Disability and Rehabilitation最新文献_第4页

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

The state of evidence on the health outcomes and support needs of family caregivers of children with Cerebral Palsy in Sub-Saharan Africa: a scoping review.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-07 DOI: 10.1080/09638288.2025.2472984

Melkitu Melak, Afolasade Fakolade, Solomon Mekonnen, Adhanom Baraki, Amanda Ross-White, Beata Batorowicz

{"title":"The state of evidence on the health outcomes and support needs of family caregivers of children with Cerebral Palsy in Sub-Saharan Africa: a scoping review.","authors":"Melkitu Melak, Afolasade Fakolade, Solomon Mekonnen, Adhanom Baraki, Amanda Ross-White, Beata Batorowicz","doi":"10.1080/09638288.2025.2472984","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472984","url":null,"abstract":"Purpose: In Sub-Saharan Africa (SSA), caregivers of children with Cerebral Palsy (CP) face multidimensional challenges. However, there is a lack of comprehensive review of the available research on the health outcomes and support needs of family caregivers of children with CP.This scoping review aimed to identify the breadth and nature of research evidence on the health outcomes and support needs of family caregivers of children with CP in SSA.Materials and methods: This scoping review was conducted following the JBI methodology. Original studies written in English were included. Medline, Embase, CINAHL, PsycINFO, Web of Science, Scopus, Global Health, Cochrane, East African Medical Journal, and Africa Online Journals were searched. Data was analyzed descriptively.Results: A total of 34 research articles were included, of which 64.7% (n = 22) were conducted in Ghana and 47% (n = 16) were qualitative studies. Caregivers had physical and psychological morbidities with financial, emotional, informational, and physical support needs.Conclusion: Available research evidence indicated that caregiving contributed to negative health outcomes, with financial support being a pressing need. Future research should investigate the positive outcomes and inherent resources available to family caregivers of children with CP in SSA to inform the development of strength-based interventions.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587790","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

Understanding development of contractures in people with stroke: formulation of a logic-model to inform care and prevention.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-07 DOI: 10.1080/09638288.2025.2472988

Stephen A Ashford, Cherry Kilbride, Kei Long Cheung

{"title":"Understanding development of contractures in people with stroke: formulation of a logic-model to inform care and prevention.","authors":"Stephen A Ashford, Cherry Kilbride, Kei Long Cheung","doi":"10.1080/09638288.2025.2472988","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472988","url":null,"abstract":"Purpose: Contracture is stiffness and reduction in how much a joint and muscle can move and may impact on self-care and functional ability. We outline the development of the first comprehensive Logic-Model of the problem for contracture development, to inform prevention and treatment.Method: The initial Logic-Model was developed based on the literature by the research team. The draft Logic-Model of the problem was presented to people with stroke and carers from our Public, Patient Involvement (PPI) group and clinicians. This process resulted in a comprehensive model to describe factors associated with contracture development.Results: Following construction of the initial logic-model, items were identified by the PPI group and clinicians as elements that might particularly influence contracture development, and categorised as follows: Personal Determinants: Person with stroke: perceived advantage and disadvantage (of knowledge of health condition), apathy, low self-efficacy, limited skills and knowledge Family carers and supporters: negative attitude and self-efficacy, lack of skills and knowledge,; Professionals and paid carers: low awareness of services and knowledge. For Environmental Factors: lack of support for management was identified as a priority.Conclusion: The resulting Logic-Model of the problem will enable development of evidence-based pathways to prevent and treat contracture.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587800","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

Therapists' perspectives on an interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: a qualitative study.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-06 DOI: 10.1080/09638288.2025.2472052

Nele Bertels, Barbara Piškur, Yvonne Janssen-Potten, Charlotte van Laake-Geelen, Kathleen Borgions, Kristine Oostra, Annemie Spooren

{"title":"Therapists' perspectives on an interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: a qualitative study.","authors":"Nele Bertels, Barbara Piškur, Yvonne Janssen-Potten, Charlotte van Laake-Geelen, Kathleen Borgions, Kristine Oostra, Annemie Spooren","doi":"10.1080/09638288.2025.2472052","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472052","url":null,"abstract":"Purpose: To explore therapists' experiences on what elements arm-hand rehabilitation should contain, their importance, and the information needed to apply them in clinical practice.Materials and methods: This qualitative study, with an exploratory approach, used focus group discussions with purposive sampling. Based on Braun and Clarke's methodology, inductive thematic analysis was employed to develop themes, subthemes, and categories. The study included seven physiotherapists and seven occupational (≥2 year experience) therapists from three spinal cord rehabilitation wards in Belgium and the Netherlands.Results: The data analysis revealed five major themes, i.e., gathering knowledge, the process of thinking and acting, practice beyond therapy, and motivation. The first theme involves collecting information about the person and their client system. The second focuses on the goal-setting process for a patient-tailored therapy plan, described in the third theme as goal task-oriented with an individualized therapy dose. The fourth theme highlights meaningful activities to enhance performance beyond therapy, while the fifth emphasizes maintaining motivation through rehabilitation.Conclusion: Therapists highlight centralizing the person and their social environment in arm-hand rehabilitation, leading to a personalized goal-setting process and a patient-tailored therapy plan incorporating meaningful tasks. This approach can increase therapy dose and improve patients' motivation.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568773","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

Barriers and facilitators to implementing peer mentorship programs for individuals with spinal cord injury into rehabilitation hospitals: a multiple case study.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-06 DOI: 10.1080/09638288.2025.2471569

Zhiyang Shi, Heather L Gainforth, Aliki Thomas, Gordon A Bloom, Shane N Sweet

{"title":"Barriers and facilitators to implementing peer mentorship programs for individuals with spinal cord injury into rehabilitation hospitals: a multiple case study.","authors":"Zhiyang Shi, Heather L Gainforth, Aliki Thomas, Gordon A Bloom, Shane N Sweet","doi":"10.1080/09638288.2025.2471569","DOIUrl":"https://doi.org/10.1080/09638288.2025.2471569","url":null,"abstract":"Purpose: To identify and compare barriers and facilitators to implementing a spinal cord injury (SCI) peer mentorship program at two rehabilitation hospitals.Materials and methods: 24 participants from the two rehabilitation hospitals participated - 10 were from China and 14 were from Canada. Semi-structured interviews and focus groups were used to collect data. A cross-case analysis based on the Consolidated Framework for Implementation Research was conducted.Results: At an individual level, four common facilitators for both hospitals were: engaging patients with SCI, engaging health professionals, high-level leaders providing financial and instrumental support, and increasing health professionals' motivation to implement the program. Two common barriers were health professionals' low capability and opportunity to implement the program. At an organizational level, one common facilitator was a team culture characterized by openness to innovation and a strong commitment to prioritizing patients' needs. For the Canadian hospital, their partnership and connections with a community-based SCI organization and collaborative work infrastructure were facilitators. For the Chinese hospital, team separation within the local work infrastructure was a barrier.Conclusions: Multiple barriers and facilitators to implementing SCI peer mentorship programs were identified in two culturally distinct contexts. Assessing organizational needs and identifying available resources are key pre-implementation processes for rehabilitation hospitals to implement SCI peer mentorship programs.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568769","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

"He's my legs, I'm his rock": experiences of adaptation and change in couple relationships following spinal cord injury.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-06 DOI: 10.1080/09638288.2025.2472989

Luned Mair, Jennifer Moses

{"title":"\"He's my legs, I'm his rock\": experiences of adaptation and change in couple relationships following spinal cord injury.","authors":"Luned Mair, Jennifer Moses","doi":"10.1080/09638288.2025.2472989","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472989","url":null,"abstract":"Purpose: Experiencing spinal cord injury (SCI) can cause several challenges and changes within romantic relationships immediately after injury and in the long-term. However, there is a lack of research concerning the formation, maintenance and adjustment of couple relationships post-SCI. This study uses qualitative methods to explore how SCI may impact on couple relationships.Methods: Four females and five males with SCI participated in a semi-structured interview. Some were with their current partner at the time of injury; others established their relationship following SCI. The data were analysed using interpretative phenomenological analysis.Results: Analysis produced themes showing that communication, negotiating and maintaining clearly defined roles, mutual support and changing definitions of intimacy were important processes for adjustment and maintenance of romantic relationships following SCI.Discussion: The study's results provide further insight into factors that are important for couples when maintaining and adjusting their relationship post-SCI. They have implications for healthcare providers, charities and other agencies supporting couples following SCI and for dyads learning to negotiate intimacy and relational challenges post-injury.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568767","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

Reliability and validity of the Persian version of the Fatigue Scale for Motor and Cognitive Functions (P-FSMC) in Iranian people with multiple sclerosis.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-06 DOI: 10.1080/09638288.2025.2466716

Marzeih Heidari, Ghorban Taghizadeh, Seyed Massood Nabavi, Iris-Katharina Penner, Laleh Lajevardi, Malahat Akbarfahimi

{"title":"Reliability and validity of the Persian version of the Fatigue Scale for Motor and Cognitive Functions (P-FSMC) in Iranian people with multiple sclerosis.","authors":"Marzeih Heidari, Ghorban Taghizadeh, Seyed Massood Nabavi, Iris-Katharina Penner, Laleh Lajevardi, Malahat Akbarfahimi","doi":"10.1080/09638288.2025.2466716","DOIUrl":"https://doi.org/10.1080/09638288.2025.2466716","url":null,"abstract":"Purpose: This study evaluated the psychometric feature of the Persian version of the Fatigue Scale for Motor and Cognitive Functions (P-FSMC) in Iranian People with Multiple Sclerosis (PwMS).Materials and methods: In this cross-sectional study, 303 PwMS and 102 healthy controls participated. Structural validity was explored using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Construct validity was determined through correlations of P-FSMC with the Fatigue Severity Scale (FSS) and the Fatigue Impact Scale (FIS), besides expected differences in P-FSMC scores and by examining score variations based on disability and depression levels. Fatigue discrimination and diagnostic accuracy between PwMS and healthy controls were evaluated.Results: The P-FSMC demonstrated excellent test-retest reliability and high internal consistency. EFA revealed two factors explaining 70.08% of the variance, with good fit model. The P-FSMC showed moderate to high correlations with FSS and FIS and distinguished different levels of disability and depression. The total score discriminated fatigue with 86.7% accuracy, 84.5% sensitivity, and 93.1% specificity. Cut-off scores for mild, moderate, and severe fatigue severity were ≥46, ≥56, and ≥66, respectively, with high sensitivity (81.52-91.42%) and specificity (80.02-99.01%).Conclusions: The P-FSMC is a reliable and valid questionnaire for assessing fatigue in Iranian PwMS.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568771","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

Developing a new aphasia therapy for a virtual world: the virtual enhanced semantic features analysis (VESFA) intervention.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-05 DOI: 10.1080/09638288.2025.2470401

Niamh Devane, Jane Marshall, Stephanie Wilson, Katerina Hilari

{"title":"Developing a new aphasia therapy for a virtual world: the virtual enhanced semantic features analysis (VESFA) intervention.","authors":"Niamh Devane, Jane Marshall, Stephanie Wilson, Katerina Hilari","doi":"10.1080/09638288.2025.2470401","DOIUrl":"https://doi.org/10.1080/09638288.2025.2470401","url":null,"abstract":"Purpose: Stroke research Priority Setting Partnerships identified a need for interventions that address wellbeing and communication. This paper outlines the development of a communication and wellbeing intervention for delivery in the virtual world, EVA Park, for people with aphasia called Virtual Elaborated Semantic Feature Analysis.Materials and methods: The Medical Research Council framework for developing complex interventions was followed to combine evidence (literature review), underpinning theory (semantic processing theories, framework for situated language use and learning theories) and involvement with stakeholders (four people with aphasia and three speech and language therapists) in an intervention that addresses word finding, situated language and wellbeing.Results: Evidence for the semantic word interventions and situated conversation interventions was synthesised. Theory underpinning the proposed intervention included Hebbian learning, the hub and spokes model of semantic processing, semantic spreading activation theory, the framework for situated language use and learning theories. Stakeholders with aphasia identified intervention content, an acceptable intervention regimen and gave feedback on a taster session. Speech therapists advised how the intervention could be implemented in clinical practice.Conclusion: Virtual Elaborated Semantic Feature Analysis is a user-informed, theory-based complex aphasia intervention that is expected to improve word finding, word use in situated conversation and wellbeing.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558712","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

Capacity building for youth with disabilities: principles and key ingredients identified through a scoping review.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-04 DOI: 10.1080/09638288.2025.2471572

Mallory Ryan, Nahid Fathi, Michelle Phoenix, Mats Granlund, Fiona Graham, Dana Anaby

{"title":"Capacity building for youth with disabilities: principles and key ingredients identified through a scoping review.","authors":"Mallory Ryan, Nahid Fathi, Michelle Phoenix, Mats Granlund, Fiona Graham, Dana Anaby","doi":"10.1080/09638288.2025.2471572","DOIUrl":"https://doi.org/10.1080/09638288.2025.2471572","url":null,"abstract":"Purpose: This knowledge synthesis aimed to 1) Map the extent and nature of the literature on capacity building in the field of rehabilitation for transition-age youth with disabilities (12-30 years old) and 2) Describe how capacity building is conceptualized and identify principles and key ingredients underpinning this concept.Materials and methods: A scoping review using JBI methodology was employed. A search of six databases resulted in 2169 English documents; 34 were retained. Two reviewers charted and analyzed the data, supported by the third reviewer. Inductive content analysis was used to identify principles and key ingredients.Results: Seven documents provided explicit definitions of capacity or capacity building. Content analysis revealed four principles describing capacity building as: 1) individualized approach with real-world application 2) fostering a preferred future 3) youth taking ownership for change and 4) an ongoing process. Six key ingredients detail how to build capacity: 1) individualized and flexible approach in natural context 2) shared responsibility 3) use of accessible information and resources 4) cultivate strengths 5) opportunities for full participation and 6) facilitate reflection on experiences.Conclusion: Clinicians and researchers can draw upon identified capacity building principles and ingredients to support meaningful real-world outcomes for transition-age youth.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-25"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544250","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

Factors influencing recovery following non-catastrophic injury in a motor vehicle accident: client perspectives.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-04 DOI: 10.1080/09638288.2025.2472982

Katelyn Bridge, Dorothy Kessler, Tricia Morrison, Michel Lacerte

{"title":"Factors influencing recovery following non-catastrophic injury in a motor vehicle accident: client perspectives.","authors":"Katelyn Bridge, Dorothy Kessler, Tricia Morrison, Michel Lacerte","doi":"10.1080/09638288.2025.2472982","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472982","url":null,"abstract":"Purpose: Injuries sustained in motor vehicle accidents (MVAs) can result in persistent impairments which contribute to decreased quality of life, chronic pain, and increased rates of mental health symptoms. A more explicit understanding of the factors influencing recovery from the perspective of injured persons is needed to inform clinical decision making and rehabilitation service delivery in the Canadian context. This study addressed the following research question: From the perspective of injured persons, what factors are identified as influencing recovery following a non-catastrophic injury sustained in an MVA?Methods: This study employed a qualitative interpretive descriptive study design. Data was collected through semi-structured interviews with five occupational therapy clients with non-catastrophic injuries receiving auto insurer funded occupational therapy post-MVA. Constant comparative analysis was used for analysis of interview transcripts.Results: Prominent factors identified as influencing recovery post-MVA included accepting a new version of self, poor mental health, social support, navigating the insurance system, and access to healthcare.Conclusion: Findings from this study emphasize that recovery from an MVA must be understood within the context of the insurance system, adding to previous research which suggests that claim-related factors impact recovery following an MVA.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544386","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