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community rehabilitation

Manzilat Akande, Peter C Minneci, Katherine J Deans, Henry Xiang, Deena J Chisolm, Jennifer N Cooper
BACKGROUND: Racial/ethnic and socioeconomic disparities in trauma care and outcomes among young adults are well documented. As the Patient Protection and Affordable Care Act Medicaid expansion has increased insurance coverage among young adults, we aimed to investigate its impact on disparities in insurance coverage and outcomes among hospitalized young adult trauma patients. MATERIALS AND METHODS: We used the healthcare cost and utilization project state inpatient databases to examine changes in insurance coverage and risk-adjusted outcomes from before (2012-2013) to after (2014) Medicaid expansion among young adults (age 19-44) hospitalized for injury across 11 Medicaid expansion states...
August 2018: Journal of Surgical Research
Kaila A Holtz, Elena Szefer, Vanessa K Noonan, Brian K Kwon, Patricia B Mills
STUDY DESIGN: Prospective cohort study using the Rick Hansen SCI Registry (RHSCIR) and retrospective medical chart review. OBJECTIVE: To describe treatment patterns of in-patient anti-spasticity medication use following traumatic spinal cord injury (SCI) in acute and rehabilitation hospital settings in British Columbia, Canada. SETTING: Quaternary trauma center, rehabilitation center. METHODS: Individuals with traumatic SCI between 2005 and 2014 enrolled in the Vancouver RHSCIR site (N = 917) were eligible for inclusion...
June 14, 2018: Spinal Cord
Yashovardhan Agarwal
BACKGROUND: The World Health Organization and the World Bank's "World Report on Disability" reported that over 1 billion people have various kinds of disability worldwide while Indian Census 2011 reported about 26 million in India. The United Nations Convention states, "The Rights of Persons with Disabilities (PwD) include accessibility to Information, Transportation, Environment, Communication Technology and Services". OBJECTIVE: This article takes forward the reason of making the "EasenAccess" (EnA) Android-based app to empower PwD with wheelchair-accessibility information, communication sentences and sending SOS signals with location...
June 14, 2018: Disability and Rehabilitation. Assistive Technology
Lotte Verweij, Eva van de Korput, Joost G Daams, Gerben Ter Riet, Ron J G Peters, Raoul H H Engelbert, Wilma J M Scholte Op Reimer, Bianca M Buurman
OBJECTIVE: Many older individuals receive rehabilitation in an out-of-hospital setting (OOHS) after acute hospitalization; however, its effect on mobility and unplanned hospital readmission is unclear. Therefore a systematic review and meta-analysis were conducted on this topic. DATA SOURCES: Medline OVID, Embase OVID, and Cinahl were searched from their inception until February 22, 2018. STUDY SELECTION: OOHS (i.e., skilled nursing facilities, outpatient clinics, or community-based at home) randomized trials studying the effect of multidisciplinary rehabilitation were selected, including those assessing exercise in older patients (mean age ≥ 65 years) after discharge from hospital following an acute illness...
June 11, 2018: Archives of Physical Medicine and Rehabilitation
Shilpa Tyagi, Daniel Sy Lim, Wilbert Hh Ho, Yun Qing Koh, Vincent Cai, Gerald Ch Koh, Helena Legido-Quigley
OBJECTIVE: To explore the perceived barriers and facilitators of tele-rehabilitation by stroke patients, caregivers and rehabilitation therapists in an Asian setting. DESIGN: Qualitative study involving semi-structured in-depth interviews and focus group discussions. SETTING: General community PARTICIPANTS: 37 participants including stroke patients, their caregivers and tele-therapists selected by purposive sampling. INTERVENTIONS: STARS trial...
June 11, 2018: Archives of Physical Medicine and Rehabilitation
Aspasia Karageorge, Janine Vargas, Louise Ada, Patrick J Kelly, Annie McCluskey
BACKGROUND: Following hospital discharge, stroke survivors may experience a decline in mobility, outings, and community participation. The aim of this study was to examine the relationship between demographic and clinical measures, and the level of participation by community-dwelling stroke survivors. METHODS: A prospective, multicenter, observational study was conducted. Participants were 83 community-dwelling stroke survivors with participation goals who were undergoing post-inpatient rehabilitation in Australia...
June 14, 2018: Physiotherapy Theory and Practice
Yoseph Worku, Tewodros Getinet, Shikur Mohammed, Zhenhua Yang
Background: Tuberculosis (TB) programs should design intervention strategies based on the sound knowledge of the existing local epidemiology and sociodemographic characteristics of drug-resistant-TB (DR-TB) cases. The aim of the study was to characterize the pulmonary multidrug-resistant (MDR) and rifampicin-resistant (RR) TB cases enrolled in a referral hospital at Addis Ababa, Ethiopia, called All Africa Leprosy, Tuberculosis, Rehabilitation and Training (ALERT) Hospital. Methods: We conducted a descriptive study based on retrospective review of medical records of 340 pulmonary MDR/RR-TB cases enrolled in ALERT Hospital from November 2011 to December 2016...
April 2018: International Journal of Mycobacteriology
Goodman Sibeko, Peter D Milligan, Marinda Roelofse, Lezel Molefe, Deborah Jonker, Jonathan Ipser, Crick Lund, Dan J Stein
BACKGROUND: There is a shortage of trained mental health workers in spite of the significant contribution of psychiatric disorders to the global disease burden. Task shifting, through the delegation of health care tasks to less specialised health workers such as community health workers (CHWs), is a promising approach to address the human resource shortage. CHWs in the Western Cape province of South Africa provide comprehensive chronic support which includes that for mental illness, but have thus far not received standardized mental health training...
June 14, 2018: BMC Psychiatry
Anthony Gélis, Arnaud Dupeyron, Jean Pierre Daures, David Goossens, Dominique Gault, Jean Paul Pedelucq, Michel Enjalbert, Eric Maupas, Paul Kennedy, Charles Fattal, Sarah Mathieu, Toufik Bouchema
STUDY DESIGN: Cross-sectional psychometrics study. OBJECTIVES: To determine the construct validity and internal consistency of the revised Skin Management Needs Assessment Checklist (revised SMnac). SETTING: Six spinal cord rehabilitation centers. METHODS: One-hundred and thirty-two community-dwelling individuals with spinal cord injury (SCI) were included. Construct validity was assessed by a Spearman's rank correlation coefficient between the revised SMnac and several questionnaires: Rosenberg Self-Esteem Scale, Ways of Coping Questionnaire, Hospital Anxiety and Depression Scale (HADS), Braden scale; or clinical variables: educational level, presence of a pressure ulcer (PU), history of multiple PUs, time since injury, and pain...
June 12, 2018: Spinal Cord
Bruno Trezzini, Urban Schwegler, Jan D Reinhardt
STUDY DESIGN: Observational study based on the 2012 community survey of the Swiss Spinal Cord Injury Cohort Study (SwiSCI). OBJECTIVES: To investigate work and wellbeing-related consequences of different return-to-work (RTW) pathways after SCI. SETTING: Community-based. METHODS: Using a subsample of 243 SwiSCI participants, we determined whether a respondent had returned to the pre-injury employer, started with a new employer or had not returned to gainful employment post-SCI...
June 12, 2018: Spinal Cord
Anna Lloyd, Katrina Bannigan, Thavapriya Sugavanam, Jennifer Freeman
OBJECTIVE: The objective of the review was to synthesize the best available qualitative evidence regarding the experiences of stroke survivors, their families and unpaid carers, about goal setting within stroke rehabilitation. INTRODUCTION: Clinical guidelines recommend person-centered goal setting in stroke rehabilitation but many barriers exist to its implementation. Individual differences and preferences, of both the stroke survivor and practitioner, may influence involvement in goal setting...
June 2018: JBI Database of Systematic Reviews and Implementation Reports
Margaret A Nosek, Susan Robinson-Whelen, Tracey A Ledoux, Rosemary B Hughes, Daniel P O'Connor, Rebecca E Lee, Rebecca Goe, Stephanie L Silveira, Rachel Markley, Thomas M Nosek
OBJECTIVE: Pilot test GoWoman, a small-group weight management intervention for mobility impaired women that was a disability- and gender-responsive adaptation of the Diabetes Prevention Program delivered in the online virtual world of Second Life® . Objectives were to (1) examine pre-/post-intervention differences in weight, waist circumference, diet, physical activity, self-efficacy for diet and physical activity, nutrition knowledge and social support for weight management, (2) determine intervention feasibility (fidelity, attrition, engagement, acceptability)...
June 11, 2018: Disability and Rehabilitation
Nada Andelic, Emilie I Howe, Torgeir Hellstrøm, Maria Fernandez Sanchez, Juan Lu, Marianne Løvstad, Cecilie Røe
OBJECTIVES: The study describes functional outcomes and health-related quality of life (HRQL) in patients with traumatic brain injury (TBI) 20 years postinjury. MATERIALS AND METHODS: Forty-four survivors who acquired moderate and severe TBI during 1995-1996 were followed 10 and 20 years postinjury. Outcomes were Glasgow Outcome Scale Extended (GOSE), Community Integration Questionnaire (CIQ), and SF-36 questionnaire (SF-36). Multiple regressions were performed to examine the relationship between follow-up measurements, controlling for baseline demographics and injury severity...
June 11, 2018: Brain and Behavior
Samson Gebremedhin, Tilahun Bekele, Negusse Retta
Ethiopia's targeted supplementary feeding (TSF) programme aims to rehabilitate moderately malnourished children and pregnant and lactating women in selected chronically food-insecure districts. Screening for malnutrition is made by health extension workers through the quarterly community health days (CHD) events based on mid-upper arm circumference (MUAC) thresholds. This validation study examined the extent of targeting errors of inclusion (providing aid to the nonneedy) and exclusion (failure to reach the needy) in the TSF programme, among preschool children in 6 TSF districts...
June 11, 2018: Maternal & Child Nutrition
Yi-Wen Chen, Bahareh HajGhanbari, Jeremy D Road, Harvey O Coxson, Pat G Camp, W Darlene Reid
BACKGROUND: Pain is prevalent in chronic obstructive pulmonary disease (COPD) and the Brief Pain Inventory (BPI) appears to be a feasible questionnaire to assess this symptom. However, the reliability and validity of the BPI have not been determined in individuals with COPD. This study aimed to determine the internal consistency, test-retest reliability, and validity (construct, convergent, divergent, and discriminant) of the BPI in individuals with COPD. METHODS: In order to examine the test-retest reliability, individuals with COPD were recruited from pulmonary rehabilitation programs to complete the BPI twice one week apart...
June 8, 2018: European Journal of Pain: EJP
Jenny Hultqvist, Urban Markström, Carina Tjörnstrand, Mona Eklund
BACKGROUND: People with psychiatric disability have been found to have a poorer quality of life (QOL) compared to the general population, and QOL is an important outcome from psychosocial rehabilitation. AIMS: This study aimed at comparing users of two approaches to psychosocial rehabilitation in Sweden, community-based mental health day centres (DCs) and clubhouses, regarding QOL. A further aim was to investigate predictors of QOL. METHODS: People regularly attending DCs (n = 128) or clubhouses (n = 57) completed questionnaires at baseline and a 9-month follow-up about socio-demographics, QOL, self-esteem, social network, satisfaction with daily occupations, satisfaction with services and the unit's organisation...
June 8, 2018: Scandinavian Journal of Caring Sciences
Gill Hubbard, Anna Campbell, Abi Fisher, Michelle Harvie, Wendy Maltinsky, Russell Mullen, Elspeth Banks, Jackie Gracey, Trish Gorely, Julie Munro, Gozde Ozakinci
Background: Physical activity (PA) programmes effective under 'research' conditions may not be effective under 'real-world' conditions. A potential solution is to refer patients to existing PA community-based PA services. Methods: A process evaluation of referral of post-surgical patients with early-stage breast cancer to cardiac rehabilitation exercise classes, leisure centre with 3-month free leisure centre membership or telephone-delivered PA consultations for 12 weeks...
2018: Pilot and Feasibility Studies
Yael Goverover, John DeLuca
BACKGROUND: Multiple sclerosis (MS) can have dramatic effects on performance of everyday life activity. However, the ability to assess everyday functional activity remains elusive. The purpose of this study was to establish validity and reliability to a performance-based assessment of everyday life activities called actual reality (AR). AR involves utilization of the Internet to perform three actual everyday life activities: purchasing (a) an airline ticket, (b) cookies, and (c) pizza...
May 2018: Rehabilitation Psychology
John Blake, Rana Yaghmaian, Jessica Brooks, Connor Fais, Fong Chan
PURPOSE: The aim of the study was to test an expanded model of Snyder's hope theory for prediction of participation for individuals with spinal cord injury (SCI). Statistical model testing focused on evaluation of hope theory constructs (i.e., agency thoughts and pathways thoughts) as serial mediators of relationships between attachment and community participation. DESIGN: Quantitative, cross-sectional, descriptive design using multiple regression and correlational techniques...
May 2018: Rehabilitation Psychology
Dawn M Ehde
Since 1972 Rehabilitation Psychology has played a fundamental role in disseminating theoretical, scientific, clinical, and educational advances in the field of rehabilitation psychology. In the author's view, the journal's role is not only to promote and communicate these advances but also, as aptly stated more than 50 years ago in an editorial on the purpose of scientific journals, to "be maximally useful to its readers" (Comroe, 1966, p. 3). As the new editor of Rehabilitation Psychology, she looks forward to maximizing its usefulness over the next 6 years...
May 2018: Rehabilitation Psychology
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