Disability and Rehabilitation最新文献

{"title":"Sexual harassment experienced by nurses in a spinal Cord injury rehabilitation center.","authors":"Astrid Hirt, Collene E Anderson, Sarah Baumann, Patrick Freund, Thomas M Kessler, Veronika Birkhäuser","doi":"10.1080/09638288.2026.2747159","DOIUrl":"https://doi.org/10.1080/09638288.2026.2747159","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the prevalence of patient-perpetrated nonverbal, verbal and physical sexual harassment of nurses in a spinal cord injury (SCI) rehabilitation center.</p><p><strong>Materials and methods: </strong>A cross-sectional online survey was administered to all nursing professionals, assistants and students working on the wards of a SCI rehabilitation center from September to November 2024. Patient-perpetrated sexual harassment of nurses was evaluated using the psychometrically sound Sexually Harassing Behavior Questionnaire, which was distributed via email.</p><p><strong>Results: </strong>The sample consisted of 48 participants from a possible 74, yielding a response rate of 64.9%, and 81.2% of the respondents were women. In total, 87.5% reported experiencing sexual harassment by patients at least once within the past 12 months. Nonverbal, verbal and physical sexual harassment was reported by 62.5%, 87.5%, and 50.0%, respectively. Adjusted analysis confirmed that verbal sexual harassment was more prevalent and severe than nonverbal and physical sexual harassment (global <i>p</i> < 0.0001, both post-hoc <i>p</i> < 0.0001). Sexual harassment was reported by 89.7% of women and 77.8% of men, women tended to report more severe sexual harassment comparatively (coefficient = 0.31, 95% CI: 0.00-0.62, <i>p</i> = 0.052).</p><p><strong>Conclusion: </strong>Our findings indicate that patient-perpetrated sexual harassment of nurses in a SCI rehabilitation center is common, particularly in its verbal form.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197504","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":"Appraisals of life transition events and associations with quality of life at 3- and 12-months post-discharge following spinal cord injury.","authors":"Joyce Yi, Christy Hogan, Rachel Brough, Emily Bray, Jessie Mitchell, Rachel Jones, Melissa Kendall, Delena Amsters, Timothy Geraghty, Tamara Ownsworth","doi":"10.1080/09638288.2026.2744808","DOIUrl":"https://doi.org/10.1080/09638288.2026.2744808","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the occurrence of life transition events during the first 12-months post-discharge after spinal cord injury (SCI) and determined whether appraisals of the impact and coping related to these events were associated with quality of life (QoL).</p><p><strong>Methods: </strong>Recruited at discharge, adults with SCI completed telephone-based or online surveys at 3-months (<i>n</i> = 47) and 12-months (<i>n</i> = 39) post-discharge. Participants completed the Sentinel Events Questionnaire regarding the occurrence (Yes/No) of life transitions, including core events (i.e., return-to-work, return to driving, home independence, independence in the community) and other stressors, and rated the positive impact, negative impact, and coping for core events. QoL was measured using the EUROHIS-QoL-8.</p><p><strong>Results: </strong>At 3-months post-discharge, the occurrence of each core event was associated with more positive appraisals of impact (<i>p</i> < 0.01). At 12-months, return-to-work and driving were more positively appraised than resuming home or community independence (<i>p</i> < 0.05). Across events, coping appraisals were consistently and positively associated with QoL, after controlling for event occurrence (<i>sr²</i> = 8-22%, <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The finding that more positive appraisals of impact and coping regarding core events are associated with better QoL highlights the importance of understanding the subjective meaning of life transition events to inform person-centred interventions.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197554","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":"\"It's important, but at a cost…\": healthcare professionals and people with aphasia describe what influences use of a novel, digital communication aid.","authors":"Edwina Lamborn, Robyn O'Halloran, Marcella Carragher, Miranda L Rose","doi":"10.1080/09638288.2026.2742538","DOIUrl":"https://doi.org/10.1080/09638288.2026.2742538","url":null,"abstract":"<p><strong>Purpose: </strong>Safe and quality healthcare requires effective patient-provider communication. Aphasia is a communication disability that leaves people at risk of ineffective communication and inadequate care. Modifying the environment is one way to support communication. A novel mobile communication aid-The Aphasia App-was designed to support hospital interactions between healthcare professionals (HCPs) and people with aphasia (PWA). This study explored HCPs' perspectives of what influenced app use when it was introduced as a resource to support interactions.</p><p><strong>Materials and methods: </strong>This study followed an observational study, together forming an interpretivist focused ethnography on use of the app. Ten HCPs and three PWA were interviewed about their experiences using the app. Data was thematically analysed using an inductive and reflexive approach.</p><p><strong>Results: </strong>HCPs value communication support and want to provide person-centred care. However, a complex juggle of clinical, communicative, and emotional demands constrains interactions and app use, which are unsupported by the healthcare system.</p><p><strong>Conclusions: </strong>Multi-level systems reform is needed to support HCPs to adopt communication aids and enable effective communication with people with aphasia.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-26"},"PeriodicalIF":2.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197570","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":"Beyond the dyad: negociating the working alliance in intercultural return-to-work rehabilitation.","authors":"Maude Arsenault, Jessica Dubé, Daniel Côté","doi":"10.1080/09638288.2026.2746486","DOIUrl":"https://doi.org/10.1080/09638288.2026.2746486","url":null,"abstract":"<p><strong>Purpose: </strong>Research on the therapeutic alliance (TA) has largely focused on therapist-patient dyads, overlooking the complexity of multi-actor and intercultural contexts such as work rehabilitation. This study examines how the TA is constructed and negotiated within a multidisciplinary return-to-work program involving immigrant workers in Québec.</p><p><strong>Materials and methods: </strong>Using a qualitative case study design, the study combines participant observation and semi-structured interviews with seven injured immigrant workers.</p><p><strong>Results: </strong>Our findings suggest that the therapeutic alliance may be better understood as a stable interpersonal relationship but rather as a dynamic, multi-level process embedded within clinical, institutional, and sociocultural contexts. The bond of trust emerges as a composite construct, including rapport, perceived competence, perceived allegiance, trust in the system, and therapist trust in the patient. While tasks tend to be a site of relative consensus, goals-particularly return to work-are often contested, reflecting divergent expectations between workers and institutions. These tensions are further shaped by intercultural dynamics, migration trajectories, and systemic constraints.</p><p><strong>Conclusions: </strong>The study contributes to reconceptualizing the TA as an ecosystemic and negotiated process, extending beyond dyadic models. It highlights the need for reflexive clinical practices, greater transparency regarding institutional mandates, and increased attention to cultural and structural factors in rehabilitation.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185652","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":"Barriers and enablers to providing biopsychosocial management to patients with chronic low back pain in a multidisciplinary rehabilitation setting.","authors":"Bethany Grant, Getahun Kebede Beyera, Nicola Gadd","doi":"10.1080/09638288.2026.2743816","DOIUrl":"https://doi.org/10.1080/09638288.2026.2743816","url":null,"abstract":"<p><strong>Purpose: </strong>To identify barriers and enablers for allied health professionals to provide biopsychosocial (BPS) management to patients with chronic low back pain (cLBP) within a multidisciplinary rehabilitation setting.</p><p><strong>Materials and methods: </strong>This qualitative study conducted 18 semi-structured interviews, guided by the Theoretical Domains Framework, within an Australian metropolitan rehabilitation hospital. Physiotherapists, exercise physiologists, occupational therapists, and assistants were recruited via purposive and snowball sampling. Interviews were audio-recorded, transcribed, and analysed using a content analysis (deductive and inductive) approach.</p><p><strong>Results: </strong>Four themes emerged: (1) allied health professionals' knowledge, confidence, and role in the BPS approach, (2) how the multidisciplinary rehabilitation team impacts BPS delivery, (3) workplace environment and system-level factors impact on BPS practice, and (4) patient and social influences are central to BPS success. Enablers included professionals' knowledge, team collaboration, and the rehabilitation environment. Barriers included low confidence managing psychosocial factors, limited time, and a busy environment. Enhancing education, providing more consultation time and a reduced-stimulation environment were suggested to improve BPS management.</p><p><strong>Conclusions: </strong>Effective BPS management of cLBP is shaped by professional, team, system, and social factors. The multidisciplinary team, patient expectations and environment-often reported as barriers in primary care, were perceived as enablers within multidisciplinary rehabilitation.Implications for rehabilitationThe study was conducted in a large, multidisciplinary rehabilitation hospital where patients with chronic low back pain (cLBP) were treated by allied health professionals within multiple open gymnasium and treatment environments.The presence of a multidisciplinary team and open treatment environments facilitated communication and informal learning which were seen as enablers of providing biopsychosocial (BPS) management.The treatment environments supported patient socialisation and helped align expectations towards active management but were also barriers when busy and overstimulating.Professionals can have appropriate knowledge of the BPS approach but need support to build their confidence in implementation with patients with cLBP.Addressing barriers such as time and busy environments may improve the management of patients with cLBP in a multidisciplinary rehabilitation setting.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185694","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":"Continuity of care interventions for people with stroke and their caregivers: a scoping review of randomized controlled trials.","authors":"Meera Premnazeer, Sarah E P Munce, Mark T Bayley, Ellen Seto, Natalie Wong, Kristina M Kokorelias, Monique Gill, Orianna L Scali, James Sessford, Jill I Cameron","doi":"10.1080/09638288.2026.2745713","DOIUrl":"https://doi.org/10.1080/09638288.2026.2745713","url":null,"abstract":"<p><strong>Purpose: </strong>People with stroke (PwS) and their family caregivers characterize transitions across care environments as challenging. Enhancing the family-centered nature of continuity of care interventions could improve experiences and outcomes. This scoping review aimed to synthesize the literature on continuity of care interventions for PwS and/or their caregivers.</p><p><strong>Methods: </strong>The Joanna Briggs Institute (JBI) methodology for scoping reviews was followed. Five databases were searched, and only randomized controlled trials were included. Data were analyzed using descriptive statistics and deductive content analysis.</p><p><strong>Results: </strong>We included 65 interventions identified from 80 included studies. Most intervention studies included only PwS. Most interventions addressed the transition from acute inpatient management to home care services. On average, two of three continuity of care dimensions were addressed, and two of four family-centred care components were addressed across interventions.</p><p><strong>Conclusions: </strong>This scoping review emphasizes the need for continuity of care intervention studies to include both PwS and their caregivers. Future research should investigate interventions that promote a family-centered care approach. The review also highlights that current interventions do not address all transitions across the stroke care continuum. Finally, future interventions should explore which aspects of continuity of care may need to be prioritized at specific transition points.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172104","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":"Understanding psychological adjustment and coping with congenital upper limb difference in adulthood: a qualitative study.","authors":"Anna Rigby, Victoria Molyneaux, Craig Murray","doi":"10.1080/09638288.2026.2741349","DOIUrl":"https://doi.org/10.1080/09638288.2026.2741349","url":null,"abstract":"<p><strong>Purpose: </strong>Research indicates that adults living with an acquired limb difference face a range of physical, social, and psychological challenges; however, there is comparatively less research regarding adults born with a limb difference. This study aimed to explore how adults with a congenital upper limb difference experience, psychologically adjust to, and cope with the practical, social, and emotional challenges associated with living with their limb difference.</p><p><strong>Materials and methods: </strong>Semi-structured, one-to-one interviews were conducted with eight adults with congenital upper limb difference living in the UK. Interview transcripts were analysed using interpretative phenomenological analysis.</p><p><strong>Results: </strong>Three themes were developed: (1) a sense of determination; (2) feeling different from others and (3) the journey of emotions. Together, conveying that participants developed a childhood-rooted determination to \"get on with it,\" creatively managing physical challenges. Although they often felt visibly different and vulnerable to judgement, participants grew towards acceptance and resilience through reflection, support and positive relationships.</p><p><strong>Conclusions: </strong>Psychological support, integrated into rehabilitation teams, should be offered to people with congenital upper-limb difference at key transition points such as young adulthood. Encouragement and inclusive attitudes from families, schools and services in childhood positively influence confidence and identity into adulthood. Tailored peer support with others who have congenital upper-limb difference also provide benefits including belonging.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169126","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":"Exploring the participation of people with lower limb absence or amputation: a mixed methods study.","authors":"Brittany M Pousett, Alfiya Battalova, Nishtha Parag, Donna Cumming, Kassandra A Welch, Malena Sofia Rapaport, Crystal MacKay, William C Miller","doi":"10.1080/09638288.2026.2734781","DOIUrl":"https://doi.org/10.1080/09638288.2026.2734781","url":null,"abstract":"<p><strong>Purpose: </strong>People with lower limb absence or amputation (LLA) face challenges in their ability to participate in their communities. This study examines what influences how people with LLA participate in meaningful activities and social roles within the context of British Columbia.</p><p><strong>Methods: </strong>We used a sequential mixed methods design consisting of 48 semi-structured interviews and 114 survey responses. Qualitative data were analyzed using reflexive thematic analysis. Quantitative data included Ability to Participate in Social Roles and Activities Questionnaire and Prosthesis Evaluation Questionnaire Ambulation subscale. Multiple regression explored predictors of participation.</p><p><strong>Results: </strong>Participants demonstrated participation impairment, with restrictions in mobility, sport and exercise. Ambulation was the strongest predictor of participation, followed by female sex. Five themes described factors shaping participation: physical abilities and assistive technology (including prosthesis use); built and natural environments; social relationships; access to prosthetic care, peer support, and adaptive sport; and coping strategies. Physical challenges and funding limitations intensified barriers, while appropriate prosthetic treatment, social support, and mindset facilitated participation.</p><p><strong>Conclusions: </strong>Participation among people with LLA is influenced by interconnected physical, environmental, social, systemic, and psychosocial factors. Prioritizing mobility, improving funding equity, enhancing access to prosthetic care, and supporting psychosocial wellbeing may reduce participation restrictions.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147925","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 aerobic exercise on motor function and functional capacity in children and adolescents with neuromuscular diseases: a systematic review and meta-analysis.","authors":"Lydia Gómez-Del Horno, María Coello-Villalón, Patricia Dominguez-López, Cristina Lirio-Romero, Rocío Palomo-Carrión, Purificación López-Muñoz","doi":"10.1080/09638288.2026.2741341","DOIUrl":"https://doi.org/10.1080/09638288.2026.2741341","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of aerobic exercise, alone or combined with other modalities, on motor function and functional capacity in children and adolescents with neuromuscular diseases (NMDs).</p><p><strong>Materials and methods: </strong>A systematic review and meta-analysis were conducted (CRD420251110784). Five databases were searched up to September 2025. Randomized and non-randomized trials assessing aerobic exercise in children/adolescents with NMDs were included. Risk of bias and certainty of evidence were assessed using RoB2, ROBINS-I, and GRADE. Random-effects meta-analyses estimated standardized mean differences (SMD) and 95% confidence intervals (CI).</p><p><strong>Results: </strong>Eleven studies (227 participants) were included. Aerobic exercise showed no significant effect on motor function (SMD = 0.15, 95% CI: -0.10 to 0.40, <i>I</i>²=0%) but produced moderate improvements in functional capacity (SMD = 0.51, 95% CI: 0.03 to 0.99, <i>I</i>²=78%). Subgroup analyses suggested non-significant effects for sessions <40 min (SMD = 0.83) and combined aerobic plus strength training (SMD = 0.74). Sensitivity analyses showed one study disproportionately influenced results; excluding high-risk studies yielded SMD = 0.36 (<i>I</i>²=0%). GRADE indicated low certainty for motor function and very low certainty for functional capacity.</p><p><strong>Conclusions: </strong>Aerobic exercise is safe and may improve functional capacity but not motor function in pediatric NMDs. Evidence is limited and needs for cautious interpretation and high-quality trials to inform clinical practice.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139121","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":"Do prosthetists compensate for improper foot stiffness by adjusting alignment?","authors":"Brittany Moores, Max Shepherd","doi":"10.1080/09638288.2026.2740569","DOIUrl":"https://doi.org/10.1080/09638288.2026.2740569","url":null,"abstract":"<p><strong>Purpose: </strong>Assess how prosthetic foot stiffness influences prosthetists' alignment decisions.</p><p><strong>Methods: </strong>A double-masked, order-randomized, repeated measures study was conducted at Northeastern University. Seven certified prosthetists and seven individuals with limb loss (patients) were randomly paired. Each patient walked on five randomized prosthetic foot stiffnesses; pairs were masked to stiffness and instructed not to communicate. Prosthetists aligned each foot using only the distal adapter. Primary outcomes included sagittal plane ankle alignment, rollover shape, and stiffness preferences.</p><p><strong>Results: </strong>Five pairs showed increasing ankle dorsiflexion with increased stiffness; two showed the opposite. Linear mixed-effects modeling found no significant relationship between stiffness and alignment (β = 0.29°/category, R² = 0.07, <i>p</i> = 0.103). Excluding one outlier pair revealed a significant positive relationship (β = 0.41°/category, R² = 0.14, <i>p</i> = 0.037). No rollover shape trend was observed. Prosthetists and patients found multiple stiffness categories acceptable; only two of seven pairs agreed on a preferred stiffness.</p><p><strong>Conclusions: </strong>Prosthetists demonstrated substantial between- and within-prosthetist variability in alignment responses to foot stiffness, with no consistent compensatory strategy across pairs. Combined with limited clinical stiffness trialing, this unpredictability may contribute to suboptimal prescriptions and underscores the need for improved stiffness selection tools.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139069","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}