Archives of physical medicine and rehabilitation最新文献

{"title":"Improving Outcomes for Care Partners of Individuals With Traumatic Brain Injury: Results for a mHealth Randomized Control Trial of the CareQOL App","authors":"Noelle E. Carlozzi PhD ,&nbsp;Jonathan P. Troost PhD ,&nbsp;Srijan Sen MD ,&nbsp;Sung Won Choi MD ,&nbsp;Zhenke Wu PhD ,&nbsp;Jennifer A. Miner MBA ,&nbsp;Wendy L. Lombard MPH ,&nbsp;Christopher Graves BS ,&nbsp;Angelle M. Sander PhD","doi":"10.1016/j.apmr.2024.12.022","DOIUrl":"10.1016/j.apmr.2024.12.022","url":null,"abstract":"<div><h3>Objective</h3><div>To test the efficacy of a randomized control trial low-touch mobile health intervention designed to promote care partner self-awareness and self-care.</div></div><div><h3>Design</h3><div>This randomized controlled trial included a baseline assessment of self-report surveys of health-related quality of life (HRQOL), care partner-specific outcomes, and the functional/mental status of the person with traumatic brain injury (TBI), as well as a 6-month home monitoring period that included 3 daily questions about HRQOL, monthly assessments of 12 HRQOL domains, and the use of a Fitbit to continuously monitor physical activity and sleep. HRQOL surveys were repeated at 3 and 6 months post-home monitoring.</div></div><div><h3>Setting</h3><div>Two academic medical centers.</div></div><div><h3>Participants</h3><div>A total of 254 TBI care partners.</div></div><div><h3>Interventions</h3><div>The CareQOL app, a mobile health app designed to promote care partner self-awareness (through self-monitoring) and self-care (through personalized self-care push notifications).</div></div><div><h3>Results</h3><div>Care partners were randomly assigned to self-monitoring alone (n=128) or self-monitoring plus self-care push notifications (n=126). Although we neither saw improvements in HRQOL outcomes, nor in physical activity or sleep, we found that across all the different measures, approximately 1/3 of the participants showed clinically meaningful improvements, 1/3 stayed the same, and 1/3 got worse; care partners who reported engagement in the intervention were more likely to show improvements than those who were not engaged. There was preliminary support for factors that being male, caring for a person with posttraumatic stress symptoms, living in the same household as the person with TBI, being a spousal care partner, working, and being diagnosed with COVID-19 during the study were associated with increased risk for negative outcomes.</div></div><div><h3>Conclusions</h3><div>Findings suggest that engagement with the app, even when it is confined to self-monitoring alone, is associated with small improvements in HRQOL.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Pages 548-561"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ed Board page","authors":"","doi":"10.1016/S0003-9993(25)00552-0","DOIUrl":"10.1016/S0003-9993(25)00552-0","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Page A5"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of an Eight-item Resilience Scale for Inpatients with Spinal Cord Injuries in a Rehabilitation Hospital: Exploratory Factor Analyses and Item Response Theory 1133","authors":"Chungyi Chiu,&nbsp;Xiaotian Gao,&nbsp;Rongxiu Wu,&nbsp;Jeanna Campbell,&nbsp;James Krause,&nbsp;Simon Driver","doi":"10.1016/j.apmr.2025.01.030","DOIUrl":"10.1016/j.apmr.2025.01.030","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To validate the factor validity and discrimination ability of a resilience scale, CD-RISC-10, for clinical usage in adults with SCI during hospitalization.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Nighty-three adults with spinal cord injury responded to the self-reported survey, including CD-RISC-10, the Patient Health Questionnaire-9 Scale, the Satisfaction with Life Scale, and the Intrinsic Spirituality Scale. We conducted descriptive statistics, exploratory factor analysis, and item response theory. Item response theory analysis was completed in R software (ie, “ltm” package).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;A medical center including rehabilitation care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Nighty-three people with spinal cord injury undergoing inpatient rehabilitation in a medical center in the Southern US inclusion criteria were: diagnosis of SCI with either traumatic or acquired, complete or incomplete, or multitrauma injuries; ≥18 years old, and able to respond to an assessment in English. Consistent with the IRB advice, we welcomed any gender, sex, and race/ethnicity as long as individuals met the inclusion criteria. A convenience and volunteer sampling approach was applied.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;div&gt;Not applicable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measures&lt;/h3&gt;&lt;div&gt;(1) The CD-RISC-10 assesses one latent factor of resilience. The measure consists of 10 items, using a 5-point Likert scale ranging from 0 (not true at all) to 4 (true nearly all of the time). (2) The Patient Health Questionnaire-9 Depression Scale is a brief 9-item self-report measure of depressive symptoms. Each item is rated on a 4-point Likert-type scale ranging from 0 (not at all) to 3 (nearly every day). (3) The Satisfaction with Life Scale has been one of the most widely used life satisfaction measures, largely because of its brevity of only 5 items. Participants indicate their degree of agreement with each item using a 7-point Likert-type scale, with scores ranging from 1 (strongly disagree) to 7 (strongly agree). (4) The Intrinsic Spirituality Scale measures intrinsic spirituality. The Intrinsic Spirituality Scale is a 6-item measure that uses a sentence completion format where an incomplete sentence fragment is provided, followed by 2 phrases anchoring each end of the scale.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Two items were deleted from CD-RISC-10 after exploratory factor analysis, forming CD-RISC-8. The item discriminations of the remaining 8 items from the unconstrained item response theory model ranged from a high of 3.071 to a relatively low 1.433. CD-RISC-8 is significantly related to Patient Health Questionnaire-9 Scale and Satisfaction with Life Scale.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The factor validity of the CD-RISC-8 was improved. Significantly, the CD-RISC-8 has excellent potential for clinical usage due to its discriminant ability between low and intermediate resilience.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Di","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Pages e11-e12"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of Childhood Traumatic Brain Injury and Potential Risk Factors for Future Incarceration 8268","authors":"Juliet Haarbauer-Krupa,&nbsp;Jill Daugherty,&nbsp;Drew Nagele,&nbsp;Judy Dettmer,&nbsp;Kim Gorgens PhD, ABPP,&nbsp;Hollis Lyman,&nbsp;Carmen Ashley,&nbsp;Amber Medina,&nbsp;Isabelle Tomita,&nbsp;Lauren Lambert","doi":"10.1016/j.apmr.2025.01.031","DOIUrl":"10.1016/j.apmr.2025.01.031","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Research shows that children who are currently involved in the juvenile justice system have a higher likelihood of reporting a lifetime history of traumatic brain injury (TBI) than children who are not incarcerated. This presentation describes the association between childhood TBI history and select risk factors known to contribute to the likelihood of future incarceration.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Data for this presentation come from the 2020-2021 National Health Interview Survey, a population-based national dataset based on an annual cross-sectional household survey. TBI symptoms, overall health, indicators of school functioning, and behavioral health issues were examined to describe lifetime TBI history, prevalence of developmental disabilities, functional limitations, and school-related services. Additionally, lifetime prevalence of TBI history was calculated and stratified by adverse childhood experiences (ACEs) to compare across subgroups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Data for this presentation come from the 2020-2021 National Health Interview Survey, a population-based national data set based on an annual cross-sectional household survey. TBI symptoms, overall health, indicators of school functioning, and behavioral health issues were examined to describe lifetime TBI history, prevalence of developmental disabilities, functional limitations, and school-related services. Additionally, lifetime prevalence of TBI history was calculated and stratified by ACEs to compare across subgroups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Participants are parents who have completed the National Health Interview Survey during 2020-2021 (N=10,277).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;div&gt;Recommendations for interventions are to better monitor children who experience a TBI to their ensure health and well-being.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measures&lt;/h3&gt;&lt;div&gt;Behavioral health, social, academic, and ACES are the primary outcome measures.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Approximately 8% of (n=10,277) children ages 5-17 years had a lifetime history of TBI according to parent reports. Children with a TBI history were twice as likely to have behavioral health issues, social and academic difficulties, and to have experienced ACEs compared with peers with no history of TBI, effects that align with risk factors identified for entering the justice system.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Youth with a history of TBI may experience health, behavioral, and social changes, many of which have been shown to be associated with risk of entering the justice system. Preventing and promoting better identification and management of TBI during childhood is critical. Such strategies, in addition to postinjury support and rehabilitation, may aid in disrupting the association between TBI and behavioral health difficulties experienced by many children. Preventing TBI in children and managing TBI effects may help you","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Page e12"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infographics on Sex and Gender Topics in Traumatic Brain Injury to Raise Awareness and Promote Quality Care: A Co-creation Study 1141","authors":"Thaisa Tylinski Sant'Ana,&nbsp;Alina Rodrigues,&nbsp;Farrah Schwartz,&nbsp;Angela Colantonio,&nbsp;Tatyana Mollayeva","doi":"10.1016/j.apmr.2025.01.024","DOIUrl":"10.1016/j.apmr.2025.01.024","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To create a series of evidence-based infographics on sex and gender topics in traumatic brain injury (TBI) to improve patient-family member communication and promote gender-transformative care after brain injury.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;We used an iterative participatory design consisting of 7 phases: (1) knowledge users’ needs assessment and evidence syntheses; (2) adaptation of content as simple text and visuals; (3) prototype design; (4) feedback from internal stakeholders; (5) infographic revisions; (6) feedback from external stakeholders; and (7) infographic optimization.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Scientific and knowledge translation activities were carried out at the largest rehabilitation research-teaching hospital in North America. Feedback on infographics was requested at a local, national, and international scale through brain injury organizations and networks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;People with lived experience of traumatic brain injury, professionals, scientists, and other brain injury and education experts.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;div&gt;Not applicable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measures&lt;/h3&gt;&lt;div&gt;We evaluated the infographics using accessibility measures, including the Flesch Reading-Ease score to assess readability and color contrast criteria as established in the Web Content Accessibility Guidelines. We also sought feedback from internal and external stakeholders on infographic content and design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;We created a total of 6 infographics containing evidence-based information and actionable messages for injury prevention and providing quality care. The infographics contain text in a range of formats, such as paragraphs, lists, and blurbs, complemented by visual elements including cartoons, tables, and diagrams. The materials had an overall Flesch Reading-Ease score of 60.1, which is equivalent to grade 7/8 reading level, and color schemes met Web Content Accessibility Guidelines contrast criteria. The vast majority of participants found that the infographics facilitated understanding of complex topics and that they were useful, engaging, and visually appealing.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Engaging diverse stakeholders in iterative participatory design process facilitates the creation of knowledge translation materials that meet the unique needs of knowledge users, promote equity in information access, and enhance quality of care after traumatic brain injury.&lt;/div&gt;&lt;div&gt;This research was supported by the Cass Family Grants for Catalyzing Access and Change and, in part, Canada Research Chairs Programs (CRC-2021-00074, CRC-2019-00019) and the Global Brain Health Institute (GBHI), Alzheimer's Association, and the Alzheimer's Society UK Pilot Award for Global Brain Health Leaders (GBHI ALZ UK-23-971123). The funders had no role in study design, data collection and analysis, decision to publish, or prepara","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Pages e9-e10"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ACRM Excellence in Health Equity Research Award: Barriers People with Disabilities Experience When Accessing Health Care 5794","authors":"Jessica Jarvis,&nbsp;Amy Houtrow","doi":"10.1016/j.apmr.2025.01.025","DOIUrl":"10.1016/j.apmr.2025.01.025","url":null,"abstract":"<div><h3>Objectives</h3><div>To characterize access to health care experiences reported by people with disabilities living in the United States since 2014.</div></div><div><h3>Design</h3><div>We conducted a systematic review of research published since 2014 and also interviewed people with disabilities living in Pittsburgh, Pennsylvania.</div></div><div><h3>Setting</h3><div>Not applicable.</div></div><div><h3>Participants</h3><div>Twenty-one individuals living in or near Pittsburgh, Pennsylvania that are disabled and/or care for someone who is disabled.</div></div><div><h3>Interventions</h3><div>Systematic literature review and interviews.</div></div><div><h3>Main Outcome Measures</h3><div>The screening protocol identified a total of 5007 articles. Eighty-three articles met inclusion criteria and were included. Articles were of varying quality of reporting, but none were excluded based on their score. Twenty-six percent (26%) (n=22) of the articles captured data from individuals with developmental disabilities, 17% (n=14) with a physical disability, 16% (n=13) from those with mental illness, 16% (n=13) did not restrict any disability type, 13% (n=11) with a sensory disability, 10% (n=8) collected data from multiple types, and only 2% (n=2) were from those with cognitive disabilities. Most studies (n=45, 54%) did not focus on a specific aspect of health care but looked broadly at the system. Dental (n=8) and primary care (n=6) were the next most common services examined.</div></div><div><h3>Results</h3><div>There are multiple themes identified from across the access to health care factors: approachability, availability/accommodations, affordability, acceptability, and appropriateness of health care services. Additionally, we identified the following themes on how access to care impacts people with disabilities: unmet needs, delayed care, negative impact on well-being, and fractured trust in the health care system.</div></div><div><h3>Conclusions</h3><div>Findings confirm that access to health care is limited and unjust for people with disabilities and that limited access does widespread harm. Notably, beyond the very real and direct harms caused to an individual's health by inadequate health care, when accessing care is difficult, it increases experiences of stress and depression, drains individual and societal resources, and negatively impacts relationships, careers, and other necessary components of life.</div><div>This resulted from work supported by the FISA Foundation.</div></div><div><h3>Disclosures</h3><div>none.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Page e10"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Intersection Model Between Rehabilitation Medicine and Complementary and Integrative Medicine Sciences","authors":"Sonya Kim PhD, CRC, BCB, FACRM,&nbsp;Patricia C. Heyn PhD, FGSA, FACRM","doi":"10.1016/j.apmr.2024.11.007","DOIUrl":"10.1016/j.apmr.2024.11.007","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Pages 637-640"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Review: Returning to School After Traumatic Brain Injury 4347","authors":"Adrienne McElroy Bratcher,&nbsp;Emilee Montes","doi":"10.1016/j.apmr.2025.01.009","DOIUrl":"10.1016/j.apmr.2025.01.009","url":null,"abstract":"<div><h3>Objective(s)</h3><div>To complete a systematic review of research regarding returning to school after traumatic brain injury (TBI) to (1) determine recommendations for a successful return to school after a TBI according to the implications of children returning to school after sustaining a TBI, and (2) determine the impact of the lasting effects of TBI on children's success in an academic environment when returning to school.</div></div><div><h3>Data Sources</h3><div>PubMed, ProQuest, Sage Journals, NIH, ResearchGate, Europe PMC, JAMA, Lippincott Williams &amp; Wilkins, and Frontiers with time restrictions between 1980 and 2023.</div></div><div><h3>Study Selection</h3><div>Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines and a 3-phase review process, the principal investigator completed the initial records search, yielding 9 databases. The second phase included an article search and records review by 2 investigators with inclusion criteria pulling articles for signs and symptoms of mild TBI in school-aged children from 1980 to 2021, yielding 24 articles narrowed down to 4 that met the criteria for a full review. The third phase of the review searched “return to school” or “re-entry to school” or “return to learn” and “TBI” or “traumatic brain injury” or “brain injury” or “head injury” and “in school-age children” by a single investigator with a follow-up review by the principal investigator. This yielded 168 articles from 1980 to 2021, narrowed down to 45 articles that met the criteria for a full review completed by both investigators.</div></div><div><h3>Data Extraction</h3><div>The records review was completed initially on October 29, 2020, and the final review was completed on July 31, 2023, yielding 49 articles from 36 journals reviewed to include years from 1993 to 2021.</div></div><div><h3>Data Synthesis</h3><div>Research found that many professionals and caregivers often did not know how to support children as they returned to school, thus requiring more training and education. Increased preparation and interdisciplinary support were associated with better academic and social outcomes.</div></div><div><h3>Conclusions</h3><div>General recommendations have been summarized; further research is recommended to establish procedures to reintegrate children into the school environment with proper modifications, accommodations, and other necessary supports based on current symptomology and encourage advocacy for services.</div></div><div><h3>Disclosures</h3><div>Adrienne McElroy Bratcher serves on the New Mexico Brain Injury Advisory Council as appointed by the Governor and teaches Neurogenic Language Disorders at Eastern New Mexico University. Emilee Montes is a Graduate Assistant in the Communicative Disorders Program at Eastern New Mexico University.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Page e3"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NIDILRR ARRT: A Culturally Informed Lens on Assistive Technology Provision","authors":"Stacy Hsueh","doi":"10.1016/j.apmr.2025.01.004","DOIUrl":"10.1016/j.apmr.2025.01.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To investigate the experience of assistive technology (AT) for people with disability from cultural backgrounds, particularly those rooted in a collectivist framework prevalent in many Asian, South American, African, and Middle Eastern countries. The project seeks to explore the tensions that may arise for multicultural AT users when navigating a Western-centric AT provision ecosystem. The goal of the study is to explore alternative understandings of assistance, providing a more inclusive examination of AT use and disuse from a multicultural perspective.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This is an observational and interview study for understanding current practices in matching people with disabilities with the right AT. During observations of and interviews with people who use AT and people who provide them, we focus on identifying barriers and challenges associated with the use of ATs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;This study was carried out at Open Doors for Multicultural Families, a Seattle-based nonprofit organization that provides services to help people with disability find the right ATs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;We interviewed people with disabilities who receive support services to find AT. We used convenience sampling and included participants who regularly use AT for disability or accessibility reasons. The types of AT being used range from those that address vision, hearing, mobility, and developmental disabilities. We also interviewed case managers who provide AT support services at Open Doors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;div&gt;Not applicable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measures&lt;/h3&gt;&lt;div&gt;We asked people with disabilities and caregivers about the challenges they encounter in getting the AT they need. We asked case managers and AT professionals about how they handle language or cultural barriers in supporting families in getting AT and how they adapt AT solutions to meet individual needs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The participants seeking AT reported that they are often unaware of the services available to them and the kinds of AT that could benefit them. AT professionals reported that case managers often construe individual needs in a way that leads to delayed consideration or oversight of AT despite their potential to effectively address the needs of individuals with disabilities. This study demonstrates that the decision to adopt AT as a solution to an access problem is far from a straightforward process. It involves a complex interplay of structural forces and power relations among various interest groups informed by differing values and priorities. We argue that by attending to the AT provision pipeline as a site for critical examination, we can bring valuable knowledge to AT practitioners and designers in exploring alternative approaches using cultural lens.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;In this study, we adopt a cultural lens on AT provi","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Page e1"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Archives I/EP Guidelines","authors":"","doi":"10.1016/S0003-9993(25)00563-5","DOIUrl":"10.1016/S0003-9993(25)00563-5","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 4","pages":"Pages 654-656"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}