The COVID-19 pandemic has challenged rehabilitation professionals to provide therapy through telepractice. The aims of this study were to investigate and compare the uptake of tele-rehabilitation (TR) in Finland amongst different rehabilitation professions during the COVID-19 pandemic as well as potential differences between professions in carrying out TR. In addition, the goal was to explore in more depth therapists’ views about the features that work and challenges of TR. A total of 850 therapists in the physio-, occupational-, speech and language-, and psychotherapy professions participated in the survey that included both quantitative and open-ended questions. The results show that 52% of all the therapists who participated in this study did take up TR with all or most of their clients during the first wave of the COVID-19 pandemic. Of all professionals who have carried out tele-rehabilitation during the pandemic, 46% planned to use TR regularly or probably also after the pandemic. There were also clear differences between the professions. Psychotherapists carried out TR during the pandemic and planned to use it also after the pandemic more often than the other professional groups. The qualitative analysis revealed that therapists identified several beneficial but also multiple challenging features of TR. Psychotherapists reported less challenges than other professions. The pandemic has clearly sped up the use of TR in rehabilitation.
Background: The International Classification of Functioning, Disability and Health (ICF) classification is a biopsychosocial frame of reference that contributes to a holistic understanding of the functioning of a client and the factors involved. Personal factors (PFs) are not currently classified in the ICF due to large societal and cultural diversity and lack of clarity in the scope of such factors.Aims: To ascertain which factors in the ICF classification have been defined as PFs in different studies and what conclusions have been drawn on their role in the ICF classification.Methods: The study was a scoping review. A systematic search for articles published in 2010–2020 was performed on the Cinahl, Pubmed, ScienceDirect, and Sport Discus databases. The PFs specified in the articles were classified according to the seven categories proposed by Geyh et al. socio-demographic factors; position in the immediate social and physical context; personal history and biography; feelings; thoughts and beliefs; motives; and general patterns of experience and behavior.Results: The search yielded 1,988 studies, of which 226 met the inclusion criteria. The studies had addressed a wide variety of PFs that were linked to all seven categories defined by Geyh et al. Some studies had also defined PFs that were linkable to other components of the ICF or that did not describe functioning. Approximately 22% (51) of the studies discussed the role of PFs in rehabilitation.Conclusions: The range of PFs in the ICF classification addressed in the reviewed studies is wide. PFs play an important role in rehabilitation. However, according to the reviewed studies, a more precise coding of PFs is not yet warranted.
Young people with visual impairment (YPWVI) face several challenges in their everyday lives. However, little is known about interventions that focus on promoting their participation that contributes to health and well-being and is considered the most relevant outcome in rehabilitation. Objectives: This study investigated the clinical outcomes and acceptability of a new one-year, multiform, group-based rehabilitation program for YPWVI. The aim of the pilot program was to support them becoming more independent and to promote their participation. Rehabilitation consisted of group-meetings in an institutional setting, online group meetings, individually tailored one-on-one guidance, individual online discussions and parents’ group meetings. Fifteen young persons with visual impairment were recruited and 14 completed the intervention, six of whom were blind or had severe visual impairment and eight had mild visual loss. Methodology: The study utilized a mixed methods triangulation design. Clinical outcome measures were goal attainment scaling (GAS) and occupational performance (COPM) completed with qualitative interview data. Focus group interviews with participants and parents were used to evaluate the acceptability of the program. Results: GAS-rated personal goals were widely achieved and the scores of both performance and satisfaction scales of COPM improved. Overall, the rehabilitation program proved to be acceptable. Group-based rehabilitation was deemed very important and it enabled peer support. However, two-day periods of inpatient rehabilitation, proved to be too short, whereas five-day periods were considered to disturb schoolwork. Conclusions: Group-based multi-form rehabilitation for YPWVI can have a positive impact on activity and participation of the participants. The program can support independence and the achievement of rehabilitation goals. The group format was applauded for providing social support and company. The program required some structural modifications.
Kelan järjestämien tuki- ja liikuntaelinsairaus (tules) -kuntoutuskurssien toteutusta ja toimivuutta, asiakaslähtöisyyttä ja kuntoutujan roolia sekä kuntoutuksen vaikutuksia kuntoutujan arkeen tarkasteltiin Kelan MUUTOS-hankkeen tules-kuntoutuksen tutkimuksessa. Tässä artikkelissa syvennetään tutkimuksen yhtä keskeistä teemaa, kuntoutuksen ja kuntoutumisen tavoitteiden asettamista ja tavoitteen saavuttamista tukevaa kuntoutus- ja kuntoutumisprosessia. Artikkelin tavoitteena on kuvata, millaisia tavoitteita tules-kuntoutuksessa on, miten tavoitteet ohjaavat kuntoutusta ja kuntoutumista sekä miten hyvin tavoitteet saavutettiin kuntoutuksen aikana. Monimenetelmällisen tutkimuksen aineistoina olivat kuntoutujille ja palveluntuottajille suunnatut kyselyt, kuntoutujien ja palveluntuottajien ryhmähaastattelut sekä kuntoutujien Omat tavoitteeni -lomakkeet. Kuntoutujien kyselyyn vastasi 1839 kuntoutujaa, joista laitosmuotoiseen kuntoutukseen oli osallistunut 1441 kuntoutujaa ja avomuotoiseen kuntoutukseen 398 kuntoutujaa. Palveluntuottajien kyselyyn vastasi 26 palveluntuottajaa. Kuntoutujien ja palveluntuottajien ryhmähaastatteluja toteutettiin molempia 10. Kuntoutujien omat tavoitteet -lomakkeita analysoitiin 75, ja niissä oli yhteensä 161 tavoitetta. Määrälliset ja laadulliset aineistot analysoitiin ensin erikseen ja tämän jälkeen teemoittain yhdistettiin ja luotiin monimenetelmällisen aineiston perusteella tulkinnat.Tavoitteet painottuvat fyysisen toimintakyvyn edistämiseen, työelämään nivoutuvia tavoitteita asetetaan vähän. Tavoitteet ohjaavat kuntoutuskurssien sisältöjen rakentumista vaihtelevasti. Avomuotoiseen kuntoutukseen osallistuneet kuntoutujat saavuttivat tavoitteensa keskimäärin hieman heikommin (T-lukuarvo 46) kuin laitosmuotoiseen kuntoutukseen osallistujat (T-lukuarvo 49). Tavoitteet koetaan tärkeäksi osaksi kuntoutusprosessia. Kuntoutujien omien tavoitteiden tulisi kuitenkin ohjata nykyistä selkeämmin kuntoutujien toimintaa koko kuntoutusprosessin ajan. Tavoitteiden työelämäyhteyttä tulisi vahvistaa, jotta kuntoutujien tavoitteet kiinnittyisivät vahvemmin työelämään ja tules-kuntoutuskurssit tukisivat työkykyä nykyistä enemmän. AbstractDo client’s own goals guide MDSs rehabilitation process?The multi-perspective information on the implementation of Kela (the Social Insurance Institution of Finland)-provided musculoskeletal disorders (MSDs) rehabilitation courses, the client’s role in the rehabilitation, and the effects of rehabilitation on the person’s everyday life were produced in the MSDs rehabilitation study. This article deepens one theme of the study, the goals of the rehabilitation and the rehabilitation process, which support achieving the goals. The aim of the article is to describe what kind of goals MDSs rehabilitation exist, how goals guide rehabilitation, and how goals were achieved during rehabilitation. The study applied mixed methods and a multi-perspective approach. The data included questionnaires and group interviews of rehabilitees and rehabilitation professionals, combined with the rehabilitees’ Goal Attainment Scale (GAS) forms. A total of 1,839 respondents answered the questionnaire for rehabilitees, with 1,441 respondents having taken part in inpatient rehabilitation and 398 in outpatient rehabilitation. The service providers’ questionnaire yielded 26 responses. In addition, ten group interviews were conducted both with rehabilitees, and with service providers. A total of 75 personal goal forms were analysed, presenting 161 goals.Promoting physical functioning was the most frequent goal, only few goals related to work life. There was variation of how the goals of the rehabilitation courses guide the content of the courses. The goals were achieved weaker in the outpatient rehabilitation (t-score 46) than in inpatient rehabilitation (t-score 49). Goal-oriented activities were considered important, but the rehabilitees’ personal goals should better guide their own activities throughout the process. Furthermore, the connection of the rehabilitation to the working life should be strengthened. If the goals are linked more closely to work, they would support working capacity to a greater extent than currently.Keywords: musculoskeletal disorders (MSDs) rehabilitation, Goal Attainment Scale, mixed methods, goals of the rehabilitation
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.