OBJECTIVES: To monitor participation in a rehabilitation cohort and to identify determinants of change during a 12-month period posthospitalization following the onset of one of several major disabling conditions. DESIGN: Cohort study. SETTING: Postacute care rehabilitation settings. PARTICIPANTS: Adults (N=435) aged 18 years and older with complex medical, lower-extremity orthopedic, and major neurologic impairments. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: At 1-, 6-, and 12-month follow-ups, community participation and social and home participation were assessed by personal interviews using the Participation Measure for Post-Acute Care. Information on potential determinants was abstracted from the medical chart and by personal interview using standardized instruments. RESULTS: On average, rehabilitation patients achieved modest improvements in their levels of community participation during the first 6 months after acute hospitalization. In contrast, these same patients displayed a modest loss in social and home participation levels during the follow-up period. Activity limitations were the dominant factors that explained much of the variance in the extent of community participation achieved by patients. Personal and social environmental factors played a major role in predicting levels of social and home participation. CONCLUSIONS: The focus of rehabilitation interventions aimed at achieving posthospital participation requires careful consideration of the specific domain of participation that is being targeted.
OBJECTIVES: To monitor participation in a rehabilitation cohort and to identify determinants of change during a 12-month period posthospitalization following the onset of one of several major disabling conditions. DESIGN: Cohort study. SETTING: Postacute care rehabilitation settings. PARTICIPANTS: Adults (N=435) aged 18 years and older with complex medical, lower-extremity orthopedic, and major neurologic impairments. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: At 1-, 6-, and 12-month follow-ups, community participation and social and home participation were assessed by personal interviews using the Participation Measure for Post-Acute Care. Information on potential determinants was abstracted from the medical chart and by personal interview using standardized instruments. RESULTS: On average, rehabilitation patients achieved modest improvements in their levels of community participation during the first 6 months after acute hospitalization. In contrast, these same patients displayed a modest loss in social and home participation levels during the follow-up period. Activity limitations were the dominant factors that explained much of the variance in the extent of community participation achieved by patients. Personal and social environmental factors played a major role in predicting levels of social and home participation. CONCLUSIONS: The focus of rehabilitation interventions aimed at achieving posthospital participation requires careful consideration of the specific domain of participation that is being targeted.
Authors: Philippa J Clarke; Jennifer A Ailshire; Els R Nieuwenhuijsen; Marijke W de Kleijn-de Vrankrijker Journal: Soc Sci Med Date: 2011-04-05 Impact factor: 4.634
Authors: T Braun; R-J Schulz; M Hoffmann; J Reinke; L Tofaute; C Urner; H Krämer; T Bock; N de Morton; C Grüneberg Journal: Z Gerontol Geriatr Date: 2015-02 Impact factor: 1.281
Authors: Marla K Beauchamp; Alan M Jette; Pengsheng Ni; Nancy K Latham; Rachel E Ward; Laura A Kurlinski; Sanja Percac-Lima; Suzanne G Leveille; Jonathan F Bean Journal: J Gerontol A Biol Sci Med Sci Date: 2015-09-13 Impact factor: 6.053
Authors: Stephen M Haley; Barbara Gandek; Hilary Siebens; Randie M Black-Schaffer; Samuel J Sinclair; Wei Tao; Wendy J Coster; Pengsheng Ni; Alan M Jette Journal: Arch Phys Med Rehabil Date: 2008-02 Impact factor: 3.966