Disability and Rehabilitation最新文献_第10页

Can we still ensure no one is left behind by 2030? Demonstrating the potential of the implementation of the WHO Functioning and Disability Disaggregation Tool (FDD11) in existing survey platforms for disaggregating SDG indicators by disability. 到 2030 年，我们还能确保没有人掉队吗？展示在现有调查平台中实施世界卫生组织功能和残疾分类工具（FDD11）的潜力，以便按残疾情况对可持续发展目标指标进行分类。

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-07-05 DOI: 10.1080/09638288.2024.2367597

Carla Sabariego, Kaloyan Kamenov, Darryl Barrett, Alarcos Cieza, Jerome Bickenbach, Diana Pacheco Barzallo

{"title":"Can we still ensure no one is left behind by 2030? Demonstrating the potential of the implementation of the WHO Functioning and Disability Disaggregation Tool (FDD11) in existing survey platforms for disaggregating SDG indicators by disability.","authors":"Carla Sabariego, Kaloyan Kamenov, Darryl Barrett, Alarcos Cieza, Jerome Bickenbach, Diana Pacheco Barzallo","doi":"10.1080/09638288.2024.2367597","DOIUrl":"10.1080/09638288.2024.2367597","url":null,"abstract":"Purpose: The world is approaching the sustainable development goals deadline, but many countries still do not produce the data required to track their indicators by disability. Integrating valid and relievable disability measurement tools into existing data platforms is key to ensuring that \"no one is left behind.\" In this paper, we aim to demonstrate that it is possible to gather valid data on disability for disaggregation using the WHO Functioning and Disability Disaggregation Tool.Materials and methods: Using representative data from India, Lao PDR, and Tajikistan collected through the Gallup World Poll, we estimated the likelihood of a positive sustainable development indicator by disability level. Logit regression was used, adjusted for age, sex, household size, number of children, marital status, urban or rural area, and country-fixed effects.Results: Our estimates showed a consistent disability gradient across all countries and indicators: the higher the level of disability, the lower the probability of having a positive outcome in barely any sustainable development goal.Conclusion: Our study demonstrates that it is not too late to generate sound and precise data about inequalities faced by persons with mild, moderate, or severe disability. This data is essential for reducing inequalities through evidence-based policymaking.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1253-1265"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535869","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

Integrated model of care for functional movement disorder: targeting brain, mind and body. 功能性运动障碍综合治疗模式：针对大脑、精神和身体。

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-07-09 DOI: 10.1080/09638288.2024.2373775

Haseel Bhatt, Lindsey MacGillivray, Gabriela S Gilmour, Keschey Marcelle, Laura Langer, Sarah C Lidstone

{"title":"Integrated model of care for functional movement disorder: targeting brain, mind and body.","authors":"Haseel Bhatt, Lindsey MacGillivray, Gabriela S Gilmour, Keschey Marcelle, Laura Langer, Sarah C Lidstone","doi":"10.1080/09638288.2024.2373775","DOIUrl":"10.1080/09638288.2024.2373775","url":null,"abstract":"Purpose: To describe the therapy approaches and clinical outcomes of an integrated care model for patients with functional movement disorder (FMD).Materials and methods: A retrospective chart review was conducted for all treated individuals with a primary diagnosis of FMD between January 2020 and July 2022. Patients received time-limited integrated therapy (n = 21) (i.e., simultaneous therapy delivered by psychiatry, neurology and physiotherapy), physiotherapy (n = 18) or virtual physiotherapy alone (n = 9). Primary outcomes included the Simplified-Functional Movement Disorders Rating Scale (S-FMDRS) and Clinical Global Impression-Improvement scale (CGI-I) collected at baseline and post-intervention.Results: Forty-eight patients completed treatment (42% male; mean age, 48.5 ± 16.6 years, median symptom duration 30 months). The most common presentations were gait disorder, tremor and mixed hyperkinetic FMD. Common comorbidities included pain and fatigue. Three-quarters of patients had a comorbid psychiatric diagnosis. There was a significant reduction in S-FMDRS score following therapy (71%, p < 0.0001) and 69% had \"much\" or \"very much\" improved on the CGI-I. There was no difference between therapy groups. Attendance rates were high for both in-person (94%) and virtual (97%) visits.Conclusions: These findings support that a time-limited integrated model of care is feasible and effective in treating patients with FMD.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1433-1441"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560182","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

Navigating uncertainty: occupational therapists' experiences of Long COVID management in Germany, Austria and Switzerland. 驾驭不确定性：德国、奥地利和瑞士职业治疗师的长 COVID 管理经验。

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-07-03 DOI: 10.1080/09638288.2024.2367603

Christina Müllenmeister, Iman El-Sayed, Stephanie Heinemann, Dominik Schröder, Frank Müller, Eva Hummers, Andrea Stölting, Christine Happle, Alexandra Dopfer-Jablonka, Ulrike Marotzki, Tim Schmachtenberg

{"title":"Navigating uncertainty: occupational therapists' experiences of Long COVID management in Germany, Austria and Switzerland.","authors":"Christina Müllenmeister, Iman El-Sayed, Stephanie Heinemann, Dominik Schröder, Frank Müller, Eva Hummers, Andrea Stölting, Christine Happle, Alexandra Dopfer-Jablonka, Ulrike Marotzki, Tim Schmachtenberg","doi":"10.1080/09638288.2024.2367603","DOIUrl":"10.1080/09638288.2024.2367603","url":null,"abstract":"Purpose: Long COVID presents global challenges for healthcare professionals. Occupational therapists responded by seeking effective treatment strategies. The approaches of occupational therapists supporting long-haulers in German-speaking countries remain under-explored. The purpose of this study is to explore how occupational therapists in Germany, Austria and Switzerland navigate and apply profession-specific strategies in the new clinical landscape of Long COVID care.Materials and methods: This study used qualitative-descriptive design and content analysis to extract insights from seven semi-structured interviews with occupational therapists in inpatient and outpatient settings from three countries.Results: Four overarching themes emerged: how Long COVID was encountered within the scope of occupational therapy, the multifaceted repertoire experts used to support long haulers, triumphs and challenges that emerged in Long COVID treatment, and recommendations and opportunities for occupational therapy practice. The results underscore the complex support needed for long-haulers, achieved through a multifaceted occupational therapy repertoire, incorporating client-centred, occupation-focused, and context-referencing strategies with shared decision-making and collaborative therapy planning.Conclusions: Occupational therapy concepts, with their focus on human occupation, may offer new treatment options and strategies for managing emerging conditions such as Long COVID.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1288-1297"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494120","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 you do not have Black futures in mind…then what's guiding the steps": anti-racist recommendations for traumatic brain injury rehabilitations' investments in hopeful Black futures. "如果你没有考虑到黑人的未来......那么你的步骤是什么"：关于脑外伤康复投资于充满希望的黑人未来的反种族主义建议。

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-08-01 DOI: 10.1080/09638288.2024.2367604

Samira Omar, Charmaine C Williams, Laura Beth Bugg, Angela Colantonio

{"title":"\"If you do not have Black futures in mind…then what's guiding the steps\": anti-racist recommendations for traumatic brain injury rehabilitations' investments in hopeful Black futures.","authors":"Samira Omar, Charmaine C Williams, Laura Beth Bugg, Angela Colantonio","doi":"10.1080/09638288.2024.2367604","DOIUrl":"10.1080/09638288.2024.2367604","url":null,"abstract":"Purpose: The need for specialized rehabilitation considerations to address racial health disparities and optimize functional outcomes such as participation in daily life for Black people with traumatic brain injury (TBI) has been acknowledged. This study uses anti-racism as an entry point for addressing institutional racism by examining what the experiences of Black survivors of TBI, rehabilitation providers, and family caregivers tell us about imagined possibilities for rehabilitation to promote Black futures.Material and methods: A constructivist-informed narrative inquiry using critical race theory and in-depth narrative interviewing was applied across ten women and four men. Reflexive thematic analysis within and across groups of participants led to conceptualizing two main themes and five sub-themes.Results: Conceptualized themes captured requirements for TBI rehabilitations' investments in Black futures: (1) the need for critical information and specialized educational supports and particular requirements for supporting participation in meaningful life situations, and (2) responsibilities of delivering rehabilitation care for Black service users.Conclusion: TBI rehabilitation must be tailored to the realities of living while being Black, integrate personal values, beliefs, interests, and equitable supports to maximize optimal functioning and participation if the goal of rehabilitation is community integration for all persons living with the impacts of TBI.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1126-1145"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876620","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

Clinician perceptions of a novel wearable robotic hand orthosis for post-stroke hemiparesis. 临床医生对治疗中风后偏瘫的新型可穿戴机器人手部矫形器的看法。

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-07-08 DOI: 10.1080/09638288.2024.2375056

Lauren Winterbottom, Ava Chen, Rochelle Mendonca, Dawn M Nilsen, Matei Ciocarlie, Joel Stein

{"title":"Clinician perceptions of a novel wearable robotic hand orthosis for post-stroke hemiparesis.","authors":"Lauren Winterbottom, Ava Chen, Rochelle Mendonca, Dawn M Nilsen, Matei Ciocarlie, Joel Stein","doi":"10.1080/09638288.2024.2375056","DOIUrl":"10.1080/09638288.2024.2375056","url":null,"abstract":"Purpose: Wearable robotic devices are currently being developed to improve upper limb function for individuals with hemiparesis after stroke. Incorporating the views of clinicians during the development of new technologies can help ensure that end products meet clinical needs and can be adopted for patient care.Methods: In this cross-sectional mixed-methods study, an anonymous online survey was used to gather clinicians' perceptions of a wearable robotic hand orthosis for post-stroke hemiparesis. Participants were asked about their clinical experience and provided feedback on the prototype device after viewing a video.Results: 154 participants completed the survey. Only 18.8% had previous experience with robotic technology. The majority of participants (64.9%) reported that they would use the device for both rehabilitative and assistive purposes. Participants perceived that the device could be used in supervised clinical settings with all phases of stroke. Participants also indicated a need for insurance coverage and quick setup time.Conclusions: Engaging clinicians early in the design process can help guide the development of wearable robotic devices. Both rehabilitative and assistive functions are valued by clinicians and should be considered during device development. Future research is needed to understand a broader set of stakeholders' perspectives on utility and design.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1577-1586"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"My child is completely underestimated": Canadian parents' perspectives on implementing an accessible language comprehension assessment for non-speaking children with cerebral palsy.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-28 DOI: 10.1080/09638288.2025.2468844

Juno Coan-Brill, Jodi Friesen, Jessica Kay, Frances Aileen Costigan, Tom Chau, Johanna Geytenbeek, Kristine Stadskleiv, Beata Batorowicz, Dayle McCauley, Sarah Hopmans, Danijela Grahovac, Gail Teachman, Barbara Jane Cunningham

{"title":"\"My child is completely underestimated\": Canadian parents' perspectives on implementing an accessible language comprehension assessment for non-speaking children with cerebral palsy.","authors":"Juno Coan-Brill, Jodi Friesen, Jessica Kay, Frances Aileen Costigan, Tom Chau, Johanna Geytenbeek, Kristine Stadskleiv, Beata Batorowicz, Dayle McCauley, Sarah Hopmans, Danijela Grahovac, Gail Teachman, Barbara Jane Cunningham","doi":"10.1080/09638288.2025.2468844","DOIUrl":"https://doi.org/10.1080/09638288.2025.2468844","url":null,"abstract":"Purpose: Reliable assessment of language comprehension is difficult for children with significant speech and motor limitations. The Computer-Based instrument for Low motor Language Testing (C-BiLLT) was designed for children with cerebral palsy (CP) and speech and motor limitations. A Canadian English version (C-BiLLT-CAN) has been validated. However, early investigation identified feasibility challenges necessitating further exploration. This study aimed to understand parents' perceived barriers and facilitators to implementing the C-BiLLT-CAN in the Canadian clinical context.Materials and methods: Seven focus groups were conducted synchronously online with 16 parents from five Canadian provinces/territories. Transcripts were analyzed using semi-deductive thematic analysis, framing results within the Consolidated Framework for Implementation Research (CFIR).Results: Parents unanimously expressed interest in making the C-BiLLT-CAN clinically available. Facilitators and barriers were discussed under five themes. Key facilitators included the unique design, standardized nature, and potential flexibility of the C-BiLLT-CAN. Barriers involved the inability to accommodate all children, the potential for unintended assessment impacts, and clinics' readiness and willingness to prioritize implementation.Conclusions: This study contributes new knowledge surrounding the assessment needs of parents of children with CP and speech and motor limitations. Alongside findings from a parallel clinician study, results will inform adaptations to the C-BiLLT-CAN to facilitate implementation.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525050","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

Qualitative perspectives from Kinova^® Jaco^® robotic arm owners: understanding daily device usage.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-27 DOI: 10.1080/09638288.2025.2466725

Breelyn Kane Styler, Eileen Wang, Dan Ding

{"title":"Qualitative perspectives from Kinova® Jaco® robotic arm owners: understanding daily device usage.","authors":"Breelyn Kane Styler, Eileen Wang, Dan Ding","doi":"10.1080/09638288.2025.2466725","DOIUrl":"https://doi.org/10.1080/09638288.2025.2466725","url":null,"abstract":"Purpose: Although the benefits of Assistive Robotic Manipulators (ARMs) have been recognized since their emergence over the past two decades, the number of ARM owners remains limited, though expected to grow. This study interviews current owners to gather their perspectives and uses the Human Activity Assistive Technology (HAAT) model to understand their usage experiences with ARMs.Materials and methods: A semi-structured remote interview study was conducted with robotic arm owners (<math><mrow><mo>≥</mo></mrow></math>3 months). Pre-interview surveys collected demographics and common tasks with the robotic arm. Thematic analysis identified key themes.Results: Eleven ARM owners were recruited and gave examples of the Kinova® Jaco® robotic arm being a life-changing benefit promoting independence which emerged as a theme. Additional themes emerged around operation, caregiver influence, environment, and training. Common tasks included drinking and opening doors. Design recommendations focused on modular attachments, adjustable speed, smoother operation, intuitive control, and enhanced safety.Conclusion: We performed a qualitative interview and drew conclusions guided by the HAAT model to better understand interactions between the user, the robotic arm, and contexts of its use for manipulation tasks. The insights gained can better inform prospective owners and guide future research in assistive robotics.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517253","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 of expert physical therapists on the international classification of functioning, disability and health (ICF): a Q study.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-27 DOI: 10.1080/09638288.2025.2467776

Rafaela Cristina de Souza Arrais Albuquerque, Fabiane Ribeiro Ferreira, Daniela Virgínia Vaz

{"title":"Perspectives of expert physical therapists on the international classification of functioning, disability and health (ICF): a Q study.","authors":"Rafaela Cristina de Souza Arrais Albuquerque, Fabiane Ribeiro Ferreira, Daniela Virgínia Vaz","doi":"10.1080/09638288.2025.2467776","DOIUrl":"https://doi.org/10.1080/09638288.2025.2467776","url":null,"abstract":"Purpose: Physiotherapists' varied interpretations of the International Classification of Functioning and Health (ICF) and the biopsychosocial model underlying it can significantly influence its dissemination, assimilation, and application. This study analyzed the diverse discourses of Brazilian physiotherapists engaged in teaching and researching the ICF.Materials and methods: This descriptive cross-sectional study employed Q methodology to explore participants' viewpoints. Participants ranked diverse statements about the ICF into nine categories from \"strongly disagree\" (-4) to \"strongly agree\" (+4). Rankings were analyzed through factor analysis to identify emerging factors, then interpreted as viewpoints based on the average ranking of statements within each factor.Results: A total of 48 experts ranked 59 statements. Participants had diverse specialties, with an average of 19.1 years of professional experience, 13.62 years of teaching, and 16.04 years of engagement with the ICF. Most were affiliated with public universities and held doctoral degrees. Factor analysis revealed two distinct viewpoints, both supporting a biopsychosocial understanding of functionality, emphasizing the ICF's value in either pragmatic or conceptual terms.Conclusions: The two viewpoints by experts emphasize the practical and theoretical value of the ICF, reinforcing its biopsychosocial approach to functioning.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517238","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

Effectiveness of activity-based interventions for improving independence and mobility in spinal cord injury: a meta-analysis.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-26 DOI: 10.1080/09638288.2025.2468346

Binglun Li, Qiong Wu, Hui Tan, Tao Wu, Yanchao Cui

{"title":"Effectiveness of activity-based interventions for improving independence and mobility in spinal cord injury: a meta-analysis.","authors":"Binglun Li, Qiong Wu, Hui Tan, Tao Wu, Yanchao Cui","doi":"10.1080/09638288.2025.2468346","DOIUrl":"https://doi.org/10.1080/09638288.2025.2468346","url":null,"abstract":"Purpose: This study aimed to further investigate the effectiveness of activity-based interventions (ABI) for individuals with spinal cord injury (SCI).Materials and methods: A systematic literature search was conducted in eight electronic databases up to 1 January, 2024. Standardized mean difference (SMD) or MD with 95% confidence intervals (CI) was used to express the estimates of the effectiveness of ABI.Results: Compared to controls, ABI for lower limbs does not significantly improve independence, but it does improve mobility; however, ABI for upper limbs significantly improve independence and mobility. In the intermediate SCI subgroup, the ABI group suggested significant improvement in functional independence and mobility. In the chronic SCI subgroup, the ABI group did not show improvement in independence, but it suggested significant improvement in mobility. Nevertheless, the ABI group did not show statistically significant differences for independence and mobility in the acute SCI subgroup. Moreover, the application of ABI was not associated with an improvement in quality of life but significantly improved 6-minute walk test (6-MWT) and 10-meter walk test (10MWT). Except for ABI for lower limbs for independence, meta-analyses for the remaining outcomes were free of publication bias.Conclusions: Application of ABI may benefit SCI individuals by improving independence, mobility, 6MWT, and 10MWT.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505618","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

Flexible, adaptable, and supportive systems: qualitative description of factors underpinning an ideal mealtime delivery in rehabilitation care settings.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-26 DOI: 10.1080/09638288.2025.2471573

Alice Pashley, Adrienne Young, Emmah Doig, Janette Moore, Olivia Rl Wright

{"title":"Flexible, adaptable, and supportive systems: qualitative description of factors underpinning an ideal mealtime delivery in rehabilitation care settings.","authors":"Alice Pashley, Adrienne Young, Emmah Doig, Janette Moore, Olivia Rl Wright","doi":"10.1080/09638288.2025.2471573","DOIUrl":"https://doi.org/10.1080/09638288.2025.2471573","url":null,"abstract":"Purpose: Whilst evidence about mealtime delivery exists in acute and aged care settings, there is limited understanding of patient and staff preferences for rehabilitation settings. This study aimed to explore patient and staff perceptions about how mealtimes should be delivered to support rehabilitation goals of care. Method: This qualitative descriptive study involved semi-structured interviews with nine patients (previous or current admission) and ten staff from a single metropolitan rehabilitation service. Data were analysed using qualitative content analysis.Results: Two key categories were identified, including (1) the role of mealtimes in patients' rehabilitation, and (2) factors underpinning ideal mealtime delivery for rehabilitation. Mealtimes help to facilitate recovery, support socialisation, rest, and routine, but were also a time of frustration and challenge for patients. The ideal mealtime was described as creating a therapeutic experience, integrating systems and processes that support rehabilitation, systems that offer flexibility and choice, enhancing mealtime care through interdisciplinary collaboration, and using supportive mealtime care practices.Conclusion: The ideal mealtime in rehabilitation should be underpinned by principles of flexibility, adaptability, and supportive care. Incorporating rehabilitation goals of care can be enabled through mealtime systems that encourage functional therapy activity, optimal nutrition, and time for rest and social engagement.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517233","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