Feng-Hang Chang

• PhD
• Professor (Associate) at Taipei Medical University

Objective: To describe the development of a participation measure that assesses three domains (productivity, social, and community) and four dimensions (frequency, diversity, desire for change, and perceived difficulty) of participation and to evaluate the initial psychometric properties in rehabilitation outpatients. Design: A mixed-method appr...

To develop an interactive voice response (IVR) version of the Late-Life Function and Disability Instrument Computer Adaptive Test (LLFDI-CAT) and to evaluate its reliability and acceptability in older adults. The IVR system was embedded within the LLFDI-CAT program. To test the test-retest reliability and concordance of the IVR version of LLFDI-CAT...

Participation is a key indicator of health and well-being and a critical rehabilitation goal for individuals with disabilities. Despite the numerous participation measures that have been developed, there is still an absence of agreement on the definition, domains and dimensions of this construct. The result is that instruments intending to measure...

This study aimed to examine the ability of different domains of activity limitation to predict discharge destination (home vs. nonhome settings) 1 mo after hospital discharge for postacute rehabilitation patients. A secondary analysis was conducted using a data set of 518 adults with neurologic, lower extremity orthopedic, and complex medical condi...

Community participation is an important goal for people who have experienced homelessness. The aim of this study was to use the International Classification of Functioning, Disability and Health (ICF) as a framework to examine factors associated with community participation among people who are homeless or recently housed through housing programs....

Background Global populations are aging, and the numbers of stroke survivors is increasing. Consequently, the need for caregiver support has increased. Because of this and demographic and socioeconomic changes, foreign caregivers are increasingly in demand in many developed countries. Therefore, the perspectives of older adult care recipients regar...

Importance: Transitioning from the hospital to the community poses significant challenges for stroke survivors and their caregivers. Objective: To examine the feasibility and preliminary effects of a dyad-focused strategy training intervention. Design: Single-arm trial with data collection at baseline, postintervention, and 3-mo follow-up. Setting:...

Purpose: Strategy training is a rehabilitation intervention that aims to enhance problem-solving skills with respect to daily activity-related challenges and has achieved favorable results in Western countries. This study explored the perspectives of individuals with acquired brain injury (ABI) in Taiwan who received strategy training. Materials...

Research Objectives To explore the courses of participation among younger patients (< 65 years) with stroke in Taiwan following their discharge and to identify the predictors of these courses. Design Prospective, longitudinal cohort study with repeated-measures. Setting Acute care settings in Taiwan. Participants A total of 570 patients with str...

Objective: To investigate the effect of force applied during massage on relieving nonspecific low back pain (LBP). Methods: This single-blinded, randomized controlled trial enrolled 56 female patients with nonspecific LBP at a single medical center. For each participant, the therapist performed a 30 min massage session (20 min general massage an...

Background and Objectives With a growing aging stroke population and the changing structure of the society, the demand for foreign caregivers has rapidly increased in Taiwan and many other developed countries. However, little is known regarding the perception, values, and abilities of foreign caregivers and how those may influence their quality of...

Background: Community participation is an indicator of recovery for younger adults after stroke who generally have a greater need to return to society than do older adults. However, little is known about the trends of participation and their determinants in this population. Objective: To explore the trends of community participation by younger (...

Despite the increasing popularity of table tennis worldwide, few studies have focused on table tennis injuries. This study aimed to investigate the injury profiles, including the injury rate, types, locations, and risk factors, among nonprofessional collegiate table tennis athletes in Taiwan. We performed an online investigation among collegiate ta...

Research Objectives To compare the perspectives of clients and therapists regarding the expectations for, benefits of, and factors influencing the implementation of strategy training for adults with cognitive impairment in Asian countries. Design Qualitative analysis of data collected via semi-structured interviews. Setting Rehabilitation outpati...

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. We examined similarities and differences in cultural values, beliefs, and experiences between OTs in Taiwan and the United States with respect to the delivery of a strategy-training intervention approach to stroke survivors. Findings of this st...

Purpose Strategy training is a promising stroke rehabilitation intervention commonly delivered in Western countries. We examined the perspectives of rehabilitation therapists who have delivered strategy training in Taiwan and the United States to understand the influence of culture on strategy training implementation. Materials and methods In this...

Introduction Stroke can lead to life-long disability and constitutes a huge financial burden on the family and society. Stroke survivors with cognitive impairment often experience considerable challenges in the process of recovery and returning to society. Interventions that effectively help individuals resume essential daily activities and return...

Purpose: To learn about the experiences of stroke recovery among young stroke survivors in Taiwan and to elucidate the beliefs, goals, and facilitators of and barriers to their recovery. Methods: A qualitative approach was used for data collection, and data were obtained from five focus groups consisting of stroke survivors aged 20-64 years (n =...

Objective: To identify predictors of admission to post-acute inpatient rehabilitation settings following acute care for stroke survivors in Taiwan. Design: Prospective observation study. Participants: Stroke survivors (n = 558) admitted to acute care wards for inpatient rehabilitation (62% male; mean age 60.0 ± 12.2 years). Methods: The prim...

Objective: To determine whether dextrose prolotherapy offers clinical benefits in patients with shoulder pain and bursitis. Design: Double-blinded, randomized controlled trial. Setting: Outpatient rehabilitation department of a single medical center. Participants: Fifty patients who had received a diagnosis of shoulder pain and bursitis thro...

Date Presented 03/27/20 We explored the experiences of clients and their therapists using strategy training in outpatient settings in Taiwan with qualitative data to understand the benefits and challenges that they perceived during the intervention. Findings of this study support the use of strategy training in individuals with chronic stroke and b...

Date Presented 03/28/20 We developed a tablet-based participation measure and compared its reliability, concordance, and acceptability to older adults in outpatient rehabilitation settings with the paper-form version. Findings of this study provide supportive evidence for administering a tablet-based participation measure to older populations in re...

Background: Family caregivers of patients on prolonged mechanical ventilation (PMV) may encounter challenges concerning medical decision-making besides witnessing patient suffering. Palliative care (PC) should be a good support for both patients and caregivers; however, for PMV families, PC is not always a choice through long companion time. This...

Importance: Before introducing strategy training into a cross-cultural (Chinese) context, it is necessary to evaluate its feasibility. Objective: To examine the feasibility of applying strategy training to improve participation outcomes of rehabilitation patients in Taiwan and evaluate the potential intervention effects. Design: A single-group...

Objectives: To examine the responsiveness and predictive validity of the Participation Measure-3 Domains, 4 Dimensions (PM-3D4D) in people receiving outpatient rehabilitation following stroke. Design: Prospective cohort observational study. Setting: Outpatient rehabilitation settings. Participants: Volunteer patients (N=269) with stroke (mea...

Purpose Since the vocational outcomes of people with schizophrenia should be viewed in a holistic way, the second edition of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) might provide an evaluation regarding employment potential. To determine whether the WHODAS 2.0 scores can be used to predict employment status, we exa...

Patients with traumatic brain injury (TBI) often present with disabilities associated with a high burden of care for caregivers or family members at home. When family members cannot afford to care for patients with TBI, they are often required to find them residence in long-term care institutions. To date, there are no quantitative assessment tools...

Purpose: To develop a tablet-based participation measure and to evaluate its reliability and acceptability to an older Chinese population in rehabilitation settings. Method: A multidimensional, self-reported participation measure, the Participation Measure–3 Domains, 4 Dimensions (PM-3D4D), was programed into mobile application software and present...

Importance: A standardized functional measure that can be used across rehabilitation care settings in Taiwan is urgently needed. Objective: To generate a Mandarin version of the Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks" for patients in acute care. Design: Mixed-methods study with a cross-sectional design. Setting: Acute care w...

Purpose: The purpose of this study was to investigate the cultural and semantic equivalence of the Activity Measure Post-Acute Care (AM-PAC) outpatient short forms after they were translated from American English to Mandarin Chinese. Method: This study was conducted with a composite sample of a group of 483 American adults (mean age 63.1 years,...

Purpose: To explore the perceptions and attitudes among people with disabilities towards the newly implemented International Classification of Functioning, Disability and Health-based disability evaluation system (the new system) in Taiwan. Method: Using a self-administered questionnaire, we conducted a nationwide survey. The questionnaire focus...

Background The intent of this study was to examine and compare the ability to detect change of two patient reported outcome (PRO) instruments that use a computerized adaptive test (CAT) approach to measurement. The Patient Reported Outcomes Measurement Information System (PROMIS®) Physical Function scale is a generic PRO, while the Osteoarthritis C...

Objective To examine the construct validity of the Participation Measure--3 Domains, 4 Dimensions (PM-3D4D), a multidimensional participation measure developed for use in rehabilitation practice. Design Cross-sectional study. Setting Outpatient rehabilitation programs. Participants Rehabilitation patients (n=556, mean age±SD, 61.4±23.6 years; 47...

Purpose: The aims of this study were to translate and adapt the Activity Measure Post-Acute Care (AM-PAC) from US English to Mandarin using the dual-panel method, and to assess its psychometric properties in an outpatient rehabilitation setting. Methods: The AM-PAC outpatient short forms were translated using the dual-panel method. The translated A...

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 coders thematically analyzed t...

Background WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) is a feasible tool for assessing functional disability and analysing the risk of institutionalisation among elderly patients with dementia. However, the data for the effect of education on disability status in patients with dementia is lacking. The aim of this large-scale, population-ba...

Objective: To evaluate the test-retest reliability and the concordance between the interviewer-administered version and the self-administered version of a newly developed participation measure: Participation Measure--3 Domains, 4 Dimensions (PM-3D4D). Design: Multicenter observational study. Setting: Outpatient rehabilitation programs. Partic...

Objective: The Quality of Life after Brain Injury (QOLIBRI), a cross-cultural instrument, has been validated in several languages; however, traditional psychometric approaches have critical limitations. Therefore, we applied the Rasch model for validating the 37-item QOLIBRI scale among a Chinese population with traumatic brain injury. Participan...

Purpose: To identify the contextual factors that influence community participation in rehabilitation outpatients from the perspectives of patients and their service providers. Method: Five focus groups with rehabilitation outpatients (n?=?22) and three focus groups with occupational and physical therapists (n?=?17) were conducted. Two independen...

Objective: The primary aim of this study was to examine and refine a modified measure of participation for adults with spinal cord injury (SCI) based on a conceptual model of participation. Method: This study involved secondary analysis of data from a larger study designed to identify a standard measure of participation for use in SCI research. The...

Background: To analyse the disability status of elderly Taiwanese dementia patients by using the World Health Organisation Disability Assessment Schedule 2.0 (WHODAS 2.0). Methods: We enrolled 12 126 disabled elderly (>65 years) patients with dementia during July 2012-January 2014 from the Taiwan Data Bank of Persons with Disability. Trained int...

Objective: The primary aim of this study was to examine and refine a modified measure of participation for adults with spinal cord injury (SCI) based on a conceptual model of participation. Method: This study involved secondary analysis of data from a larger study designed to identify a standard measure of participation for use in SCI research....

The aims of this study were to (1) construct a multidimensional measure of participation (the Community Participation Domains Measure (CPDM)) based on a conceptual model of participation and (2) test the construct validity of the CPDM in adults with serious mental illnesses (SMI). The sample consisted of 235 adults with SMI who completed the Temple...

This study examined whether self-efficacy mediated the effect of the HIP Rehab exercise program on activity limitations in older adults after hip fracture, and whether the mediation effect was different between different gender and age groups. Randomized controlled trial (RCT) SETTING: Community PARTICIPANTS: Two hundred and thirty two participants...

The definition of disability had been unclear until the International Classification of Functioning, Disability, and Health was promulgated in 2001 by the World Health Organization (WHO). Disability is a critical but relatively neglected public-health concern. We conducted this study to measure disabilities by using the WHO Disability Assessment Sc...

Understanding individual experiences is crucial for consumer-centered practice and policy. However, limited literature has thoroughly explored individual employment experiences outside of rehabilitation programs. The purpose of this study is to demonstrate the challenges that two individuals with severe mental illness (SMI) had experienced in compe...

The Practical Skills Test (PST) is a new assessment of individuals' knowledge of life skills. We evaluated the PST's reliability, validity, and sensitivity to change among a homeless population. Participants were 123 homeless persons in a longitudinal experimental study who were assessed before and after intervention with the PST, Allen Cognitive L...

Objective: To identify instruments that measure community participation in people with disabilities and to evaluate which domains, to what extent, and how precisely they address this construct. The review aims to provide information to guide the selection of community participation instruments and to identify limitations of existing measures. Dat...

Objective The Practical Skills Test (PST) is a new measurement tool, designed to assess individuals' knowledge of life skills in food management, money management, home and self-care, and safe community participation. This study aimed to evaluate the reliability, validity, and sensitivity to change of the PST among homeless individuals with mental...

Objective: To identify the factors that influence an individual's quality of life (QOL) after spinal cord injury (SCI) based on the International Classification of Functioning, Disability and Health (ICF) framework. Design: Cross-sectional exploratory study. Setting: Taiwan community. Participants: Community-dwelling adults (N=341) who had s...

Background: Accumulated literatures have showed that decent work is one of the best means to help people with mental illness to recover and return back to a normal life. Therefore, assistance for returning to work is an essential part of rehabilitation programs. Employers' attitudes toward people with mental illness are important because they hol...