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Community Based Rehabilitation

Irina Kinchin, Susan Jacups, Jennifer Mann, Rachel Quigley, Desley Harvey, Christopher M Doran, Edward Strivens
BACKGROUND: Community-dwelling older persons with complex care needs may deteriorate rapidly and require hospitalisation if they receive inadequate support for their conditions in the community. INTERVENTION: A comprehensive, multidimensional geriatric assessment with care coordination was performed in a community setting-Older Persons ENablement And Rehabilitation for Complex Health conditions (OPEN ARCH). OBJECTIVES: This study will assess the acceptability and determine the impact of the OPEN ARCH intervention on the health and quality of life outcomes, health and social services utilisation of older people with multiple chronic conditions and emerging complex care needs...
December 4, 2018: Trials
Housseini Dolo, Michel Mandro, Deogratias Wonya'Rossi, Francoise Ngave, Jessica Fraeyman, Joseph N Siewe, Patrick Suykerbuyk, Robert Colebunders
BACKGROUND: A recent study in the Logo and Rethy health zones in the Ituri Province in the Democratic Republic of Congo (DRC) reported that the majority of the persons with epilepsy (PWE) had not been treated with anti-epileptic medication (AEM) or had stopped treatment. Prior to the implementation of an epilepsy treatment programme in these health zones, this study investigated the perceptions and experiences regarding epilepsy and its treatment amongst community leaders, PWE and/or their families, traditional healers and health professionals...
December 4, 2018: Infectious Diseases of Poverty
Patricia Masterson-Algar, Sion Williams, Christopher R Burton, Calum A Arthur, Zoe Hoare, Val Morrison, Kate Radford, Diane Seddon, Salah Elghenzai
PURPOSE: Rebuilding one's life after stroke is a key priority persistently identified by patients yet professionally led interventions have little impact. This co-design study constructs and tests a novel peer-led coaching intervention to improve post-stroke leisure and general social participation. METHODS: This study followed the principles of co-design by actively engaging and harnessing the knowledge of stroke survivors in order to develop and test a peer-lead coaching intervention...
December 3, 2018: Disability and Rehabilitation
Eik Dybboe Bjerre, Klaus Brasso, Anders Bojer Jørgensen, Thomas Hindborg Petersen, Alexandra Röthlin Eriksen, Anders Tolver, Jesper Frank Christensen, Mads Hvid Poulsen, Søren Sørensen Madsen, Peter Busch Østergren, Michael Borre, Peter Krustrup, Christoffer Johansen, Mikael Rørth, Julie Midtgaard
BACKGROUND: Physical activity has been shown to mitigate the unwanted psychological and physiological side effects of prostate cancer treatments, but sustainable exercise possibilities are limited. OBJECTIVE: Our objective was to examine whether football in a real-world setting (i.e., local football clubs) was safe and feasible in practice and could improve quality of life, mitigate decline in muscle mass and bone density, and increase fat mass in patients with prostate cancer...
December 1, 2018: Sports Medicine
Koustuv Saha, Ingmar Weber, Munmun De Choudhury
Student deaths on college campuses, whether brought about by a suicide or an uncontrollable incident, have serious repercussions for the mental wellbeing of students. Consequently, many campus administrators implement post-crisis intervention measures to promote student-centric mental health support. Information about these measures, which we refer to as " counseling recommendations ", are often shared via electronic channels, including social media. However, the current ability to assess the effects of these recommendations on post-crisis psychological states is limited...
June 2018: Proceedings of the ... International AAAI Conference on Weblogs and Social Media
T Blanco, R Casas, A Marco, I Martínez
OBJECTIVE: To contribute the design, development, and assessment of a new concept: Micro ad hoc Health Social Networks (uHSN), to create a social-based solution for supporting patients with chronic disease. DESIGN: After in-depth fieldwork and intensive co-design over a 4-year project following Community-Based Participatory Research (CBPR), this paper contributes a new paradigm of uHSN, defining two interaction areas (the "backstage", the sphere invisible to the final user, where processes that build services take place; and the "onstage", the visible part that includes the patients and relatives), and describes a new transversal concept, i...
November 29, 2018: Journal of Biomedical Informatics
Clare A Corish, Laura A Bardon
Older adults are at risk of protein-energy malnutrition (PEM). PEM detrimentally impacts on health, cognitive and physical functioning and quality of life. Given these negative health outcomes in the context of an ageing global population, the Healthy Diet for a Healthy Life Joint Programming Initiative Malnutrition in the Elderly (MaNuEL) sought to create a knowledge hub on malnutrition in older adults. This review summarises the findings related to the screening and determinants of malnutrition. Based on a scoring system that incorporated validity, parameters used and practicability, recommendations on setting-specific screening tools for use with older adults were made...
December 3, 2018: Proceedings of the Nutrition Society
Wendy M M Albers, Diana P K Roeg, Yolanda Nijssen, Jaap van Weeghel, Inge M B Bongers
BACKGROUND: Persons with severe mental illness are more prone to victimization and experience more difficulties regarding societal participation than other community members. These experiences vary greatly among individuals. Community mental health care should offer more individualized support by addressing these differences in experience. Therefore, this study aimed to identify subgroups of outpatients with severe mental illness based on their experiences of social participation and victimization...
2018: PloS One
Tiphaine Bourseau, Virginie Saoût, Pauline Ali, Uriell Pouliquen-Loriferne, Philippe Allain, Mickaël Dinomais
OBJECTIVE: To give a cross-sectional overview of ongoing management of behavioral disorders following traumatic brain injury (TBI) in a region of France, to compare this with recent recommendations from the French Society of Physical Medicine and Rehabilitation (SOFMER), and to evaluate associations between treatments and participant characteristics. SETTING: Outpatients referred to medical or community-based facilities in a region of France. PARTICIPANTS: One hundred twenty-nine adults with moderate to severe TBI, in the postacute period (over 3 months postinjury)...
November 28, 2018: Journal of Head Trauma Rehabilitation
Linda V DeCherrie, Ania Wajnberg, Tacara Soones, Christian Escobar, Elisse Catalan, Sara Lubetsky, Bruce Leff, Alex Federman, Albert Siu
OBJECTIVES: To describe the evolution of a hospital at home (HaH) program to a HaH with a 30-day posthospitalization transition period (HaH-Plus) and results of a retrospective review of cases. DESIGN: After launching HaH-Plus, we used the same interdisciplinary clinical team to provide acute home-based care for a broader range of home-based acute-level services than originally conceived in the Hospital at Home model. These included a palliative care unit at home (PCUaH), an observation unit at home (OUaH), a post-acute care rehabilitation at home (RaH), and a program for the hospital averse - those patients needing to be in the hospital but who refuse...
November 27, 2018: Journal of the American Geriatrics Society
Martha M Sliwinski, Gila Akselrad, Victoria Alla, Valerie Buan, Emily Kaemmerlen
CONTEXT/OBJECTIVE: After an individual with a Spinal Cord Injury (SCI) participates in the initial rehabilitation process, they often experience limited access to physical therapy services and other fitness activities. The purpose of this study was to examine previously collected data for changes in quality of life (QoL) and functional reach in individuals with SCI following an 8-week community exercise program. DESIGN: Secondary analysis of previously collected data...
November 26, 2018: Journal of Spinal Cord Medicine
Tonderai W Shumba, Indres Moodley
Background: Evaluation of Community-Based Rehabilitation (CBR) programmes in Namibia has been primarily quantitative, focusing mainly on outputs, including numbers of persons with disabilities served, referrals made and activities implemented. Little or no evidence is available on experiences and quality of life of persons with disabilities, despite the CBR programme being operational for more than 20 years. The 2011 World Report on Disability recommended the use of appropriate tools to fill the research gap by integrating the experiences of persons with disabilities and their quality of life...
2018: African Journal of Disability
Tonderai W Shumba, Indres Moodley
Background: Although the Community Based Rehabilitation (CBR) programme in Namibia was formally adopted in 1997, the effectiveness of the programme, including the experiences of persons with disabilities on the programme, has not been assessed to date. Objectives: To explore the need for a qualitative evaluation tool for the CBR programme that can elicit the experiences of persons with disabilities. Methods: A scoping review was conducted on the use of photovoice as a disability research method and its potential use in eliciting the experiences of persons with disabilities participating in the CBR programme...
2018: African Journal of Disability
Paul Wehman, Lauren Avellone, Frederick Pecharka, Katti Sorboro, Joseph B Webster, Cynthia Young, Sharon Barton, William A Robbins, Samuel T Clanton
This article addresses employment as a critical part of community reintegration for polytrauma patients. Interdisciplinary polytrauma teams can work to effectively identify and eliminate known barriers to employment for veterans and offer continued support and guidance. This article discusses key themes pertinent to vocational reentry for service members/veterans, identifies evidenced-based employment models, highlights the essential role of everyday technology in meeting support needs, and describes 2 exemplar polytrauma models: the Louis Stokes Cleveland Veteran Affairs Medical Center in Cleveland, Ohio, and the Service member Transitional Advanced Rehabilitation (STAR) program at the Hunter Holmes McGuire Veterans Affairs Medical Center in Richmond, Virginia...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
Inbal Eshel, Amy O Bowles, Melissa R Ray
This article outlines key principles and considerations in the rehabilitation of cognitive challenges following mild, moderate, and severe traumatic brain injuries, with a focus on the needs of the service member and veteran population. The authors highlight specific evidence-based strategies and interventions and provide functional examples to support implementation. By emphasizing the array of tools and resources that have been designed to address cognitive challenges in the service member and veteran population, they focus on optimizing cognition to support successful community reintegration and the resumption of a full and meaningful life...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
Alan W Young, William Scott Dewey, Booker T King
A major burn is a severe injury with a global impact. Our system of medical evacuation has led to the survival of many severely injured service members. Burn rehabilitation is a complex and dynamic process and will not be linear. Recovery requires a comprehensive, interdisciplinary team-based approach, individually designed to maximize function, minimize disability, promote self-acceptance, and facilitate survivor and family reintegration into the community.
February 2019: Physical Medicine and Rehabilitation Clinics of North America
Kristine K Miller, Susan H Lin, Marsha Neville
Based on a review of the evidence, members of the American Congress of Rehabilitation Medicine Stroke Group's Movement Interventions Task Force offer these five recommendations to help improve transitions of care for patients and their caregivers: (1) improving communication processes, (2) utilizing transition specialists, (3) implementing a patient-centered discharge checklist, (4) utilizing standardized outcome measures, and (5) establishing partnerships with community wellness programs. Due to changes in healthcare policy, there are incentives to improve transitions during stroke rehabilitation...
November 19, 2018: Archives of Physical Medicine and Rehabilitation
Zhe Wang, Shujuan Chen, Junning Chen, Chunfeng Xu, Zhikang Chen, Wenxu Zhuang, Xu Li, Min Zhao, Jiang Haifeng
Introduction: Relapse is very common in drug abusers and contributes to a series of negative consequences. Effective addiction treatment exists but there are some problems in the implementation process. Mobile health (mHealth) offers a potential solution to improving recovery outcome for drug abusers in the community. The research team developed a community-based addiction rehabilitation electronic system (CAREs). The primary aim of this study is to explore whether the integrated rehabilitation based on program CAREs promotes drug abusers to keep abstinence...
2018: Frontiers in Psychiatry
Bridget A Cotner, Lisa Ottomanelli, Danielle R O'Connor, Eni N Njoh, Scott D Barnett, Edward J Miech
Background: Individual Placement and Support (IPS) is an evidence-based practice that helps persons with mental and/or physical disabilities, including spinal cord injury, find meaningful employment in the community. While employment is associated with positive rehabilitation outcomes, more research is needed on the impact of IPS participation on non-vocational outcomes, particularly quality of life (QOL). Objective : To identity QOL outcomes experienced with (1) IPS participation and (2) IPS participation leading to employment...
2018: Topics in Spinal Cord Injury Rehabilitation
Birthe Dinesen, Helle Spindler
BACKGROUND: Cardiovascular disease is a leading cause of death globally causing 31% of all deaths worldwide. The Danish health care system is characterized by fragmented delivery of services and rehabilitation activities. The Teledialog Telerehabilitation Program for cardiac patients was developed and tested to rectify fragmentation and improve the quality of care. The Teledialog program was based on the assumption that a common communication platform shared by health care professionals, patients, and relatives could reduce or eliminate the fragmentation in the rehabilitation process and improve cooperation between the health professionals...
November 19, 2018: JMIR Rehabilitation and Assistive Technologies
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