Disability and Rehabilitation最新文献

{"title":"Development of an ICF core set for the management of musculoskeletal conditions in primary care physiotherapy services in Spain: a Delphi study.","authors":"Héctor Hernández-Lázaro, María Teresa Mingo-Gómez, Sandra Jiménez-Del-Barrio, Alberto Simarro-Martín, Agnieszka Wiśniowska-Szurlej, Luis Ceballos-Laita","doi":"10.1080/09638288.2025.2460723","DOIUrl":"https://doi.org/10.1080/09638288.2025.2460723","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to develop an ICF core set for the management of musculoskeletal conditions in primary care physiotherapy services in Spain.</p><p><strong>Materials and methods: </strong>A two-round Delphi study was conducted among Spanish primary care physiotherapists. A list of 156 candidate ICF entities and 14 personal factors derived from preparatory studies was presented to an expert panel. Their relevance was assessed in the first round using a 5-point Likert scale, with a median score of 3.5 as the cut-off point. In the second round, dichotomous questions (yes/no) were proposed to definitively include or exclude the entities selected in the first round in the ICF Core Set. Consensus was defined as 80% agreement.</p><p><strong>Results: </strong>Twenty-two physiotherapists participated in the survey. Consensus was reached on 56 entities, mainly focusing on the biological aspects of movement and their impact on mobility. These entities were proposed as the basis of an ICF core set for the management of musculoskeletal conditions by primary care physiotherapists.</p><p><strong>Conclusions: </strong>The proposed ICF core set is the first step for the development of a standardised assessment and reporting system for functioning and contributes to the integration of the ICF into community-based rehabilitation services in Spain.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392438","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":"Reliability and variability of self-reported physical activity and exercise self-efficacy measures among people with Parkinson disease.","authors":"Dipti K Wani, Anuja Chandrana, Jehan A Alomar, Alissa Pacheco, Chelsea E Macpherson, Danielle Kipnis, Julie Fineman, Miriam R Rafferty, Linn Katus, Hiral Shah, Lori Quinn","doi":"10.1080/09638288.2025.2460727","DOIUrl":"https://doi.org/10.1080/09638288.2025.2460727","url":null,"abstract":"<p><strong>Purpose: </strong>To explore reliability and inherent variability of physical activity (PA) and exercise self-efficacy (ESE) questionnaires and association of PA with ESE in people with Parkinson disease (PwP).</p><p><strong>Material and methods: </strong>International Physical Activity Questionnaire (IPAQ), Brunel Lifestyle Physical Activity Questionnaire (BLPAQ), and ESE data were collected from 30 PwP (NCT049222190). Intraclass correlation coefficients (ICC) and Minimal Detectable Change (MDC₉₀) were calculated to determine test-retest reliability and inherent variability. Pearson correlation analyzed relationship of ESE with PA measures.</p><p><strong>Results: </strong>Test-retest reliability was moderate for IPAQ, good for BLPAQ Planned, moderate for BLPAQ Unplanned, and moderate for ESE. Test-retest reliability was good for IPAQ ≤ 2000 MET-minutes/week and poor for IPAQ ≥ 2000 MET-minutes/week as per subgroup analysis. MDC₉₀ was 2132 MET-minutes/week for IPAQ, 0.97 for BLPAQ Planned, 0.87 for BLPAQ Unplanned, and 21.06 for ESE. ESE showed strong positive association with IPAQ, poor positive association with BLPAQ Planned, and moderately positive association with BLPAQ Unplanned.</p><p><strong>Conclusion: </strong>IPAQ, BLPAQ, and ESE exhibit consistency across sessions and can be used to record PA and ESE among PwP. However, there are limitations, particularly for higher PA levels. MDC₉₀ scores of PA and ESE measures can help determine effectiveness of PA interventions in PwP.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392453","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":"Rehabilitative effects of Transcutaneous Electric Nerve Stimulation on limb function in stroke patients: a systematic review and meta-analysis.","authors":"Chengning Song, Weijie Wu, Nana Feng, Zhixian Li, Bo Lei","doi":"10.1080/09638288.2025.2453640","DOIUrl":"https://doi.org/10.1080/09638288.2025.2453640","url":null,"abstract":"<p><strong>Purpose: </strong>We conducted a systematic review to assess the effectiveness of TENS in the rehabilitation of limb motor dysfunction following stroke.</p><p><strong>Materials and methods: </strong>We collected data from three databases, PubMed, Embase, and Web of Science, covering the earliest available date to April 2024, with a focus on randomized controlled trials that utilized TENS as an intervention for limb motor dysfunction after stroke, and extracted the main evaluation indicators before and after treatment, including the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Functional Independence Measure (FIM), and Composite Spasticity Scale (CSS). Meta-analysis was conducted using Review Manager 5.4.1 software.</p><p><strong>Results: </strong>This systematic review included a total of 513 participants from 10 studies. The analysis revealed that TENS was found to be statistically more effective than sham TENS in improving upper limb function, with a standardized mean difference (MD) of 3.58 (95% CI: 0.88, 6.27).</p><p><strong>Conclusion: </strong>TENS has shown potential in improving limb motor function in post-stroke patients based on FMA-UE, FIM, and CSS scores. However, variations in stimulation frequency, sites, treatment schedules, and devices make the evidence insufficient for its reliable clinical use.</p><p><p>Registration: CRD42023421759.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392450","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":"Rehabilitation needs of people with brain tumours in Ireland (\"BRAIN-RESTORE\"): a survey of healthcare professionals' views.","authors":"Bernadine O'Donovan, Ailish Malone, Paul Carroll, Eloise Cowie, Stephen MacNally, Rory J O'Connor, John MacFarlane, Sorcha O'Keeffe, Kathleen Bennett, Frances Horgan","doi":"10.1080/09638288.2025.2462209","DOIUrl":"https://doi.org/10.1080/09638288.2025.2462209","url":null,"abstract":"<p><strong>Purpose: </strong>Access to rehabilitation after brain tumour can be limited, resulting in unmet needs. We examined healthcare professionals' perceptions of rehabilitation need and current rehabilitation services for people with brain tumours in Ireland.</p><p><strong>Methods: </strong>A cross-sectional survey of community and hospital-based healthcare professionals caring for people with brain tumours was conducted in August 2023. Quantitative and qualitative data were collected. Frequency, percentages, 95% confidence intervals (CIs) and chi-square tests are presented.</p><p><strong>Results: </strong>123 participants completed surveys, health and social care professions (HSCPs) (72, 58.5%), medical (30, 24%) and nursing (21, 17%), and most had >10 years clinical experience (74, 60%). A range of complex rehabilitation challenges, which can persist across care settings, were identified. These included cognitive impairments (≥75% across acute, community, specialist rehabilitation and palliative settings); balance issues (≥65% across acute, community, specialist rehabilitation and palliative settings); inability to return to work (≥75% across acute, community, specialist rehabilitation and palliative settings). Many barriers for patients and healthcare professionals were linked to system-level factors such as limited access to specialist rehabilitation, community therapists lacking capacity and lack of defined care pathway.</p><p><strong>Conclusions: </strong>These findings will help healthcare professionals and health-service providers identify priorities to inform a more comprehensive treatment pathway and improve rehabilitation for those with brain tumours.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400647","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":"Cross-cultural adaptation and psychometric testing of the Spanish version of the Spinal Cord Injury Falls Concern Scale (SCI-FCS).","authors":"C Di Caudo, P Aranda-Villalobos, M Rivas-Garcia, L Jimenez Molina, D Gutiérrez-Sánchez, R Pozuelo Calvo, M Membrilla-Mesa","doi":"10.1080/09638288.2025.2460724","DOIUrl":"https://doi.org/10.1080/09638288.2025.2460724","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of the study was to perform the translation and adaptation of the Spanish version of the Spinal Cord Injury-Falls Concern Scale (SCI-FCS), and evaluate the psychometric properties.</p><p><strong>Materials and methods: </strong>The original scale was translated from English to Spanish in accordance with international guidelines. Exploratory factor analysis was conducted to examine factor structure, while internal consistency was evaluated using Cronbach's alpha. The intraclass correlation coefficient (ICC) was calculated to examine test-retest reliability. Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC) were estimated. Criterion validity was assessed using the Spearman correlation coefficient.</p><p><strong>Results: </strong>The Spanish SCI-FCS was administered to 81 manual wheelchair users with chronic SCI from a Spinal Cord Unit. Exploratory factor analysis revealed a two-factor structure. Internal consistency was high (α = 0.94) and test-retest reliability was excellent (ICC 2.1 = 0.99). SEM was 1.20 and MDC with 95% confidence interval was 3.31. The SCI-FCS score showed a positive correlation with fear of falling (<i>r</i> = 0.602, <i>p</i> < 0.001), Fatigue Severity Scale, <i>r</i> = 0.197 (<i>p</i> = 0.03), and the age of participants (<i>r</i> = 0.19, <i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>The Spanish version of the SCI-FCS is a valid and reliable tool for assessing fall-related concerns in wheelchair users with chronic SCI.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374210","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":"Examining recovery trajectories of physical function, activity performance, cognitive and psychological functions, and health related quality of life in COVID-19 patients treated in ICU: a Swedish prospective cohort study.","authors":"Susanne Palmcrantz, Gabriela Markovic, Kristian Borg, Catharina Nygren Deboussard, Alison K Godbolt, Monika Löfgren, Eva Melin, Marika C Möller","doi":"10.1080/09638288.2025.2460722","DOIUrl":"https://doi.org/10.1080/09638288.2025.2460722","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the recovery trajectories of physical function, activity performance, cognitive and psychological functions, and health related quality of life, as well as potential interaction effects, in individuals with COVID-19 treated in an intensive care unit (ICU).</p><p><strong>Methods: </strong>This prospective cohort study included patients with confirmed COVID-19 infection, treated in an ICU. Clinical assessments and self-ratings of functioning, disability and health were performed > 1 month and > 12 months after discharge from hospital.</p><p><strong>Results: </strong>Among the 65 included individuals (mean age 56.6, SD 11) significant improvements in physical and psychological function were observed over time, although not reaching population norms. Cognition remained unchanged (MoCA median 27, IQR 4). At the 12-month follow-up, physical limitations in activity (RAND-36) were found to be associated with dyspnea (mMRC-Dyspnea), mental and physical fatigue (MFI-20), and walking endurance (6-minute walk test) (r² 0.509 <i>p</i> < 0.001). Role limitations due to physical health (RAND-36) was found to be associated with physical and mental fatigue (MFI-20) and pain (r² 0.530 <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Despite improvements in functioning and health in this group of predominantly younger age recovery did not reach population norms. These results highlight persistent impairments and activity limitations that may necessitate long-term healthcare interventions.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374211","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":"Management of suicidality in stroke patients with and without aphasia-a national survey among healthcare professionals in Sweden.","authors":"Camilla Olsson, Ellika Schalling","doi":"10.1080/09638288.2025.2458182","DOIUrl":"https://doi.org/10.1080/09638288.2025.2458182","url":null,"abstract":"<p><strong>Purpose: </strong>Investigating how stroke healthcare professionals manage suicidality in stroke patients with and without aphasia.</p><p><strong>Materials and methods: </strong>A cross-sectional survey of 981 professionals in Sweden was conducted.</p><p><strong>Results: </strong>Nearly 60% of respondents had encountered suicidality in stroke patients without aphasia, while 40% had encountered it in patients with aphasia. SLPs were more likely to meet patients with aphasia and suicidality. Routine screening was rare, while 40% reported that suicidality was assessed when needed. Psychologists, physicians, and social workers were seen as responsible for assessments, with 13% of respondents feeling it was their responsibility to assess suicidality. Less than half of those felt competent to assess patients with aphasia. Aphasia was viewed as a barrier to assessment. Uncertainty was widespread regarding intervention, particularly in patients with aphasia, and there were concerns about the competence to handle such cases when referred to psychiatry. Free-text responses highlighted a perceived lack of competence, tools, and routine procedures for handling suicidality in aphasia, alongside calls for more mental health professionals and better interprofessional collaboration regarding suicidality in stroke rehabilitation.</p><p><strong>Conclusions: </strong>Management of suicidality in stroke patients, particularly with aphasia, is surrounded by uncertainty. Greater competence in suicidality, aphasia-friendly communication, and improved interdisciplinary efforts are needed.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374407","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":"Participation and quality of life among Australian children with developmental coordination disorder.","authors":"Matthew C McQueen, Jill G Zwicker, Scott Ruddock, Jacqueline Williams","doi":"10.1080/09638288.2024.2447370","DOIUrl":"https://doi.org/10.1080/09638288.2024.2447370","url":null,"abstract":"<p><strong>Purpose: </strong>Children with Developmental Coordination Disorder (DCD) experience difficulty in the acquisition and performance of movement skills, threatening participation and quality of life. Environmental influences on participation and quality of life were investigated in children with DCD and their neurotypical peers.</p><p><strong>Materials and methods: </strong>Quality of life and participation data were collected from 30 parents of children with DCD and 19 parents of neurotypical children via the <i>Pediatric Quality of Life Inventory</i> and the <i>Participation and Environment Measure for Children and Youth</i>. The association between participation, environmental factors, and quality of life were investigated alongside group differences in home, school, and community settings.</p><p><strong>Results: </strong>Children with DCD were less involved than their neurotypical peers in school and community activities. Across all settings, parents of children with DCD reported more barriers to participation, less helpful environments, a greater desire for change in participation, and lower overall environmental support. Children with DCD experienced poorer quality of life, which was predicted by overall community and school support.</p><p><strong>Conclusions: </strong>Results have several implications for therapy. Individual (e.g., cognitive and physical demands) and environmental factors (e.g., additional school and community resources) should be considered in intervention development to promote participation frequency and involvement.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366474","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":"Breaking the frailty cycle with rehabilitation programs. A systematic review and meta-analysis of randomized controlled trials.","authors":"Bruna da Silveira, Amanda Farias E Farias, Victória Brum, Marlus Karsten, Darlan Laurício Matte","doi":"10.1080/09638288.2025.2460728","DOIUrl":"https://doi.org/10.1080/09638288.2025.2460728","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate how different sets of rehabilitation programs can contribute to breaking the frailty cycle.</p><p><strong>Methods: </strong>Systematic review with meta-analysis of randomized controlled trials that investigated the effects of rehabilitation programs for adults with FS. Search for references on Embase, PEDro, SciELO, Web Of Science, Pubmed, EBSCO and Scopus, published until September 2024. Methodological quality was assessed with the PEDro scale, risk of bias with ROB 2.0, and certainty of evidence with the GRADE approach.</p><p><strong>Results: </strong>Thirty-four studies (34) were included, with high methodological quality and a low risk of bias. There is significant evidence that rehabilitation programs were able to improve performance in activities of daily living (SMD = 0.83; 95%CI: 0.26, 1.40; <i>p</i> = 0.004; low certainty), lower extremity function and mobility (SMD = 0.63; 95%CI: 0.40, 0.86; <i>p</i> < 0.001; moderate certainty) and gait speed (SMD = 1.07; 95%CI: 0.17, 1.97; <i>p</i> = 0.002; low certainty), reducing frailty score (SMD = -1.57; 95%CI: -2.97, -0.17; <i>p</i> ≤ 0.001; very low certainty) and prevalence of frailty (RR = 0.76; 95%CI: 0.65, 0.89; <i>p</i> = 0.006; very low certainty), with minimal to no reports of adverse effects.</p><p><strong>Conclusions: </strong>Rehabilitation programs consisting of multicomponent moderate-intensity physical exercise associated with nutritional monitoring, cognitive training, educational strategies, and medical and social support are effective to break the frailty cycle.Implications for rehabilitationRehabilitation programs for older people can prevent and reverse pre-frailty.Performance, mobility, gait speed and strength improve with rehabilitation programs.Rehabilitation professionals should considerer these key components when designing rehabilitation programs for the frail and pre-frail older people: multicomponent exercises, nutrition, and cognitive training.Rehabilitation professionals should be aware that adherence is the main barrier in older peoples frailty rehabilitation programs.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-22"},"PeriodicalIF":2.1,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366350","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":"Feasibility of the TRANSITION program as an add-on to regular daily living support for young adults: an open mixed-methods study.","authors":"Maria Löthberg, Jenny Meyer, Andrea Niman, Steve Berggren, Tatja Hirvikoski, Sven Bölte, Ulf Jonsson","doi":"10.1080/09638288.2025.2459889","DOIUrl":"https://doi.org/10.1080/09638288.2025.2459889","url":null,"abstract":"<p><strong>Purpose: </strong>TRANSITION is a structured behavioral and educational program to support young adults with mental, behavioral, and neurodevelopmental conditions transitioning into adulthood. This study investigated its feasibility as an add-on to regular daily living support in social services.</p><p><strong>Materials and methods: </strong>A non-randomized single-arm mixed method design was used. Twenty-eight service users, aged 19-29, were enrolled to participate in the program for 20 weeks alongside their support workers. They rated their engagement and satisfaction and reported any adverse effects. Eighteen support workers received training in the program. A subsample of service users (<i>n</i> = 11) and support workers (<i>n</i> = 9) was interviewed about their experiences. Qualitative content analysis using an abductive approach and quantitative analyses with descriptive statistics was integrated and mapped to specific feasibility areas in a joint display.</p><p><strong>Results: </strong>Service users completing the study (<i>n</i> = 26) generally rated satisfaction and engagement highly. While some service users experienced stress related to their participation, no serious adverse events were reported. Service users and support workers highlighted the program's clear structure and focus on specific goals as particularly valuable.</p><p><strong>Conclusions: </strong>The results indicate that TRANSITION is a feasible complement to regular support in social service settings. Further evaluation of the program is justified.Implications for rehabilitationThe TRANSITION program is a feasible add-on to regular support in daily living for young adults with mental, behavioral, and neurodevelopmental conditions.Support workers can deliver the program, although training, practice, and regular supervision are needed.Service users perceive that the program adds clarity and valued direction to their support.The program may help service users and support workers become more aware of the inherent benefits of user engagement in daily living support.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374405","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}