Disability and Rehabilitation最新文献_第2页

Reliability and validity of the Chinese version of the stroke upper limb capacity scale.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-11 DOI: 10.1080/09638288.2025.2477283

Minqi Xia, Jingjing Ye, Yewen Dong, Lingdi Yang

{"title":"Reliability and validity of the Chinese version of the stroke upper limb capacity scale.","authors":"Minqi Xia, Jingjing Ye, Yewen Dong, Lingdi Yang","doi":"10.1080/09638288.2025.2477283","DOIUrl":"https://doi.org/10.1080/09638288.2025.2477283","url":null,"abstract":"Purpose: To evaluate the reliability and validity of the Chinese version of the Stroke Upper Limb Capacity Scale (SULCS) compared to the Wolf Motor Function Test (WMFT) and the Fugl-Meyer Assessment-Upper Extremity (FMA-UE).Materials and methods: Patients with hemiplegia after stroke (n = 60). The intraclass correlation coefficient (ICC) and corresponding 95% confidence intervals (CI) were used to explore the reliability, and Spearman's correlation coefficient was used to analyze validity. Floor and ceiling effects were counted.Results: The ICCs for inter-rater reliability and intra-rater reliability were ICC = 0.985 (95%CI = 0.966-0.992) and ICC = 0.982 (95%CI = 0.970-0.989), respectively. The SULCS demonstrated a strong correlation with the WMFT (r = 0.922, p < 0.001) and FMA-UE (r = 0.921, p < 0.001) at baseline. The WMFT and FMA at week 3 were as strong as those at baseline (r = 0.946, p < 0.001 and r = 0.952, p < 0.001, respectively). There was a strong longitudinal correlation between the changes in SULCS and WMFT and FMA-UE from baseline to week 3 (r = 0.745, p < 0.001 and r = 0.768, p < 0.001, respectively). No floor and ceiling effects were detected in any assessment.Conclusions: Our analysis of the psychometric properties supports the use of the Chinese version of the SULCS to measure upper limb capacity in patients with hemiplegia after stroke.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-5"},"PeriodicalIF":2.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607039","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

An evaluation of the feasibility and clinical utility of the Diego™ computer-assisted robotics device for use with people with a cervical spinal cord injury in the acute setting: a mixed method pilot study.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2476028

Lynette Mackenzie, Emma Su Zan Tan, Lisa Benad

{"title":"An evaluation of the feasibility and clinical utility of the Diego™ computer-assisted robotics device for use with people with a cervical spinal cord injury in the acute setting: a mixed method pilot study.","authors":"Lynette Mackenzie, Emma Su Zan Tan, Lisa Benad","doi":"10.1080/09638288.2025.2476028","DOIUrl":"https://doi.org/10.1080/09638288.2025.2476028","url":null,"abstract":"Purpose: This study aimed to determine the feasibility and clinical utility of the Diego™ for people with a cervical spinal cord injury (CSI) in an acute spinal ward.Materials and methods: A mixed methods study included prospective measurement of outcomes and qualitative interviews with participants and health professionals. A 22 day (4.4 weeks Monday to Friday) program incorporating baseline and follow up measurements, 2 × 1-h standard upper limb sessions per week, and 3 × 1-h Diego™ sessions per week were designed for implementation. Participants were assessed on recruitment and at the completion of the program.Results: Seven eligible patients (6 male and 1 female) and eight health professionals participated. Participants improved in most muscle strength and range of motion scores across upper limb joints although these were not statistically significant, Spinal Cord Independence Measure scores (14.29 at baseline to 18.29 at follow up, p = 0.01) and fatigue scores (reduction of 1.57 points, p = 0.577). Pain scores remained stable. The Canadian Occupational Performance Measure indicated improvements in performance (+2.20 points, p = 0.028) and satisfaction scores (+2.53 points, p = 0.028). Qualitative findings from both participants and health professionals indicated that participants experienced psychological benefits using the Diego™.Conclusions: Some gains in functioning occurred. Further research should include a randomised controlled trial to fully evaluate the effectiveness of the Diego™ in acute settings.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588018","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

Current digital consumer technology: barriers, facilitators, and impact on participation for persons with intellectual disabilities - a scoping review.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2471567

Melinda Braun, Christian Menschik, Verena Wahl, Theresa Etges, Laura-Denise Löwe, Matthias Wölfel, Florian Kiuppis, Christophe Kunze, Gregor Renner

{"title":"Current digital consumer technology: barriers, facilitators, and impact on participation for persons with intellectual disabilities - a scoping review.","authors":"Melinda Braun, Christian Menschik, Verena Wahl, Theresa Etges, Laura-Denise Löwe, Matthias Wölfel, Florian Kiuppis, Christophe Kunze, Gregor Renner","doi":"10.1080/09638288.2025.2471567","DOIUrl":"https://doi.org/10.1080/09638288.2025.2471567","url":null,"abstract":"Objective: The objective of this scoping review is to understand the extent and type of evidence concerning digital consumer technology use by adults with intellectual disabilities and its impact on participation.Inclusion criteria: Studies published in English from 2011 to 2024 were included, focusing on the use of digital consumer technology by people with intellectual disabilities over the age of 18.Methods: Searches were conducted in key databases following the JBI methodology for scoping reviews. Screening of titles, abstracts, and full-text reviews identified 151 relevant studies. Data extraction focused on demographics, intervention details, outcomes, and study design. Both descriptive statistical analysis and qualitative content analysis were used.Results: The search was conducted in September 2024. The included studies, predominantly from European countries, included interventions covering various life areas, mostly in communication, community, social and civic life, and general tasks and needs. The findings highlight the importance of personalized, adaptable technologies.Conclusions: While consumer technology has the potential to enhance participation for people with ID, further research is needed to better understand its impact and specific factors influencing participation in this target group. Personalized and adaptable technologies have the potential to improve access and participation in different areas of life.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-22"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588022","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

Non-pharmacological interventions for veterans living with chronic pain: a scoping review and intervention map.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2474703

Rochelle Furtado, Joy C MacDermid, David M Walton, Goris Nazari, Pavlos Bobos

{"title":"Non-pharmacological interventions for veterans living with chronic pain: a scoping review and intervention map.","authors":"Rochelle Furtado, Joy C MacDermid, David M Walton, Goris Nazari, Pavlos Bobos","doi":"10.1080/09638288.2025.2474703","DOIUrl":"https://doi.org/10.1080/09638288.2025.2474703","url":null,"abstract":"Purpose: To describe the content of studied intervention programs, the rationale/mechanism and outcomes from these studies and the limitations and gaps within the existing literature.Methods: CINAHL, EMBASE, PubMed, Cochrane Reviews, and Google Scholar were searched for studies. Three authors screened studies against predefined inclusion criteria. Data were analyzed through qualitative synthesis. Articles were included if they addressed a rehabilitation intervention that focused on chronic pain management in a population of military veterans.Results: A total of 31 articles were included, 25 being randomized trials. Interventions varied in design components, sessions, and delivery mode (58% in-person, 25% remote, 17% mixed). Adherence and fidelity were reported by 78% of studies. Only 4/31 studies reported the use of veteran engagement during development of the intervention. A conceptual map summarizing the intervention components (5 main categories) expected mechanisms and outcomes (process, health and patient specific) from the primary interventions was created.Conclusions: Poor reporting of content, rationale, and frameworks of non-pharmacological interventions for military veterans may explain why systematic reviews have not found support for their value. Future trials must improve rigor in design and reporting to be explicit and responsive to the needs of the veteran population facing chronic pain.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588057","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

Effects of exercise in primary Sjögren's syndrome: a systematic review and meta-analysis of randomized clinical trials.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2474085

Nazli Elif Nacar, Sezen Karaborklu Argut, Edibe Unal

{"title":"Effects of exercise in primary Sjögren's syndrome: a systematic review and meta-analysis of randomized clinical trials.","authors":"Nazli Elif Nacar, Sezen Karaborklu Argut, Edibe Unal","doi":"10.1080/09638288.2025.2474085","DOIUrl":"10.1080/09638288.2025.2474085","url":null,"abstract":"Purpose: To systematically review the effects of exercise interventions on pain, fatigue, quality of life, disease activity, aerobic capacity, and dryness in primary Sjögren's syndrome (pSS), and to determine the most effective type of exercise.Materials and methods: A literature search was conducted using Web of Science, PubMed/MEDLINE, ProQuest, SCOPUS, Cochrane Library, and PEDro databases. Randomized clinical trials (RCTs) examining the effects of exercise interventions in patients with pSS were included. Methodological quality was assessed using the Risk of Bias version-2 tool and PEDro scale.Results: Five RCTs, including 269 female patients with pSS were analyzed. High-quality studies indicated that exercise interventions significantly improved pain (p = 0.008), fatigue (p < 0.00001), quality of life (p = 0.0003), and aerobic capacity (p = 0.009) compared to controls. Sensitivity analysis indicated that resistance exercise was particularly effective, significantly improving pain (p < 0.00001), fatigue (p < 0.00001), quality of life (p < 0.00001), and disease activity (p = 0.02).Conclusion: Exercise interventions may offer significant benefits in reducing pain and fatigue, as well as improving quality of life and aerobic capacity, in patients with pSS compared to no-treatment. Resistance exercise appears to be more effective than other exercise models.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588054","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

Community participation in adults with Down syndrome: a scoping review.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2476731

Sook Meng Lee, Nicholas F Taylor, Catherine Said, Nora Shields

{"title":"Community participation in adults with Down syndrome: a scoping review.","authors":"Sook Meng Lee, Nicholas F Taylor, Catherine Said, Nora Shields","doi":"10.1080/09638288.2025.2476731","DOIUrl":"10.1080/09638288.2025.2476731","url":null,"abstract":"Purpose: Community participation is important for social inclusion and is a focus of government policies that aim to enhance the lives of people with disability, including those with Down syndrome. This scoping review aimed to synthesise research on community participation in adults with Down syndrome.Methods: A comprehensive search was completed in Medline, EMBASE, PsycINFO and CINAHL databases. The PRISMA-ScR guidelines informed reporting, and the evidence was synthesised using the International Classification of Functioning, Disability and Health, and the Family of Participation Constructs frameworks.Results: Twenty-six articles with 12,461 participants met the inclusion criteria. Our results indicate: i) many studies did not conceptualise or investigate community participation as a distinct concept; ii) although adults with Down syndrome engaged in a diverse range of activities, particularly related to recreation and leisure, participation was restricted for a large proportion of adults; and iii) personal contextual factors that influenced community participation were age and adaptive function; and environmental factors included parental involvement, social and logistical supports, and place of residence.Conclusion: This new knowledge contributes to our understanding of community participation of adults with Down syndrome by identifying areas where future research or interventions could be made to improve their health and wellbeing.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588020","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

Development and evaluation of an interactive home therapy technology for children with neuromotor disorders: exemplification of a design thinking approach.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2462770

Marina Petrevska, F Virginia Wright, Selvi Sert, Elaine Biddiss

{"title":"Development and evaluation of an interactive home therapy technology for children with neuromotor disorders: exemplification of a design thinking approach.","authors":"Marina Petrevska, F Virginia Wright, Selvi Sert, Elaine Biddiss","doi":"10.1080/09638288.2025.2462770","DOIUrl":"https://doi.org/10.1080/09638288.2025.2462770","url":null,"abstract":"Purpose: To describe the process of developing an interactive home therapy technology and evaluate its usability with children.Materials and methods: Design thinking guided our technology development with knowledge holders. User- and theory-informed design needs were defined by empathizing with users through observation, interviews and literature review. Solutions were ideated through sketches that led to prototypes. Informal testing with knowledge holders was conducted before formal usability testing with 7 school-aged children (5 neurotypical, 2 with cerebral palsy). Children practiced exercises using the technology before completing a study-specific survey (5-point Likert scales and open-ended questions) that was analyzed using descriptive statistics and content analysis.Results: Bootle Boot Camp, an interactive therapy game that enables clinicians to prescribe customized home exercise programs, was created. Through exercise videos, motion tracking, multimodal feedback that fades to summary, self-controlled form (i.e., star ratings) based on a child's performance, rewards and training resources, the game aims to promote safe and high-quality exercise according to design needs. Children found feedback helpful (mean 3.7/5) and audio cues easy to understand (mean 4.6/5). Users' recommendations to improve audio feedback delivery guided game refinements.Conclusions: Application of the design thinking methodology supported robust end-user involvement that facilitated development of a user-friendly technology.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598325","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

Setting me up or holding me back? Perspectives of people with spinal cord injury on rehabilitation supports at inpatient discharge and 3-months post-discharge.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-09 DOI: 10.1080/09638288.2025.2476037

Emily Bray, Rachel Brough, Rachel Jones, Letitia Burridge, Timothy Geraghty, Jessie Mitchell, Christy Hogan, Delena Amsters, Kerrin Watter, Greg Ungerer, Melissa Kendall, Tamara Ownsworth

{"title":"Setting me up or holding me back? Perspectives of people with spinal cord injury on rehabilitation supports at inpatient discharge and 3-months post-discharge.","authors":"Emily Bray, Rachel Brough, Rachel Jones, Letitia Burridge, Timothy Geraghty, Jessie Mitchell, Christy Hogan, Delena Amsters, Kerrin Watter, Greg Ungerer, Melissa Kendall, Tamara Ownsworth","doi":"10.1080/09638288.2025.2476037","DOIUrl":"https://doi.org/10.1080/09638288.2025.2476037","url":null,"abstract":"Purpose: The transition from hospital to the community following spinal cord injury (SCI) is a significant and challenging time. Rehabilitation aims to equip individuals with the skills and resources required to navigate this transition. This study explored the rehabilitation priorities of people with SCI, expectations for rehabilitation supports at discharge from inpatient rehabilitation, and experiences of rehabilitation supports at 3-months post-discharge.Methods: Semi-structured interviews were conducted with people with SCI at discharge (n = 26) and 3-months post-discharge (n = 23) from the Spinal Injuries Unit in Queensland, Australia. Data were thematically analysed using the Framework method.Results: The analysis identified three themes. Theme 1 (Resuming life and what matters to me) depicted how people re-evaluated their priorities in terms of activities and roles post-discharge. Themes 2 (Setting me up) and 3 (Holding me back) reflected variations in the match between individuals' expectations and experiences of rehabilitation supports. Coordinated and personalised supports received during the transition aided adaptation to life in the community, whereas lack of appropriate or timely supports hindered adjustment and progress.Conclusion: Individuals' expectations of progress and rehabilitation priorities often change in the first few months post-discharge after SCI. Personalised, responsive and coordinated rehabilitation supports are essential for supporting community adjustment.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587776","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

Health professionals' experiences delivering an Interdisciplinary Nurse-coordinated SELf-MAnagement intervention for patients with inflammatory arthritis.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-08 DOI: 10.1080/09638288.2025.2472991

Christina Merete Tvede Madsen, Bente Appel Esbensen, Nadine Schäffer Blum, Pernille Friis Rønne, Ann Bremander, Oliver Hendricks, Mikkel Østergaard, Lena Andersen, Jette Primdahl

{"title":"Health professionals' experiences delivering an Interdisciplinary Nurse-coordinated SELf-MAnagement intervention for patients with inflammatory arthritis.","authors":"Christina Merete Tvede Madsen, Bente Appel Esbensen, Nadine Schäffer Blum, Pernille Friis Rønne, Ann Bremander, Oliver Hendricks, Mikkel Østergaard, Lena Andersen, Jette Primdahl","doi":"10.1080/09638288.2025.2472991","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472991","url":null,"abstract":"Purpose: The complex Interdisciplinary Nurse-coordinated SELf-MAnagement (INSELMA) intervention for patients with IA who experience substantial disease impact, was tested in a feasibility study. This study explored healthcare professionals' (HPs) experiences of delivering the intervention.Materials and methods: A qualitative longitudinal evaluation study was conducted based on four focus group interviews. Twelve HPs participated from two outpatient rheumatology hospitals in Denmark. Data was analyzed using qualitative content analysis.Results: Five themes emerged (1) Change in work tasks required training, (2) New professional roles challenged professional identities, (3) Meaningful and increased coherence in pathways, (4) Enabling support for patients with complex health issues, and (5) Appreciated interdisciplinary collaboration.Conclusion: The HPs found the new roles and tasks challenging, but perceived the INSELMA intervention as meaningful for the patients, enhanced coherence, strengthened the relation with the patient and ensured continuous follow-up on goals.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588056","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

Opportunities to experience changes during adverse times: perspectives of young people with physical disabilities and their therapists following the PREP intervention.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-08 DOI: 10.1080/09638288.2025.2474086

Dana Anaby, Yu-Hsin Hsieh, Sakiko Yamaguchi, Milagros Calderon-Moya, Pranamika Khayargoli, Amal Khan, Julia Hanes

{"title":"Opportunities to experience changes during adverse times: perspectives of young people with physical disabilities and their therapists following the PREP intervention.","authors":"Dana Anaby, Yu-Hsin Hsieh, Sakiko Yamaguchi, Milagros Calderon-Moya, Pranamika Khayargoli, Amal Khan, Julia Hanes","doi":"10.1080/09638288.2025.2474086","DOIUrl":"https://doi.org/10.1080/09638288.2025.2474086","url":null,"abstract":"Purpose: To elicit the experiences of Pathways and Resources for Engagement and Participation (PREP) intervention among youth with physical disabilities and their therapists during the COVID-19 pandemic.Materials and methods: Youth (n = 13) aged 18-25 (median = 21) who participated in an 8-week self-chosen activity (football, piano, photography) facilitated by PREP and therapists (n = 6) who delivered it participated in individual semi-structured interviews. Thematic analysis was conducted by two researchers independently.Results: Four themes were identified. The first theme, Pandemic reality - the impacts on everyday life and emotional well-being, which pertained to youth only, characterized the context that shaped how youth experienced the intervention. The remaining three themes: Navigating barriers, seeking resources, and putting pieces together; Rapport with instructors and support from family as assets; and More than fun, a new opportunity to experience changes, applied to both youth and therapists. Youth interest and motivation, identified in both groups, was intertwined across all themes, leading to initiating and maintaining participation. Through these positive experiences, the youth discovered the value of trying new activities in supportive and accessible environments.Conclusions: Findings highlight the crucial roles of therapists, families, and instructors in mobilizing available resources and motivating youth to enhance their community participation even during adverse times.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586898","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