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https://www.readbyqxmd.com/read/29040948/a-prospective-cohort-study-of-community-functioning-among-psychiatric-outpatients
#1
Alan H L Chan, Samuel Y S Wong, Wai-Tong Chien
The present study analyzed the community functioning among Chinese people with common mental disorders and their relationships with different factors under the framework of Model of Human Occupation. The research team followed up a stratified random sample of 238 patients in three public psychiatric specialist outpatient clinics in Hong Kong in one year. The patients completed assessments at baseline and 12-month follow-up in four areas of community functioning (i.e., self-care, independent living skills, social skills, and work skills), self-esteem, self-efficacy, physical functioning, behavioral regulation, mental states, family expressed emotion, and perceived social stigma...
October 10, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29031347/rehabilitation-needs-of-the-elder-with-traumatic-brain-injury
#2
REVIEW
Manuel F Mas, Amy Mathews, Ekua Gilbert-Baffoe
The incidence of traumatic brain injury (TBI) in older adults is increasing. As the expected life expectancy increases, there is a heightened need for comprehensive rehabilitation for this population. Elderly patients with TBI benefit from rehabilitation interventions at all stages of injury and can achieve functional gains during acute inpatient rehabilitation. Clinicians should be vigilant of unique characteristics of this population during inpatient rehabilitation, including vulnerability to polypharmacy, posttraumatic hydrocephalus, neuropsychiatric sequelae, sleep disturbances, and sensory deficits...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29025824/development-of-an-evidence-based-complex-intervention-for-community-rehabilitation-of-patients-with-hip-fracture-using-realist-review-survey-and-focus-groups
#3
Jessica Louise Roberts, Nafees Ud Din, Michelle Williams, Claire A Hawkes, Joanna M Charles, Zoe Hoare, Val Morrison, Swapna Alexander, Andrew Lemmey, Catherine Sackley, Phillipa Logan, Clare Wilkinson, Jo Rycroft-Malone, Nefyn H Williams
OBJECTIVES: To develop an evidence and theory-based complex intervention for improving outcomes in elderly patients following hip fracture. DESIGN: Complex-intervention development (Medical Research Council (MRC) framework phase I) using realist literature review, surveys and focus groups of patients and rehabilitation teams. SETTING: North Wales. PARTICIPANTS: Surveys of therapy managers (n=13), community and hospital-based physiotherapists (n=129) and occupational therapists (n=68) throughout the UK...
October 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/29021268/tai-chi-is-a-promising-exercise-option-for-patients-with-coronary-heart-disease-declining-cardiac-rehabilitation
#4
Elena Salmoirago-Blotcher, Peter M Wayne, Shira Dunsiger, Julie Krol, Christopher Breault, Beth C Bock, Wen-Chih Wu, Gloria Y Yeh
BACKGROUND: More than 60% of patients decline participation in cardiac rehabilitation after a myocardial infarction. Options to improve physical activity (PA) and other risk factors in these high-risk individuals are limited. We conducted a phase 2 randomized controlled trial to determine feasibility, safety, acceptability, and estimates of effect of tai chi on PA, fitness, weight, and quality of life. METHODS AND RESULTS: Patients with coronary heart disease declining cardiac rehabilitation enrollment were randomized to a "LITE" (2 sessions/week for 12 weeks) or to a "PLUS" (3 sessions/week for 12 weeks, then maintenance classes for 12 additional weeks) condition...
October 11, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29021267/association-of-neighborhood-socioeconomic-context-with-participation-in-cardiac-rehabilitation
#5
Justin M Bachmann, Shi Huang, Deepak K Gupta, Loren Lipworth, Michael T Mumma, William J Blot, Elvis A Akwo, Sunil Kripalani, Mary A Whooley, Thomas J Wang, Matthew S Freiberg
BACKGROUND: Cardiac rehabilitation (CR) is underutilized in the United States, with fewer than 20% of eligible patients participating in CR programs. Individual socioeconomic status is associated with CR utilization, but data regarding neighborhood characteristics and CR are sparse. We investigated the association of neighborhood socioeconomic context with CR participation in the SCCS (Southern Community Cohort Study). METHODS AND RESULTS: The SCCS is a prospective cohort study of 84 569 adults in the southeastern United States from 2002 to 2009, 52 117 of whom have Medicare or Medicaid claims...
October 11, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29020863/examining-employment-outcomes-of-offender-and-nonoffender-vocational-program-graduates
#6
Dana L Formon, Adam T Schmidt, Craig Henderson
Researchers have found providing employment opportunities for ex-offenders through job training programs to be effective at reducing recidivism. Examining various community-based programs for ex-offenders can be beneficial as they may be able to provide more stable and consistent programming without relying on the justice system. This study examined employment outcomes of graduates with and without criminal histories ( n = 617) from a community-based vocational training program. Results showed that ex-offender graduates obtained employment at equal rates to nonoffender graduates and received equal pay to their nonoffender counterparts...
October 1, 2017: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29019280/social-inequality-and-barriers-to-cardiac-rehabilitation-in-the-rehab-north-register
#7
Christina Boesgaard Graversen, Regina Eichhorst, Lisbeth Ravn, Susanne Svane Riis Christiansen, Martin Berg Johansen, Mogens Lytken Larsen
AIM: Barriers to participation in cardiac rehabilitation (CR) may occur at three levels of the referral process (lack of information, declining to participate, and referral to appropriate CR programme). The aim is to analyse the impact of socioeconomic status on barriers to CR and investigate whether such barriers influenced the choice of referral. METHODS: The Rehab-North Register, a cross-sectional study, enrolled 5455 patients hospitalised at Aalborg University Hospital with myocardial infarction (MI) during 2011-2014...
October 11, 2017: Scandinavian Cardiovascular Journal: SCJ
https://www.readbyqxmd.com/read/29018615/a-randomized-control-trial-feasibility-evaluation-of-an-mhealth-intervention-for-wheelchair-skill-training-among-middle-aged-and-older-adults
#8
Edward M Giesbrecht, William C Miller
BACKGROUND: Providing mobility skills training to manual wheelchair (MWC) users can have a positive impact on community participation, confidence and quality of life. Often such training is restricted or not provided at all because of the expense of, and limited access to, occupational and physical therapists before and after discharge. This is particularly true among middle-aged and older adults, who often have limited access to rehabilitation services and require more time to learn motor skills...
2017: PeerJ
https://www.readbyqxmd.com/read/29017508/on-neuromechanical-approaches-for-the-study-of-biological-and-robotic-grasp-and-manipulation
#9
REVIEW
Francisco J Valero-Cuevas, Marco Santello
Biological and robotic grasp and manipulation are undeniably similar at the level of mechanical task performance. However, their underlying fundamental biological vs. engineering mechanisms are, by definition, dramatically different and can even be antithetical. Even our approach to each is diametrically opposite: inductive science for the study of biological systems vs. engineering synthesis for the design and construction of robotic systems. The past 20 years have seen several conceptual advances in both fields and the quest to unify them...
October 9, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29017361/haptic-assistive-technologies-for-audition-and-vision-sensory-disabilities
#10
Francesca Sorgini, Renato Caliò, Maria Chiara Carrozza, Calogero Maria Oddo
PURPOSE: The aim of this review is to analyze haptic sensory substitution technologies for deaf, blind and deaf-blind individuals. METHOD: The literature search has been performed in Scopus, PubMed and Google Scholar databases using selected keywords, analyzing studies from 1960s to present. Search on databases for scientific publications has been accompanied by web search for commercial devices. Results have been classified by sensory disability and functionality, and analyzed by assistive technology...
October 10, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28993488/support-needs-and-experiences-of-family-members-of-wounded-injured-or-sick-uk-service-personnel
#11
Anna Verey, M Keeling, G Thandi, S Stevelink, N Fear
INTRODUCTION: When a service person has been wounded, injured or sick (WIS), family members may provide care during their recovery in an unpaid capacity. This may occur in diverse environments including hospitals, inpatient rehabilitation centres, in the community and at home. METHOD: Thirty-seven family members of WIS personnel were interviewed regarding their support needs, family relationships and use of UK support services. Semistructured, in-depth telephone interviews were used, with data analysis undertaken using a thematic approach...
October 9, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28993290/spinal-cord-injury-associated-with-cervical-spinal-canal-stenosis-outcomes-and-prognostic-factors
#12
Y Ronzi, B Perrouin-Verbe, O Hamel, R Gross
OBJECTIVES: To specify outcomes and identify prognostic factors of neurologic and functional recovery in patients with an acute traumatic spinal cord injury (SCI) associated with cervical spinal canal stenosis (SCS), without spinal instability. METHODS: A retrospective study was conducted using data from a Regional Department for SCI rehabilitation in France. A description of the population characteristics, clinical data and neurological and functional outcomes of all patients treated for acute SCI due to cervical trauma associated with SCS was performed...
October 6, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28991149/decisional-informatics-for-psychosocial-rehabilitation-a-feasibility-pilot-on-tailored-and-fluid-treatment-algorithms-for-serious-mental-illness
#13
Jimmy Choi, Paul H Lysaker, Morris D Bell, Lisa Dixon, Paul Margolies, Matthew Gold, Elizabeth Golden-Roose, Warren Thime, Lawrence C Haber, Michael J Dewberry, Michael Stevens, Godfrey D Pearlson, Joanna M Fiszdon
This study introduces a computerized clinical decision-support tool, the Fluid Outpatient Rehabilitation Treatment (FORT), that incorporates individual and ever-evolving patient needs to guide clinicians in developing and updating treatment decisions in real-time. In this proof-of-concept feasibility pilot, FORT was compared against traditional treatment planning using similar behavioral therapies in 52 adults with severe mental illness attending community-based day treatment. At posttreatment and follow-up, group differences and moderate-to-large effect sizes favoring FORT were detected in social function, work readiness, self-esteem, working memory, processing speed, and mental flexibility...
October 4, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28988185/longer-term-needs-of-stroke-survivors-with-communication-difficulties-living-in-the-community-a-systematic-review-and-thematic-synthesis-of-qualitative-studies
#14
Faye Wray, David Clarke
OBJECTIVE: To review and synthesise qualitative literature relating to the longer-term needs of community dwelling stroke survivors with communication difficulties including aphasia, dysarthria and apraxia of speech. DESIGN: Systematic review and thematic synthesis. METHOD: We included studies employing qualitative methodology which focused on the perceived or expressed needs, views or experiences of stroke survivors with communication difficulties in relation to the day-to-day management of their condition following hospital discharge...
October 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28988122/views-of-people-with-schizophrenia-and-their-caregivers-towards-the-needs-for-psychiatric-rehabilitation-in-urban-and-rural-areas-of-mainland-china
#15
Man C M Tsui, Hector W H Tsang
This qualitative study explores and compares the views of the individuals with schizophrenia and their caregivers in the urban and rural areas of Wuxi towards the needs for psychiatric rehabilitation. The results may more precisely guide the government and policy makers to tailor the corresponding strategies and services. With interview guides, individual face-to-face semi-structured interviews were conducted among a total of 16 participants (four people with schizophrenia and their caregivers in the urban areas and in the rural areas, respectively)...
September 25, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28987900/cardiorespiratory-responses-to-pool-floor-walking-in-people-post-stroke
#16
Brenda Jeng, Takuto Fujii, Hyosok Lim, Konstantinos Vrongistinos, Taeyou Jung
OBJECTIVE: To compare energy expenditure between pool floor walking (PFW) and overground walking (OW) in people post-stroke. DESIGN: Cross-sectional study. SETTING: University-based therapeutic exercise facility. PARTICIPANTS: 14 community-dwelling individuals post-stroke (5.57±3.57 years post-stroke) and 14 healthy adults, age- and gender-matched (aged 58.00±15.51, men to women ratio of 9:5) participated in the study...
October 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28987051/financing-of-forensic-psychiatry-in-view-of-treatment-quality-and-threat-to-public-safety
#17
REVIEW
Janusz Heitzman, Inga Markiewicz
Stay in a psychiatric hospital of persons who committed the gravest criminal acts while in a state of insanity aims to ensure their effective treatment (therapeutic function), but above all to prevent the repetition of prohibited acts of significant harm to the community (preventive function). Forensic patients are provided with suitable medical, psychiatric, rehabilitation and resocialization care. The court imposes an indefinite detention. In view of the dual purpose of the stay in a psychiatric hospital, both therapeutic and preventive, the treatment costs generated by forensic wards are higher than those of general psychiatric wards...
August 29, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28980008/challenges-and-barriers-for-implementation-of-the-world-health-organization-global-disability-action-plan-in-low-and-middle-income-countries
#18
Fary Khan, Mayowa Ojo Owolabi, Bhasker Amatya, Talhatu Kolapo Hamzat, Adesola Ogunniyi, Helen Oshinowo, Alaeldin Elmalik, Mary P Galea
OBJECTIVE: To identify potential barriers and facilitators for implementation of the World Health Organization Global Disability Action Plan (GDAP) in Nigeria and compare these with other low- and middle-income countries. METHODS: A rehabilitation team from the Royal Melbourne Hospital, Parkville, Australia, conducted intensive workshops at medical/academic institutions in Nigeria for healthcare professionals from various local Physical Medicine and Rehabilitation facilities...
October 5, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28977435/should-we-use-a-direct-regulation-to-implement-the-healthy-prisons-agenda-in-england-a-qualitative-study-among-prison-key-policy-makers
#19
N Ismail, N de Viggiani
Background: The Healthy Prisons Agenda seeks to reduce prisoners' health risks, balance prisoners' rights with a security regime, ensure equivalent prison health service provisions to community health services, and facilitate the whole-prison approach. There is an established assumption that legislation will ensure better implementation of health promotion programmes. This study aimed to examine whether a legislative framework, via a direct regulation, could lead to enhanced implementation of the Healthy Prisons Agenda in England...
August 31, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28974103/polio-survivors-perceptions-of-a-multi-disciplinary-rehabilitation-programme
#20
Anita Atwal, Helen Duncan, Claire Queally, S H Cedar
PURPOSE: Post-polio syndrome refers to a late complication of the poliovirus infection. Management of post-polio syndrome is complex due to the extensive symptomology. European and United Kingdom guidelines have advised the use of rehabilitation programmes to manage post-polio syndrome. There is a paucity of research in relation to the effectiveness of rehabilitation interventions. The objective of this study is to explore polio survivor's perceptions of an in-patient multi-disciplinary rehabilitation programme...
October 3, 2017: Disability and Rehabilitation
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