E Littooij1, C J W Leget2, J M Stolwijk-Swüste3, S Doodeman1, G A M Widdershoven4,5, J Dekker1,5,6,7. 1. Amsterdam Rehabilitation Research Center | Reade, Amsterdam, The Netherlands. 2. Department of Care and Welfare, University of Humanistic Studies, Utrecht, The Netherlands. 3. De Hoogstraat, Center of Excellence in Rehabilitation Medicine, Utrecht, The Netherlands. 4. Department of Medical Humanities, VU University Medical Center, Amsterdam, The Netherlands. 5. EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. 6. Department of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands. 7. Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands.
Abstract
STUDY DESIGN: Qualitative study. OBJECTIVES: To explore whether aspects of global meaning (that is, fundamental beliefs and life goals concerning core values, relationships, worldview, identity and inner posture) are associated with processes and outcomes in rehabilitation, as experienced by people with spinal cord injury (SCI). SETTING: People living in the community receiving outpatient rehabilitation in a Dutch rehabilitation center. METHODS: In-depth semi-structured interviews were conducted with 16 people with SCI. Interviews were analyzed using qualitative research methods: structural and provisional coding. RESULTS: Core values, relationships, worldview, identity and inner posture (that is, the way in which people relate to the facts of life) were associated with various processes and outcomes of rehabilitation. Elements of the rehabilitation process included motivation, regulation of emotion, making decisions and handling stress. Elements of the outcome of rehabilitation included physical functioning, emotional functioning, social functioning and subjective sense of meaning. The influence was positive, with the exception of one case in which worldview and inner posture were negatively associated with motivation. Besides that, respondents emphasized the importance of rehabilitation professionals attuning to their global meaning. CONCLUSION: All aspects of global meaning were positively associated with various processes and outcomes of rehabilitation. It is recommended that rehabilitation professionals are aware of the importance of global meaning to people with SCI and that they take people's fundamental beliefs and life goals into account.
STUDY DESIGN: Qualitative study. OBJECTIVES: To explore whether aspects of global meaning (that is, fundamental beliefs and life goals concerning core values, relationships, worldview, identity and inner posture) are associated with processes and outcomes in rehabilitation, as experienced by people with spinal cord injury (SCI). SETTING:People living in the community receiving outpatient rehabilitation in a Dutch rehabilitation center. METHODS: In-depth semi-structured interviews were conducted with 16 people with SCI. Interviews were analyzed using qualitative research methods: structural and provisional coding. RESULTS: Core values, relationships, worldview, identity and inner posture (that is, the way in which people relate to the facts of life) were associated with various processes and outcomes of rehabilitation. Elements of the rehabilitation process included motivation, regulation of emotion, making decisions and handling stress. Elements of the outcome of rehabilitation included physical functioning, emotional functioning, social functioning and subjective sense of meaning. The influence was positive, with the exception of one case in which worldview and inner posture were negatively associated with motivation. Besides that, respondents emphasized the importance of rehabilitation professionals attuning to their global meaning. CONCLUSION: All aspects of global meaning were positively associated with various processes and outcomes of rehabilitation. It is recommended that rehabilitation professionals are aware of the importance of global meaning to people with SCI and that they take people's fundamental beliefs and life goals into account.
Authors: K R Monden; Z Trost; D Catalano; A N Garner; J Symcox; S Driver; R G Hamilton; A M Warren Journal: Spinal Cord Date: 2014-01-14 Impact factor: 2.772
Authors: Claudio Peter; Rachel Müller; Marcel W M Post; Christel M C van Leeuwen; Christina S Werner; Szilvia Geyh Journal: Arch Phys Med Rehabil Date: 2014-05-02 Impact factor: 3.966
Authors: Eleanor Weitzner; Susan Surca; Sarah Wiese; Andrea Dion; Zoe Roussos; Rebecca Renwick; Karen Yoshida Journal: Qual Health Res Date: 2011-08-16
Authors: Elsbeth Littooij; Suzan Doodeman; Jasmijn Holla; Maaike Ouwerkerk; Lenneke Post; Ton Satink; Anne Marie Ter Steeg; Judith Vloothuis; Joost Dekker; Vincent de Groot Journal: Clin Rehabil Date: 2021-11-03 Impact factor: 3.477