Masahiro Ogawa1, Yoriko Hayashi2, Tatsunori Sawada3, Mizuki Kobashi4, Hitoshi Tanimukai5. 1. Faculty of Rehabilitation, Kobe Gakuin University, Kobe, Japan. 2. Department of Rehabilitation, IMS Itabashi Rehabilitation Hospital, Tokyo, Japan. 3. School of Health Sciences, Tokyo University of Technology, Tokyo, Japan. 4. Department of Rehabilitation, Kyoto Hakuaikai Hospital, Kyoto, Japan. 5. Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Abstract
INTRODUCTION: This study is aimed at understanding how practicing the use of public transportation can affect the self-efficacy and perceptions of occupational enablement among patients with physical disabilities in a recovery rehabilitation hospital. METHOD: We recruited 21 inpatients with physical disabilities caused by stroke or orthopedic diseases from a recovery rehabilitation hospital in Japan and used a multimethod design including an intervention study and a follow-up survey. The intervention study utilized a before-after trial and provided hands-on training in the use of public transportation as the intervention. How self-efficacy and perceptions of occupational enablement changed before and after the intervention was measured using the visual analog scale (VAS). The follow-up survey was conducted to investigate whether patients used public transportation postdischarge. RESULTS: Only differences in the VAS scores regarding self-efficacy were significant between before and after the hands-on training in the use of public transportation, whereas differences regarding the perceptions of occupation enablement were not. Self-efficacy after the intervention was higher than that before the intervention. In the follow-up survey, both VAS scores of the psychological factors were significantly higher in the group that used public transportation postdischarge than in the group that did not. CONCLUSION: Providing hands-on training in the use of public transportation for inpatients with physical disabilities increased their self-efficacy, indicating that psychological factors should be evaluated to predict their occupational skill improvement and to verify the outcomes of an occupational therapeutic intervention.
INTRODUCTION: This study is aimed at understanding how practicing the use of public transportation can affect the self-efficacy and perceptions of occupational enablement among patients with physical disabilities in a recovery rehabilitation hospital. METHOD: We recruited 21 inpatients with physical disabilities caused by stroke or orthopedic diseases from a recovery rehabilitation hospital in Japan and used a multimethod design including an intervention study and a follow-up survey. The intervention study utilized a before-after trial and provided hands-on training in the use of public transportation as the intervention. How self-efficacy and perceptions of occupational enablement changed before and after the intervention was measured using the visual analog scale (VAS). The follow-up survey was conducted to investigate whether patients used public transportation postdischarge. RESULTS: Only differences in the VAS scores regarding self-efficacy were significant between before and after the hands-on training in the use of public transportation, whereas differences regarding the perceptions of occupation enablement were not. Self-efficacy after the intervention was higher than that before the intervention. In the follow-up survey, both VAS scores of the psychological factors were significantly higher in the group that used public transportation postdischarge than in the group that did not. CONCLUSION: Providing hands-on training in the use of public transportation for inpatients with physical disabilities increased their self-efficacy, indicating that psychological factors should be evaluated to predict their occupational skill improvement and to verify the outcomes of an occupational therapeutic intervention.
Authors: Jon A Sanford; Patricia C Griffiths; Peg Richardson; Katina Hargraves; Tina Butterfield; Helen Hoenig Journal: J Am Geriatr Soc Date: 2006-11 Impact factor: 5.562
Authors: Dawn C Mackey; Jane A Cauley; Elizabeth Barrett-Connor; John T Schousboe; Peggy M Cawthon; Steven R Cummings Journal: J Am Geriatr Soc Date: 2014-06-16 Impact factor: 5.562