Transitioning from hospitals to the community

perspectives of rehabilitation patients with neurological disorders and their service providers

研究成果: 雜誌貢獻文章

1 引文 (Scopus)

摘要

Purpose: To identify the contextual factors that influence community participation in rehabilitation outpatients from the perspectives of patients and their service providers. Method: Five focus groups with rehabilitation outpatients (n = 22) and three focus groups with occupational and physical therapists (n = 17) were conducted. Two independent coders thematically analyzed the transcribed data. Results: Patients and their providers identified three common personal factors (personal interests, personal values, and finances) and four major categories of environmental factors (products and technology; support and relationships; attitudes; and services, systems, and policies) that have great influence on patients’ participation in the community. Additionally, some patients perceived the impacts of fear of falling and climate on their participation, whereas some service providers reported that age, adaptability, and successful experiences could determine the patients’ participation in the community. Conclusions: This study synthesized and contrasted perspectives from both rehabilitation outpatients and their service providers to identify the contextual factors that enable or restrict patients from participating in the community. Both patients and service providers identified numerous personal and environmental factors associated with participation, thus highlighting areas that can be addressed in rehabilitation outpatient programs and considered in policy development.Implications for RehabilitationCommunity participation is an outcome of dynamic interactions among multiple factors and is highly environmentally and culturally sensitive.Both personal and environmental factors have substantial impacts on rehabilitation patients’ participation outcomes.Rehabilitation practitioners and policy-makers need to incorporate perspectives from both patients and providers when developing interventions targeting to improve patients’ community participation.
原文英語
頁(從 - 到)2420-2427
頁數8
期刊Disability and Rehabilitation
39
發行號23
DOIs
出版狀態已發佈 - 十一月 6 2017

指紋

Nervous System Diseases
Patient Participation
Rehabilitation
Outpatients
Focus Groups
Accidental Falls
Policy Making
Physical Therapists
Ambulatory Care
Administrative Personnel
Climate
Fear
Technology

ASJC Scopus subject areas

  • Rehabilitation

引用此文

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abstract = "Purpose: To identify the contextual factors that influence community participation in rehabilitation outpatients from the perspectives of patients and their service providers. Method: Five focus groups with rehabilitation outpatients (n = 22) and three focus groups with occupational and physical therapists (n = 17) were conducted. Two independent coders thematically analyzed the transcribed data. Results: Patients and their providers identified three common personal factors (personal interests, personal values, and finances) and four major categories of environmental factors (products and technology; support and relationships; attitudes; and services, systems, and policies) that have great influence on patients’ participation in the community. Additionally, some patients perceived the impacts of fear of falling and climate on their participation, whereas some service providers reported that age, adaptability, and successful experiences could determine the patients’ participation in the community. Conclusions: This study synthesized and contrasted perspectives from both rehabilitation outpatients and their service providers to identify the contextual factors that enable or restrict patients from participating in the community. Both patients and service providers identified numerous personal and environmental factors associated with participation, thus highlighting areas that can be addressed in rehabilitation outpatient programs and considered in policy development.Implications for RehabilitationCommunity participation is an outcome of dynamic interactions among multiple factors and is highly environmentally and culturally sensitive.Both personal and environmental factors have substantial impacts on rehabilitation patients’ participation outcomes.Rehabilitation practitioners and policy-makers need to incorporate perspectives from both patients and providers when developing interventions targeting to improve patients’ community participation.",
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AB - Purpose: To identify the contextual factors that influence community participation in rehabilitation outpatients from the perspectives of patients and their service providers. Method: Five focus groups with rehabilitation outpatients (n = 22) and three focus groups with occupational and physical therapists (n = 17) were conducted. Two independent coders thematically analyzed the transcribed data. Results: Patients and their providers identified three common personal factors (personal interests, personal values, and finances) and four major categories of environmental factors (products and technology; support and relationships; attitudes; and services, systems, and policies) that have great influence on patients’ participation in the community. Additionally, some patients perceived the impacts of fear of falling and climate on their participation, whereas some service providers reported that age, adaptability, and successful experiences could determine the patients’ participation in the community. Conclusions: This study synthesized and contrasted perspectives from both rehabilitation outpatients and their service providers to identify the contextual factors that enable or restrict patients from participating in the community. Both patients and service providers identified numerous personal and environmental factors associated with participation, thus highlighting areas that can be addressed in rehabilitation outpatient programs and considered in policy development.Implications for RehabilitationCommunity participation is an outcome of dynamic interactions among multiple factors and is highly environmentally and culturally sensitive.Both personal and environmental factors have substantial impacts on rehabilitation patients’ participation outcomes.Rehabilitation practitioners and policy-makers need to incorporate perspectives from both patients and providers when developing interventions targeting to improve patients’ community participation.

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