trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Adapting Strategy Training for Adults With Acquired Brain Injury: A Feasibility Study in a Chinese Population / Yen-Nung Lin in American journal of occupational therapy, Vol. 74, n° 3 (May/June 2020)  

[article]  inAmerican journal of occupational therapy > Vol. 74, n° 3 (May/June 2020) . - p. 1-10 Titre : Adapting Strategy Training for Adults With Acquired Brain Injury: A Feasibility Study in a Chinese Population Type de document : Article Auteurs : Yen-Nung Lin ; Chao-Yi Wu ; Pei-Chun Yeh ; Yi-Hsuan Wu ; Wan-Chi Lin ; Elizabeth R. Skidmore ; Feng-Hang Chang Année de publication : 2020 Article en page(s) : p. 1-10 Note générale : doi:10.5014/ajot.2020.035923 Langues : Anglais (eng) Descripteurs : HE Vinci Adulte (19-44 ans) ; Cognition ; Lésions encéphaliques ; Participation sociale ; Réadaptation ; Taïwan Résumé : Importance: Before introducing strategy training into a cross-cultural (Chinese) context, it is necessary to evaluate its feasibility. Objective: To examine the feasibility of applying strategy training to improve participation outcomes of rehabilitation patients in Taiwan and evaluate the potential intervention effects. Design: A single-group, repeated-measures study. Setting: Rehabilitation outpatient settings. Participants: A convenience sample of adults (N = 20) with a primary diagnosis of acquired brain injury (ABI) and with cognitive impairment received the intervention and were assessed before and after it. Intervention: The participation-focused strategy training intervention, a modified version of the strategy training intervention, was provided to participants in 1–2 sessions weekly for a total of 10–20 intervention sessions. Outcomes and Measures: Feasibility indicators, Participation Measure–3 Domains, 4 Dimensions (PM–3D4D), and Canadian Occupational Performance Measure (COPM). Results: Eighteen participants completed 100% of the scheduled intervention sessions. Participants had very good engagement in the intervention sessions with sufficient comprehension. Participants reported moderate to high satisfaction. Positive score changes were observed for the PM–3D4D (d = 0.46–1.25) and COPM scales (d = 1.82 and 2.12). Conclusions and Relevance: This study demonstrated the feasibility of delivering participation-focused strategy training in Taiwan to people with cognitive impairment after ABI. The preliminary evidence also showed that participants who received the strategy training intervention had positive changes in participation outcomes and in performance of their self-identified goals. On the basis of this study's findings, a larger clinical trial is warranted to evaluate the efficacy of the strategy training intervention. What This Article Adds: Participation-focused strategy training is feasible and acceptable for Taiwanese community-dwelling adults with cognitive impairment after ABI. However, because strategy training is quite different from traditional rehabilitation delivered in Taiwan, additional instructions and discussion among the therapist, client, and caregiver may be needed before the intervention is provided. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=255965 [article]

Community Participation Measures for People With Disabilities: A Systematic Review of Content From an International Classification of Functioning, Disability and Health Perspective / Feng-Hang Chang in Archives of Physical Medicine and Rehabilitation, 2013/4 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/4 (2013) . - pp. 771-781 Titre : Community Participation Measures for People With Disabilities: A Systematic Review of Content From an International Classification of Functioning, Disability and Health Perspective Type de document : Article Auteurs : Feng-Hang Chang ; Wendy J. Coster ; Christine Helfrich Article en page(s) : pp. 771-781 Langues : Anglais (eng) Descripteurs : HE Vinci Rééducation et réadaptation ; Revue de la littérature Mots-clés : Consumer Participation  Participation des consommateurs  Review Résumé : "Objective To identify instruments that measure community participation in people with disabilities and to evaluate which domains, to what extent, and how precisely they address this construct. The review aims to provide information to guide the selection of community participation instruments and to identify limitations of existing measures. Data Sources A systematic search was performed in PubMed, CINAHL, and PsychINFO in February and March 2012. The latest systematic reviews and references of searched articles were also reviewed to check for measures that were not identified in the initial search. Study Selection Instruments were included if they (1) were a self-report questionnaire; (2) measured community participation, participation, or community integration; (3) measured actual participation (rather than subjective experience); (4) had available information on the instrument content and measurement properties; (5) were designed for adults; and (6) were applicable for all disabled populations. Data Extraction Instruments were obtained from identified full-text articles, reference lists, or websites. Two researchers independently reviewed each selected instrument to determine which of their items measure community participation. These items were then classified using 9 community participation domains from the International Classification of Functioning, Disability and Health to reflect each instrument's domain coverage. Data Synthesis Seventeen instruments were identified as containing community participation items, 2 of which were 100% composed of community participation items. The rest of the instruments included 8.7% to 73.1% items measuring community participation. The domain coverage varied from 3 to 8 domains across the instruments. Conclusions None of the 17 instruments covered the full breadth of community participation domains, but each addressed community participation to some extent. New instruments that evaluate community participation more comprehensively will be needed in the future." Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117427 [article]

Development of the Participation Measure–3 Domains, 4 Dimensions (PM-3D4D): A New Outcome Measure for Rehabilitation / Feng-Hang Chang in Archives of Physical Medicine and Rehabilitation, 2017/2 (2017)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2017/2 (2017) . - pp. 286-294 Titre : Development of the Participation Measure–3 Domains, 4 Dimensions (PM-3D4D): A New Outcome Measure for Rehabilitation Type de document : Article Auteurs : Feng-Hang Chang ; Tsan-Hon Liou ; Pengsheng Ni Article en page(s) : pp. 286-294 Langues : Anglais (eng) Descripteurs : HE Vinci Participation sociale ; Psychométrie ; Rééducation et réadaptation Mots-clés : Outpatients  Patients en consultation externe  Patient outcome assessment  Évaluation des résultats des patients  Psychometrics  Social participation Résumé : Objectives To describe the development of a participation measure that assesses 3 domains (productivity, social, and community) and 4 dimensions (frequency, diversity, desire for change, and perceived difficulty) of participation and to evaluate the initial psychometric properties in rehabilitation outpatients. Design A mixed-method approach included a literature review, item selection, expert reviews, cognitive interviews, and field testing with rehabilitation outpatients. Confirmatory factor analysis (CFA) and Rasch analysis were used to validate the construct validity of the difficulty dimension of the instrument. Setting Outpatient rehabilitation programs. Participants An expert panel consisting of 12 rehabilitation and measurement experts contributed to measurement development; 20 rehabilitation outpatients participated in cognitive interviews; and a sample of rehabilitation outpatients (N=556) (average age, 61.36+23.62y; 53% men) participated in field testing. Interventions Not applicable. Main Outcome Measure The Participation Measure–3 Domains, 4 Dimensions (PM-3D4D). Results A scoring method for each dimension of the PM-3D4D was established. The instrument displayed good overall model fit in the CFA and unidimensionality across 3 domains after removing and collapsing locally dependent items identified from a principal component analysis. However, considering the poor personal reliability of the social subscale and its high correlation with the community subscale, we decided to merge the 2 subscales into 1. The combined subscale showed improved reliability and good construct validity by demonstrating a good model fit (comparative fit index, .985; Tucker-Lewis Index, .982, root mean square error of approximation, .061) and item fit. Conclusions The PM-3D4D is a newly developed participation measure designed to assess multiple domains and dimensions of participation by rehabilitation patients. The psychometric analysis results supported the construct of the instrument and helped item revision. Further examination of the validity and reliability of the PM-3D4D will be conducted. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117817 [article]

Does Self-Efficacy Mediate Functional Change in Older Adults Participating in an Exercise Program After Hip Fracture? A Randomized Controlled Trial / Feng-Hang Chang in Archives of Physical Medicine and Rehabilitation, 2015/6 (2015)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1014–1020 Titre : Does Self-Efficacy Mediate Functional Change in Older Adults Participating in an Exercise Program After Hip Fracture? A Randomized Controlled Trial Type de document : Article Auteurs : Feng-Hang Chang ; Nancy K. Latham ; Pengsheng Ni Article en page(s) : p. 1014–1020 Langues : Anglais (eng) Descripteurs : HE Vinci Activités de la vie quotidienne ; Mobilité réduite ; Rééducation et réadaptation ; Vieillissement Mots-clés : Activities of daily living  Aging  Hip fractures  Fractures de la hanche  Mobility limitation  Self efficacy  Auto-efficacité Résumé : Objectives To examine whether self-efficacy mediated the effect of the Home-based Post-Hip Fracture Rehabilitation program on activity limitations in older adults after hip fracture and whether the mediating effect was different between sex and age groups. Design Randomized controlled trial. Setting Community. Participants Participants with hip fracture (N=232; mean age + SD, 79+9.4y) were randomly assigned to intervention (n=120, 51.7%) and attention control (n=112, 48.3%) groups. Interventions The 6-month intervention, the Home-based Post-Hip Fracture Rehabilitation, is a functionally oriented, home-based exercise program. Data were collected at baseline, postintervention (6mo), and follow-up (9mo). Main Outcome Measures Activity Measure for Post-Acute Care. Results The mediating effect of the Home-based Post-Hip Fracture Rehabilitation program on Basic Mobility function through self-efficacy for exercise was significant at 9 months (βindirect=.21). Similarly, the mediating effect of the intervention on Daily Activity function through self-efficacy for exercise was significant at 9 months (βindirect=.49). In subgroup analyses, the mediating effect was significant at 9 months in the younger group (age, ≤79y) in comparison to the older group and was significant in women in comparison to men. Conclusions Self-efficacy may play a partial mediating role in the effect on some longer-term functional outcomes in the Home-based Post-Hip Fracture Rehabilitation intervention. The results suggest that program components that target self-efficacy should be incorporated in future hip fracture rehabilitation interventions. Age and sex of the targeted participants may also need to be considered when developing interventions. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118375 [article]

Effects of Hyperosmolar Dextrose Injection in Patients With Rotator Cuff Disease and Bursitis: A Randomized Controlled Trial / Yu-Ju Chang in Archives of Physical Medicine and Rehabilitation, Vol. 102, n° 2 (2020)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 2 (2020) . - p. 245-250 Titre : Effects of Hyperosmolar Dextrose Injection in Patients With Rotator Cuff Disease and Bursitis: A Randomized Controlled Trial Type de document : Article Auteurs : Yu-Ju Chang ; Feng-Hang Chang ; Peng-Hsuan Hou ; Kai-Hsiang Tseng ; Yen-Nung Lin Année de publication : 2021 Article en page(s) : p. 245-250 Note générale : https://doi.org/10.1016/j.apmr.2020.08.010 Langues : Anglais (eng) Descripteurs : HE Vinci Imagerie d'élasticité tissulaire ; Injections ; Lésions de la coiffe des rotateurs ; Prolothérapie ; Réadaptation ; Syndrome de conflit sous-acromial Résumé : Objective To determine whether dextrose prolotherapy offers clinical benefits in patients with shoulder pain and bursitis. Design Double-blinded, randomized controlled trial. Setting Outpatient rehabilitation department of a single medical center. Participants Patients (N=50) who had received a diagnosis of shoulder pain and bursitis through clinical tests and ultrasound examination. Interventions Participants were randomly assigned to the 15% dextrose injection (D15W) group or the placebo group to receive either D15W or normal saline injection, respectively. All participants received ultrasound-guidance bursal injection every 2 weeks for a total of 3 injections. Main Outcome Measures The primary outcome was maximal pain level while performing activities. The secondary outcomes included resting pain level, function and disability assessment results, and ultrasonographic parameters. Participants were followed up for 3 months after completion of the injection course. Results No significant differences in baseline characteristics were observed between the D15W and placebo groups. Significant time effects were observed for all outcome parameters (all P<.05 however time group effects were nonsignificant for all outcomes except tissue elasticity> Conclusions Supporting evidence is insufficient regarding the clinical benefits of 15% dextrose bursal injection administered through 3 sessions in patients with chronic shoulder pain and bursitis. The findings indicate that these injections may increase the tissue stiffness of the supraspinatus tendon, as indicated by elastography assessment results, but further research is required to determine the nature of such changes in elastography findings. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=264378 [article]

Factors Associated With Quality of Life Among People With Spinal Cord Injury / Feng-Hang Chang in Archives of Physical Medicine and Rehabilitation, 2012/12 (2012)  

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Measuring Participation of Rehabilitation Patients: Test-Retest Reliability and Mode of Administration Concordance of the Participation Measure–3 Domains, 4 Dimensions (PM-3D4D) / Feng-Hang Chang in Archives of Physical Medicine and Rehabilitation, 2017/8 (2017)  

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Responsiveness and Predictive Validity of the Participation Measure–3 Domains, 4 Dimensions in Survivors of Stroke / Feng-Hang Chang in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 12 (2019)  

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Validation of the Mandarin Version of the Activity Measure for Post-Acute Care (AM–PAC) "6-Clicks" Among Patients in Acute Rehabilitation / Wen-Hsuan Hou in American journal of occupational therapy, Vol. 74, n° 3 (May/June 2020)  

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Validation of the Participation Measure–3 Domains, 4 Dimensions (PM-3D4D) / Feng-Hang Chang in Archives of Physical Medicine and Rehabilitation, 2017/12 (2017)  

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