Clients' subjective experience of their participation in rehabilitation at an out-patient community rehabilitation center

Kloppers, Maatje; Pretorius, Blanche; Vlok, Elizabeth Daphne

doi:10.17159/2310-3833/2016/v46n1a12

Cited by 5 publications

(14 citation statements)

References 12 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As the authors state it is important for occupational therapists to understand the reasons behind gang involvement if they are to offer programmes that support and help young people to disengage from gangs and find alternative occupations. Also based in the community setting is an article 11 that examines the subjective experiences of clients' participating in rehabilitation at an out-patient community rehabilitation center, in Cape Town. It is to the credit of the therapists that the clients involved in the study expressed a high level of satisfaction with the services offered and felt that the knowledge and skills that they had had gained enabled them to be more independent in their activities of daily living.…”

Section: Issn On-line 2310-3833mentioning

confidence: 99%

Editorial Comment

Concha¹

2016

S. Afr. j. occup. ther

View full text Add to dashboard Cite

Section: Issn On-line 2310-3833mentioning

confidence: 99%

Editorial Comment

Concha¹

2016

S. Afr. j. occup. ther

View full text Add to dashboard Cite

“…3,4,5,6,7,8 The South African health system has policies and strategies that guide rehabilitation and community reintegration, an example of which is the Framework and Strategy for Disability and Rehabilitation 9 ; however, implementation of such guidelines remains an issue. 10,11,12,13,14 Despite the focus of the Department of Health on reengineered primary health care (PHC), CVA survivors still have difficulty accessing rehabilitation services. 11,12,13,14…”

Section: Introductionmentioning

confidence: 99%

“…10,11,12,13,14 Despite the focus of the Department of Health on reengineered primary health care (PHC), CVA survivors still have difficulty accessing rehabilitation services. 11,12,13,14…”

Section: Introductionmentioning

confidence: 99%

“…15 For CBR services to be successful, a clear understanding of the expectations of the clients is required, as well as rehabilitation professionals who can identify community resources and enable clients to be more autonomous. 12,13,14 Dijker 16 defined community reintegration as acquiring age-, gender- and culturally appropriate roles and activities in one’s natural community setting. Community reintegration remains a key goal for rehabilitation professionals as it focuses on the CVA survivor’s ability to function, participate in premorbid life roles (which form part of the survivor’s identity) and contribute to the community.…”

Section: Introductionmentioning

confidence: 99%

“…Community reintegration remains a key goal for rehabilitation professionals as it focuses on the CVA survivor’s ability to function, participate in premorbid life roles (which form part of the survivor’s identity) and contribute to the community. 4,5,13,15,17 Numerous authors have highlighted the poor reintegration among South Africans, who have had a CVA or a spinal cord injury, into their respective communities. 4,8,17,18,19 Gretschel et al 4 found that adults with a disability face challenges with participating in work or meaningful activities, community mobility and recreation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

‘No one prepared me to go home’: Cerebrovascular accident survivors’ experiences of community reintegration in a peri-urban context

Govender

Naidoo

Bricknell

et al. 2019

African Journal of Primary Health Care & Family Medicine

View full text Add to dashboard Cite

Background The South African health system has policies and strategies to ensure effective rehabilitation and reintegration of individuals who have survived a cerebrovascular accident into their respective communities. However, implementation of such guidelines remains an issue. Aim This study sought to explore cerebrovascular accident (CVA) survivors’ experiences of community integration. Setting The study was located in a peri-urban community within the KwaZulu-Natal Province, South Africa. Methods An explorative qualitative study with eight purposively selected CVA survivors was conducted via semi-structured individual interviews. Data were audio-recorded and manually transcribed prior to thematic analysis. Trustworthiness of the study was maintained by strategies such as analyst triangulation, an audit trail and use of thick descriptions. Ethical principles of autonomy, informed consent, confidentiality and privacy were also maintained in the study. Results Six themes emerged that highlighted (1) loss of autonomy and roles, (2) barriers to community reintegration, (3) social isolation of participants, (4) finding internal strength, (5) enablers of community reintegration including the positive influence of support and the benefits derived from rehabilitation and (6) recommendations for rehabilitation. Conclusion The study revealed both positive and negative influences that impact CVA survivors’ ability to effectively reintegrate into their respective communities following a CVA. Recommendations include the need for education and awareness around access to rehabilitation services for CVA survivors, advice on how to improve CVA survivors’ ability to mobilise in the community and make environmental adaption to facilitate universal access, provision of home programmes and caregiver training for continuity of care and for inclusion of home-based rehabilitation into current models of care.

show abstract

Mapping Effectiveness Studies of Occupational Therapy in Africa: A Scoping Review

Plastow,

de Wit,

Brown

et al. 2023

Occupational Therapy International

View full text Add to dashboard Cite

Background. Contextual relevance is an important consideration for evidence-based practice, especially in low- and middle-income countries where the nature of practice may differ from high-income countries. Resources and access to rehabilitation are constrained, and service-users face a range of intersecting challenges to activity and participation. Aim. To evaluate the body of evidence for the effectiveness of occupational therapy in Africa, and to determine if systematic reviews with meta-analysis and/or meta-synthesis are feasible. Methods and Analysis. We conducted a systematic scoping review of published and grey literature by following PRISMA-ScR guidelines across 13 databases and through personal contact with occupational therapists across Africa. Covidence software was used to manage a blind review process by at least three reviewers per included article. The McMaster Quantitative Review Form, NHMRC levels of evidence, the Cochrane PROGRESS-Plus health equity criteria, and the TIDieR checklist informed data extraction using Microsoft Forms. Results. The search yielded 4199 articles, of which 45 were included. Evidence in six fields of practice included paediatrics, mental health, physical rehabilitation, hand therapy, work practice, and community development, although the evidence was largely limited to South Africa (93% studies). Levels of evidence varied but included 13 RCTs. In all, 1957 participants were included, ranging in age from 25 days to 99 years, with a wide range of health conditions. Most studies reported a positive outcome for occupational therapy. Conclusion. Findings suggest a moderate body of evidence to support occupational therapy in Africa. Systematic review with meta-analysis, assessment of risk of bias, and in-depth analysis of specific areas of practice are now required. All effectiveness studies in occupational therapy should include measures of occupational performance or participation, minimum reporting standard checklists should be used more consistently, and effect sizes should be consistently calculated and reported in effectiveness research.

show abstract

Clients' subjective experience of their participation in rehabilitation at an out-patient community rehabilitation center

Cited by 5 publications

References 12 publications

Editorial Comment

Editorial Comment

‘No one prepared me to go home’: Cerebrovascular accident survivors’ experiences of community reintegration in a peri-urban context

Mapping Effectiveness Studies of Occupational Therapy in Africa: A Scoping Review

Contact Info

Product

Resources

About