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Auteur Dana M. Howell
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Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study / Enrique V. Smith-Forbes in Archives of Physical Medicine and Rehabilitation, 2016/8 (2016)
Titre : Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study Type de document : Article Auteurs : Enrique V. Smith-Forbes ; Dana M. Howell ; Jason Willoughby Article en page(s) : pp. 12621268 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Observance par le patient ; Recherche qualitative ; Rééducation et réadaptation
Mots-clés : Patient satisfaction Satisfaction du patient Qualitative research Upper extremity Résumé : Objective
To describe the rehabilitation experiences, expectations, and treatment adherence of patients receiving upper extremity (UE) rehabilitation who demonstrated discrepancy between functional gains and overall improvement.
Qualitative (phenomenologic) interviews and analysis.
Outpatient UE rehabilitation.
Patients with acute UE injuries (N=10).
Main Outcome Measure
Concerns related to UE rehabilitation patients demonstrating discrepancy between outcome measures.
Five key themes emerged from the interviews of patients demonstrating discrepancy in their self-reported patient outcomes: (1) desire to return to normal, (2) initial anticipation of brief recovery, (3) trust of therapist, (4) cannot stop living, and (5) feelings of ambivalence. Challenges included living with the desire to move back into life. Multiple factors affected patient adherence: cost of treatment, patient-provider relation (difference between therapist and patient understanding on what is important for treatment), and patients expecting the treating therapists to be an expert and fix their problem.
Patient adherence to UE rehabilitation presents many challenges. Patients view themselves as laypersons and seek the knowledge of a dedicated therapist who they trust to spend time with them to understand what they value as important and clarify their injury, collaboratively make goals, and explain the intervention to get them in essence, back into life, in the minimal required time. When categorized according to the World Health Organization's multidimensional adherence model, domains identified in this model include social and economic, health care team and system, condition-related, therapy-related, and patient-related dimensions. Assessing factors identified to improve efficiency and effectiveness of clinical management can enhance patient adherence.
DOI : https://doi.org/10.1016/j.apmr.2015.11.008 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=117986
in Archives of Physical Medicine and Rehabilitation > 2016/8 (2016) . - pp. 12621268[article]Factors Predicting Client Satisfaction in Occupational Therapy and Rehabilitation / Melba G. Custer in American journal of occupational therapy, Vol. 69, n° 1 (January/February 2015)
Titre : Factors Predicting Client Satisfaction in Occupational Therapy and Rehabilitation Type de document : Article Auteurs : Melba G. Custer ; Ruth A. Huebner ; Dana M. Howell Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Satisfaction usager Soins autogérés Résumé : Client satisfaction, a widely used outcome indicator of quality in health care, is inherently client centered and important in occupational therapy. We developed an instrument called the Satisfaction With Continuum of Care Revised (SCCR) and tested a logistic regression model of satisfaction for six predictive research questions. Data collected from 769 clients from a large rehabilitation hospital using the SCCR were paired with data that included demographics, functional status, and measures of the rehabilitation including occupational therapy. Satisfaction was stratified into two groups, satisfied and dissatisfied. The most robust and consistent predictors of satisfaction were functional status and improvements in functional status, presence of a neurological disorder, total rehabilitation hours, and admission to rehabilitation within 15 days of condition onset. The finding that improvements in functional status, especially self-care, were predictive of satisfaction is particularly relevant for occupational therapy. Implications for practice and future research are discussed. DOI : http://ezproxy.parnasse-isei.be:2062/10.5014/ajot.2015.013094 Accès : Article disponible sur CINAHL via le proxy de la HE Vinci Disponible en ligne : Oui Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=147432
in American journal of occupational therapy > Vol. 69, n° 1 (January/February 2015)[article]