Disability and Rehabilitation (DISABIL REHABIL )

Publisher: Taylor & Francis


Disability and Rehabilitation is an international, multidisciplinary journal which seeks to encourage a better understanding of all aspects of disability, and to promote the rehabilitation process. The journal publishes review articles, experimental and clinical research papers, case studies, clinical commentaries, reports on rehabilitation in practice, rehabilitation engineering and major book reviews, spanning a range of issues including the severity and magnitude of disability, clinical medicine including gerontology, psychosocial adjustment, social policy issues, vocational and educational training, and rehabilitation engineering. Occasional special issues on specific themes of interest to the journalís readership are published.

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    Disability & Rehabilitation website
  • Other titles
    Disability and rehabilitation
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  • Material type
    Periodical, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

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Taylor & Francis

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    • STM: Science, Technology and Medicine
    • SSH: Social Science and Humanities
    • Publisher last contacted on 25/03/2014
    • 'Taylor & Francis (Psychology Press)' is an imprint of 'Taylor & Francis'
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Publications in this journal

  • Disability and Rehabilitation 12/2014;
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    ABSTRACT: Purpose: To assess performance differences in a mock job interview and workplace role-play exercise for youth with disabilities compared to their typically developing peers. Methods: We evaluated a purposive sample of 31 youth (15 with a physical disability and 16 typically developing) on their performance (content and delivery) in employment readiness role-play exercises. Results: Our findings show significant differences between youth with disabilities compared to typically developing peers in several areas of the mock interview content (i.e. responses to the questions: ‘‘tell me about yourself’’, ‘‘how would you provide feedback to someone not doing their share’’ and a problem-solving scenario question) and delivery (i.e. voice clarity and mean latency). We found no significant differences in the workplace role-play performances of youth with and without disabilities. Conclusions: Youth with physical disabilities performed poorer in some areas of a job interview compared to their typically developing peers. They could benefit from further targeted employment readiness training.
    Disability and Rehabilitation 10/2014; in press.
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    ABSTRACT: Purpose: Delivering pediatric rehabilitation services to immigrant parents of children with disabilities requires the practice of culturally sensitive care. Few studies have examined the specific nature of culturally sensitive care in pediatric rehabilitation, especially the notions of effective communication and client engagement.Method: Interviews were held with 42 therapists (10 social workers, 16 occupational therapists, and 16 speech language pathologists) from two locations in Canada (Toronto and Quebec City). Data were analyzed using an inductive content analysis approach. Results: Study themes included the importance and nature of effective communication and client engagement in service delivery involving immigrant parents. Participants discussed using four main types of strategies to engage immigrant parents, including understanding the family situation, building a collaborative relationship, tailoring practice to the client’s situation, and ensuring parents’ understanding of therapy procedures. Conclusions: The findings illuminate the importance of effective, two-way communication in providing the mutual understanding needed by therapists to engage parents in the intervention process. The findings alsorichly describe the engagement strategies used by therapists. Clinical implications include recommendations for strategies for therapists to employ to engage this group of parents. Furthermore, the findings are applicable to service provision in general, as engaging families in a collaborative relationship through attention to their specific situation is a general principle of good quality, family-centred care.
    Disability and Rehabilitation 10/2014; in press.
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    ABSTRACT: Purpose: Outcome measures must be responsive to change (able to show statistically significant change) and must also produce information on the degree of change that is clinically significant, or the minimal clinically important difference (MCID). This research sought to establish the MCID for four domains of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs – OT). Methods: Using a criterion approach, 30 international clinicians were surveyed about their perceptions of the MCID for AusTOMs – OT. Second, using a distribution-based approach, the MCID was calculated as half of the standard deviation (SD) of the AusTOMs – OT raw scores for a sample of 787 clients. Results: Just over half the clinicians surveyed indicated that a one-point change represented the MCID for AusTOMs – OT for three domains, and 0.5-point change showed MCID for the final domain. The data analysed for the distribution-based calculation indicated that the half SD ranged from 0.51 to 0.61. Conclusion: Using both criterion and distribution-based approaches, this research empirically demonstrated that a change on the four domains of the AusTOMs – OT of between 0.51 and 1 point shows MCID. Considering these findings, and for ease of clinical interpretation, it is recommended that a one-point shift be adopted as the MCID across all domains.Implications for Rehabilitation The AusTOMs – OT have been previously shown to be valid and reliable outcome measures for use with all client groups across all settings including rehabilitation.So that rehabilitation professionals can interpret outcomes data from AusTOMs – OT, information must be available on the degree of change that is clinically significant (also referred to as the minimal clinically important difference or MCID).Using empirical calculations as well as clinician opinion, it is recommended that a one-point shift be used as the minimal clinically important difference for the AusTOMs – OT.
    Disability and Rehabilitation 08/2014;
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    ABSTRACT: Abstract Purpose: The objective of this study was to identify and describe management strategies to ensure safe return to activity (RTA) and return to school (RTS) of children with mild traumatic brain injury (MTBI) and determine whether they are evidence-based. Methods: A scoping methodology was conducted using research published between 1990 and 2013, gray literature and clinical expertise. Once the data had been charted, an expert panel of physicians and clinicians was consulted to inform and validate study findings. An analytical and thematic framework was used to examine the study findings. Results: A total of 400 potentially relevant published articles, 100 websites and 24 iPad Applications were found. Ten articles and three web-based resources met inclusion criteria and were included in the final review. Nine articles recommended a more conservative approach to RTA, as well as identified a step-wise or severity-oriented approach. General recommendations were also found regarding safe RTS. One study recommended a stepwise RTS protocol for children. Conclusions: This scoping methodology determined that the most comprehensive guidelines for management are focused on adults. Evidence concerning prolonged recovery patterns in children and the impact of concussion on the developing brain suggests that pediatric-specific guidelines are needed for RTA and RTS after MTBI/concussion. Implications for Rehabilitation Although concussion in children is an increasing concern, it has been determined that the most comprehensive guidelines for management are focused on adults. These guidelines are primarily consensus-based and are not proven fact through quality research. Evidence concerning prolonged recovery patterns in youth and the impact of concussion on the developing brain suggest that pediatric guidelines should be more conservative than for adults. Therefore, pediatric-specific guidelines need to be developed for return to activity and return to school after MTBI/concussion.
    Disability and Rehabilitation 08/2014;
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    ABSTRACT: Purpose: Improve the quantity and quality of information obtained from traditional Loewenstein Occupational Therapy Cognitive Assessment Battery systems to monitor the evolution of patients’ rehabilitation process as well as to compare different rehabilitation therapies. Methods: The system replaces traditional artefacts with virtual versions of them to take advantage of cutting edge interaction technology. The system is defined as a Distributed User Interface (DUI) supported by a display ecosystem, including mobile devices as well as multi-touch surfaces. Due to the heterogeneity of the devices involved in the system, the software technology is based on a client-server architecture using the Web as the software platform. Results: The system provides therapists with information that is not available (or it is very difficult to gather) using traditional technologies (i.e. response time measurements, object tracking, information storage and retrieval facilities, etc.). Conclusions: The use of DUIs allows therapists to gather information that is unavailable using traditional assessment methods as well as adapt the system to patients’ profile to increase the range of patients that are able to take this assessment.Implications for Rehabilitation Using a Distributed User Interface environment to carry out LOTCAs improves the quality of the information gathered during the rehabilitation assessment.This system captures physical data regarding patient’s interaction during the assessment to improve the rehabilitation process analysis.Allows professionals to adapt the assessment procedure to create different versions according to patients’ profile.Improves the availability of patients’ profile information to therapists to adapt the assessment procedure.
    Disability and Rehabilitation 08/2014;
  • Disability and Rehabilitation 08/2014; 36(16):1315-1319.
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    ABSTRACT: Purpose: To test the feasibility and acceptability of an implementation intention strategy (if-then plans) increasingly used in health psychology to bridge the goal intention–action gap in rehabilitation with people with neurological conditions who are experiencing difficulties with mobility. Methods: Twenty people with multiple sclerosis (MS) and stroke, randomised to an experimental and control group, set up to three mobility related goals with a physiotherapist. The experimental group also formulated if-then plans for every goal. Data collection: Focus groups and interviews with participants and therapists; Patient Activation Measure (PAM), 10-m walk test, Rivermead Mobility Index, self-efficacy, subjective health status, quality of life. Results: Qualitative data highlighted one main theme: Rehabilitation in context, encapsulating the usefulness of the if-then strategy in thinking about the patient in the context of complexity, the usefulness of home-based rehabilitation, and the perceived need for a few more sessions. Changes in walking speed were in the expected direction for both groups; PAM scores improved over 3 months in both groups. Conclusion: If-then plans were feasible and acceptable in bridging the goal intention–action gap in rehabilitation with people with MS and stroke, who are experiencing difficulties with mobility. This approach can now be adapted and trialled further in a definitive study. ä Implications for Rehabilitation Goal planning in rehabilitation necessitates specific strategies that help people engage in goal-related tasks. If-then plans aim to support people to deal more effectively with self-regulatory problems that might undermine goal striving and have been found to be effective in health promotion and health behaviour change. This feasibility study with people with a stroke and multiple sclerosis has demonstrated that if-then plans are feasible and acceptable to patients and physiotherapists in supporting goal-directed behaviour.
    Disability and Rehabilitation 08/2014;
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    ABSTRACT: Purpose. The author analyses some theoretical presuppositions of the Universal Design approach. She shows that it is based on two paradoxes: 1/ it reduces diversity to the “universal”, 2/ it depends on an asymmetrical view of abilities and disabilities. The author suggests a way of changing this concept in order to take into account uniqueness and diversity, in order to allow the shaping of abilities. Method. The data are taken from an ethnographical survey carried out between 2007 and 2009 made up of in-depth interviews with wheelchair users and their families. The interviews were analysed inductively using the Nvivo© programme. Results. The mobility of people in wheelchairs, and their capacity to act, are linked to their particular experience and are the result of a process of adjustment and arrangement. This process involves specific and varied resources and leads to changes in the individuals, in their dis/abilites, but also in their perceptions. Conclusions. This analysis leads to a change in the question of policy. This question is no longer “how to include diversity using the definition of “universal””, but “how to bring out and articulate this diversity, so as to vary the qualities of persons and the world in which they live”.
    Disability and Rehabilitation 07/2014; (early online).
  • Disability and Rehabilitation 09/2013; Early online.
  • Disability and Rehabilitation 01/2013;
  • Disability and Rehabilitation 01/2013; Accepted.