Abstract:
:Purpose: To (A) develop a method for measuring compliance with standards, and (B) implementation of the method in 12 rehabilitation centers in six low and middle-income countries (LMICs). Methods: In part A, existing standards were compiled and operationalized into scores, organized into 5 'scorecards' and 15 'sub-scorecards', then tested and refined in an iterative process. In part B, 12 rehabilitation centers in 6 countries implemented the standards using the new method, revealing relative performance between centers, and across different standards. Internal consistency of scores within domains was computed using Chronbach's alpha. Results: A standardized method for scoring compliance with standards for rehabilitation was developed. The method evaluated compliance with standards in five domains of practice: user focused approach, service outputs, finances, staff, and general management. Multiple standards within domains were strongly related, with Chronbach's alpha >0.80 for all but the equipment and supplies domain. Overall, in the 12 rehabilitation centers examined, 36% of standards were met or exceeded. Compliance within each scoring domain was 56% (user-focused approach), 38% (service outputs), 27% (financial management), 30% (staff management), and 33% (general management). Two out of 12 (17%) of centers met more than two-thirds of the standards, 3 (25%) met more than one-third of standards, while the remaining 7 (58%) met less than one-third of standards. Conclusions: A new, standardized method for measuring performance of rehabilitation services in LMICs was developed. The method examines standards in five rehabilitation practice domains, and can be used to understand barriers to quality performance, particularly in resource-constrained settings. Implementation of the method demonstrated that current compliance with standards is modest. Ongoing interest in new standards for rehabilitation practice should be accompanied by measures to ensure they are used to strengthen quality in an emerging rehabilitation sector. Implications for rehabilitation We developed a method for measuring compliance with standards for rehabilitation, and implemented the method in 12 rehabilitation centers in low and middle income countries. We demonstrate modest compliance with an adapted list of known standards of practice. New standards, scoring methods and evidence of current performance may assist service providers and policy makers to implement standards, and methods to strengthen rehabilitation services. Modest compliance with current standards suggest new emphasis on quality performance of health-related rehabilitation is needed New emphasis on standards for rehabilitation should be accompanied by consideration of how performance against those standards can be measured and improved.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Pryor W,Newar P,Retis C,Urseau Idoi
10.1080/09638288.2018.1462409subject
Has Abstractpub_date
2019-09-01 00:00:00pages
2264-2271issue
19eissn
0963-8288issn
1464-5165journal_volume
41pub_type
杂志文章abstract::The subacute phase of low back pain has been termed as the "golden hour" to intervene to prevent work disability. This notion is based on the literature up to 2001 and is limited to back pain. In this narrative review, we examined whether the current literature indicate an optimal time for return to work (RTW) interve...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1503735
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:To examine the relevance of the International Classification of Functioning, Disability and Health (ICF) to CBR monitoring and evaluation by investigating the relationship between the ICF and information in published CBR monitoring and evaluation reports. METHOD:A three-stage literature search and analysis met...
journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2013.821182
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abstract:PURPOSE:The purpose of this study was to identify what acute care variables and/or perceived recovery factors could predict decreased participation in physical activities post-mild stroke. METHODS:Secondary analysis of persons with mild stroke. Participants were split into two groups based on the percentage of high-de...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2012.720635
更新日期:2013-07-01 00:00:00
abstract:PURPOSE:Storybook reading provides a natural language learning context in which to support early symbolic communication. In this study, we explored the impact of (1) resting hand splints, (2) light tech augmentative communication systems such as voice-output devices and symbols, and (3) very basic parent training on th...
journal_title:Disability and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1080/09638280150504225
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abstract:UNLABELLED:The purpose of this study was to understand how neighbourhoods - as physical and social environments - influence community mobility. Seeking an insider's perspective, the study employed an ethnographic research design. Immersed within the daily lives of 6 older adults over an 8-month period, auditory, textua...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.837970
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:To outline the thinking of disabled people about their situation and status before the formulation of the ICIDH (International Classification of Impairment, Disability and Handicap) in 1980, the growth of the international disability rights movement since 1980, its subsequent involvement in the revision process...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/0963828031000137072
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abstract:PURPOSE:The term "Living Lab" was coined to reflect the use of sensors to monitor human behavior in real life environments. Until recently such measurements had been feasible only within experimental laboratory settings. The objective of this paper is to highlight research on health care sensing and monitoring devices ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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更新日期:2016-01-01 00:00:00
abstract::Disabled Persons Assembly (New Zealand) Inc. is the umbrella group and voice of people with disabilities in New Zealand. Formed from three groups in the early 1980s, it is unique in that the organization includes both individual and corporate members. The former are largely people with disabilities or their relatives,...
journal_title:Disability and rehabilitation
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abstract::Purpose: This study aims to explore the physical, psychological and social wellbeing of veterans who have experienced limb-loss and to ascertain the factors that contribute to the ability of veterans to maintain their independence at various stages in their lives.Methods: Sixty two life-story interviews were conducted...
journal_title:Disability and rehabilitation
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abstract::Purpose: The aim of this systematic review was to assess the effect of virtual representation of body parts on pain perception in patients with pain and in pain-free participants exposed to experimentally induced pain.Methods: Databases searched: Medline, PsycInfo, CINAHL, and Web of Science. Studies investigating par...
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abstract:PURPOSE:To identify environmental factors associated with participation and gain an in-depth understanding of relationships between environmental factors and participation among people with spinal cord injury. METHOD:Six focus groups (n= 30) with individuals with spinal cord injury were conducted. Two independent code...
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abstract:PURPOSE:The aim of this study was to examine the validity of the assessment of living skills and resources (ALSAR) and the extent it contributes to and reflects the risk and accomplishment in instrumental activities of daily life for older people. METHOD:The assessment was examined for evidence of construct validity, ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280802105881
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:Restorative sleep is clearly linked with well-being in youth with chronic health conditions. This review addresses the methodological quality of non-pharmacological sleep intervention (NPSI) research for youth with chronic health conditions. METHOD:The Guidelines for Critical Review (GCR) and the Effective Pub...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2012.723788
更新日期:2013-07-01 00:00:00
abstract:PURPOSE:In Norway, the speech therapist is responsible for the assessment of language impairment after stroke, but many hospitals have no speech therapist. This study therefore developed and evaluated a simple method to be used by nurses to detect aphasia in the acute stage of stroke; the Ullevaal Aphasia Screening (UA...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/096382899297846
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:Action Observation Treatment is a novel rehabilitation approach exploiting a neurophysiological mechanism that allows one to recruit the neural structures sub-serving action execution during the mere observation of those same actions. Action Observation Treatment is effective in the rehabilitation of several ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1793009
更新日期:2020-08-17 00:00:00
abstract:PURPOSE:Community participation is of importance to people with aphasia, who are at risk of becoming socially isolated. This study investigates the content of measures of community and social participation for this population by crosswalking items to the ICF. This will evaluate: (1) to what extent the included assessme...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To determine the reproducibility, responsiveness and concurrent validity of Dutch versions of the Fatigue Severity Scale (FSS), Modified Fatigue Impact Scale (MFIS), and Checklist Individual Strength (CIS20R) in patients with multiple sclerosis (MS). METHOD:Forthy-three ambulatory patients with MS (mean age 48...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To develop a test that identified fallers from their turning strategies, as people with Parkinson's Disease (PD) commonly fall turning. METHOD:We compared (1) Turn Types demonstrated when turning 180 degrees during the Timed Up and Go Test (TUG Test) by 19 non-fallers and 29 fallers (median age 71) and (2) Tur...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280410001663085
更新日期:2004-04-22 00:00:00
abstract::Purpose To investigate shoulder function, pain and Health-Related Quality of life (HRQoL) among adults with joint hypermobility syndrome/Ehlers-Danlos syndrome-hypermobility type (JHS/EDS-HT), compared with the general population (controls). Method In a cross-sectional study using postal survey, 110 patients diagnosed...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2015.1102336
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Data on disability are regularly collected by different institutions or ministries using specific tools for different purposes, for instance to estimate the prevalence of disability or eligibility of specific populations for social benefits. The interoperability of disability data collected in countries is e...
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更新日期:2019-03-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:1999-02-01 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2011.626485
更新日期:2012-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3109/09638288.2013.770084
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:Pressure mapping systems provide useful information for pressure care assessment. Healthcare professionals tend to rely upon their colour-coded pressure maps to assist clinical decision-making, based on ranking these from best to worst pressure distribution. The current study investigated whether such ranking i...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701400409
更新日期:2008-01-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2020-12-05 00:00:00
abstract:PURPOSE:To explore ideas experts, working in the field of physical activity for people with a disability, pose on a stimulating movement intervention for physically disabled people longer than one year post rehabilitation or not familiar with rehabilitation. METHODS:Four semi-structured focus groups were conducted wit...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
abstract:PURPOSE:The purpose of this study is to cross-culturally adapt the Knee Outcome Survey-Activities of Daily Living Scale into Arabic and to assess its psychometric properties (internal consistency, reliability, validity, and responsiveness) in patients with knee disorders. METHODS:The cross-cultural adaptation process ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2018-07-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2020-05-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2003-04-22 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00