, E W M Scholten, J A de Graaf, C M C van Leeuwen, V R M Moulaert, F B van de Weg, C A J Smit, M W M Post, J M A Visser-Meily","doi":"10.1080/09638288.2025.2571067","DOIUrl":"https://doi.org/10.1080/09638288.2025.2571067","url":null,"abstract":"Purpose: The Self-Regulation Assessment (SeRA) was developed to evaluate levels of self-regulation in rehabilitation populations. To support its integration into routine clinical practice, involving healthcare professionals in the implementation process is crucial. Therefore, we explored rehabilitation professionals' experiences with the SeRA during treatment.Material and methods: In this qualitative pilot study, 14 professionals from six rehabilitation institutions used the SeRA with at least three patients. Afterwards, semi-structured interviews were conducted. Directed content analysis was used, with a deductive approach, to identify main themes and subthemes.Results: Twelve professionals participated in the interviews. Identified codes were categorised into three main themes. Perceived usefulness (1) was influenced by the SeRA's characteristics, patient characteristics, and timing of administration. The value of the SeRa (2) was linked to the relevance of self-regulation and its application as a conversation tool and evaluation instrument. These insights shaped recommendations for implementation (3), concerning integration into workflows and potential modifications to the SeRA.Conclusions: The SeRA seems applicable across diagnoses and offers insights into self-regulation from the patient's perspective. It complements existing patient-reported outcome measures. Further refinement, such as shortening the questionnaire and clarifying the timing of administration and role responsibilities, could enhance its usability and clinical relevance.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253567","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}

引用次数: 0

Overcoming barriers through an intersectional lens: return-to-work and work participation of people with spinal cord injury in Spain. 通过交叉镜头克服障碍：西班牙脊髓损伤患者的重返工作和工作参与。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-07 DOI: 10.1080/09638288.2025.2568569

Maria Kapanadze Kapanadze, Núria Codern-Bové, Blanca Cegarra Dueñas, Joan Saurí Ruiz

{"title":"Overcoming barriers through an intersectional lens: return-to-work and work participation of people with spinal cord injury in Spain.","authors":"Maria Kapanadze Kapanadze, Núria Codern-Bové, Blanca Cegarra Dueñas, Joan Saurí Ruiz","doi":"10.1080/09638288.2025.2568569","DOIUrl":"https://doi.org/10.1080/09638288.2025.2568569","url":null,"abstract":"Purpose: People with spinal cord injuries (SCI) face reduced access to work opportunities compared to individuals without disabilities. This study explored how people with SCI experience barriers and facilitators to work participation during return-to-work (RTW) and their quality of work participation in Spain's post-COVID-19 context.Methods: A qualitative phenomenological design was used. Eight women and nine men participated in three focus groups between February and June 2023. Data was video and audio recorded and analysed using a six-step Interpretative Phenomenological Analysis approach.Results: Three main themes emerged: (1) intersectional factors contributing to unemployment and poverty risks, (2) lack of post-rehabilitation services and RTW planning, and (3) the need for policy reforms. Findings highlighted inequities such as inadequate job search support, inaccessible work environments, and insufficient subsidies for technical aids, adaptations, and teleworking. The post-COVID-19 context legitimised teleworking, which was previously unfeasible. Intersectional analysis revealed heightened unemployment and work precarity among young adults, women, and migrants.Conclusions: Personalised RTW programs are essential for people with SCI, addressing systemic barriers and incorporating an intersectional approach to transform policies and improve employment outcomes.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240167","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}

引用次数: 0

Cognitive self-training during early stroke rehabilitation and its effect on patient agency. 脑卒中早期康复中的认知自我训练及其对患者能动性的影响。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-07 DOI: 10.1080/09638288.2025.2569686

Hana Malá Rytter, Cathrine Loevgreen Thorsen, Ida Marie Rosenkrands-Jepsen

{"title":"Cognitive self-training during early stroke rehabilitation and its effect on patient agency.","authors":"Hana Malá Rytter, Cathrine Loevgreen Thorsen, Ida Marie Rosenkrands-Jepsen","doi":"10.1080/09638288.2025.2569686","DOIUrl":"https://doi.org/10.1080/09638288.2025.2569686","url":null,"abstract":"Purpose: Early activation post-stroke may improve functional outcomes. However, stroke patients in inpatient rehabilitation often remain inactive outside scheduled therapy sessions. Lack of hospital equipment and low internal motivation may limit activity levels and contribute to boredom. Cognitive activities are affected the most.Material and methods: To address this, we developed 'KOGNIKAT', a compendium of 270 pen-and-pencil self-guided exercises covering 5 cognitive domains and 3 difficulty levels, with user-friendly instructions and options for social engagement. We investigated the compendium's accessibility and impact on patients' motivation, mood, activity levels and coping during early inpatient rehabilitation at a subacute stroke unit. We conducted an exploratory qualitative study using semi-structured interviews with 17 stroke patients who used the compendium ≥3 times.Results: Thematic analysis revealed three main themes: i) Agency in the patient role: using KOGNIKAT increased patients' sense of agency; ii) Illness awareness: KOGNIKAT enabled patients to explore their cognition, eliciting both positive and negative emotions; iii) Facilitators and barriers: individual differences and the stroke unit environment, including staff, influenced KOGNIKAT use.Conclusions: We conclude that KOGNIKAT can be a valuable tool for active patient involvement during early post-stroke rehabilitation as it enhanced patient's sense of control and facilitated adaptive coping strategies.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245728","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}

引用次数: 0

Perspectives on physical activity from people with Parkinson's disease who do not engage. 不参与体育活动的帕金森病患者对体育活动的看法

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-07 DOI: 10.1080/09638288.2025.2560969

Heather Hunter, Jenny Freeman, Hilary Gunn

{"title":"Perspectives on physical activity from people with Parkinson's disease who do not engage.","authors":"Heather Hunter, Jenny Freeman, Hilary Gunn","doi":"10.1080/09638288.2025.2560969","DOIUrl":"https://doi.org/10.1080/09638288.2025.2560969","url":null,"abstract":"Purpose: Despite substantial evidence supporting the benefits of physical activity, People with Parkinson's disease (pwPD) struggle to remain active. Previous research on physical activity has largely focused on those already engaged. This study aimed to capture the perspectives of pwPD who perceived themselves as inactive.Materials and methods: Constructivist Grounded Theory was used to explore the beliefs, attitudes, and meaning of physical activity in PwPD who self-identified as inactive. Twenty-one participants consented to participate and were interviewed. Interviews were transcribed verbatim and coded. Data collection and analysis occurred simultaneously, using a constant comparative approach.Findings: Five categories were developed: four that helped explain a lack of or sustained engagement in physical activity and one that, despite the study's screening process, appeared to reflect pwPD who were active. A key factor in the formation of these categories was the influence of self-identity, particularly the salience of a physically active self-identity.Conclusion: This research supports existing findings on the impact of interpersonal, social support, environment, and disease-related factors on engagement. However, it also highlights the potential role of self-identity in influencing the type, level, and sustainability of physical activity engagement. Approaches to promoting activity based on an individual's self-identity may be beneficial.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245717","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}

引用次数: 0

"If I do not coordinate it, who else will?" professionals' experiences with informal coordination in complex neurological rehabilitation services. “如果我不协调，还有谁会呢？”专业人士在复杂的神经康复服务中进行非正式协调的经验。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2025-10-07 DOI: 10.1080/09638288.2025.2570855

Randi Skumsnes, Karen Synne Groven, Hilde Thygesen

{"title":"\"If I do not coordinate it, who else will?\" professionals' experiences with informal coordination in complex neurological rehabilitation services.","authors":"Randi Skumsnes, Karen Synne Groven, Hilde Thygesen","doi":"10.1080/09638288.2025.2570855","DOIUrl":"https://doi.org/10.1080/09638288.2025.2570855","url":null,"abstract":"Purpose: This study aimed to explore healthcare professionals' experiences with informal coordination across healthcare levels in complex neurological rehabilitation services in Norway.Method: Semi-structured qualitative interviews were held with fourteen healthcare professionals working in rehabilitation services and representing different professions and healthcare-level workplaces. The transcribed data material was analysed using reflexive thematic analysis and discussed applying perspectives of person-centred rehabilitation.Findings: Two themes were developed that related to participants' experiences with informal coordination as supplementing perceived gaps or shortcomings in formal coordination [1]: Engagement and taking initiative in commitments to the patient [2], Challenges and dilemmas with informal coordination.Conclusion: In managing intricate neurological rehabilitation services across various professions and organisations, informal coordinating activities are essential to complement formal structures. While informal coordination is vital for achieving relational and person-centred rehabilitation, it can lead to challenges related to role ambiguity and unclear responsibilities.Our findings are relevant for rehabilitation and disability studies, as interprofessional collaboration and coordination are fundamental to service delivery. Further research is needed to explore how to integrate formal and informal coordination in complex neurological rehabilitation.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245731","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}

引用次数: 0