Title

Particiaption as an outcome measure in a rehabilitation cohort; a qualitative study

Presenter Information

Dominique Van de Velde

Start Time

26-10-2007 11:45 AM

End Time

26-10-2007 1:45 PM

Abstract

Objective: This study aims to understand the concept of participation and to monitor determinants of participation in a rehabilitation cohort. Much of the rehabilitation practice is based on the presumption that rehabilitation interventions acting at the levels of disease, body structure, and impairments should be reflected in changes in client’s participation. Primarily the measurement instruments have been developed to assess a client’s participation restriction and do not reflect a client’s perception and needs, but are normative and focus on general abilities, tasks and roles. Confirming that community integration or participation has been achieved at the end of the rehabilitation has been impeded by a lack of consensus on definition and measurement on participation. Design: the qualitative approach of grounded theory was used. In-depth, semi structured interviews were conducted with 20 patients from a rehabilitation cohort in their transition period from hospital to home. The interviews were addressing 4 major topics: (a) what maximizes the participation of the individual with a disability, (b) what is the impact of the disease on a the individual’s life, (c) how can functional objectives maximize the effect of rehabilitation and (d) what exactly determines whether an activity performed by the individual is expressed as satisfactory or important. The results: Preliminary findings revealed 3 features that described the determinants for participation; (a) the feeling of belonging, (b) having a sense of control, (c) aiming towards a sense of achievement. The results will be discussed in relation to contemporary discourses on occupation and participation.

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Oct 26th, 11:45 AM Oct 26th, 1:45 PM

Particiaption as an outcome measure in a rehabilitation cohort; a qualitative study

Objective: This study aims to understand the concept of participation and to monitor determinants of participation in a rehabilitation cohort. Much of the rehabilitation practice is based on the presumption that rehabilitation interventions acting at the levels of disease, body structure, and impairments should be reflected in changes in client’s participation. Primarily the measurement instruments have been developed to assess a client’s participation restriction and do not reflect a client’s perception and needs, but are normative and focus on general abilities, tasks and roles. Confirming that community integration or participation has been achieved at the end of the rehabilitation has been impeded by a lack of consensus on definition and measurement on participation. Design: the qualitative approach of grounded theory was used. In-depth, semi structured interviews were conducted with 20 patients from a rehabilitation cohort in their transition period from hospital to home. The interviews were addressing 4 major topics: (a) what maximizes the participation of the individual with a disability, (b) what is the impact of the disease on a the individual’s life, (c) how can functional objectives maximize the effect of rehabilitation and (d) what exactly determines whether an activity performed by the individual is expressed as satisfactory or important. The results: Preliminary findings revealed 3 features that described the determinants for participation; (a) the feeling of belonging, (b) having a sense of control, (c) aiming towards a sense of achievement. The results will be discussed in relation to contemporary discourses on occupation and participation.