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Differences between home-visit rehabilitation users and providers in their understanding of the content and subjective effects of rehabilitation practices
Authors:Tomoko Ohura  Tsutomu Tsuyama  Takeo Nakayama
Affiliation:1) Division of Occupational Therapy, Faculty of Care and Rehabilitation, Seijoh University, Japan;2) Department of Health Informatics, Kyoto University School of Public Health, Japan;3) Kumano Clinic, Japan
Abstract:[Purpose] This study aimed to clarify differences between home-visit rehabilitation usersand providers in their understanding of the content and subjective effects of thispractice. [Subjects] The subjects of this study were home-visit rehabilitation users andproviders. [Methods] Home-visit rehabilitation users and providers were givenself-administered questionnaires regarding home-visit rehabilitation, such as the contentand subjective effects. The McNemar’s test was used for statistical analysis. [Results]Responses of 34 pairs meeting the inclusion criteria were analyzed. Mean user age was 75.2± 9.2 years, and 58.8% (20/34) of respondents were female. In terms of home-visitrehabilitation content, users believed that the following 3 items had been “implemented”to a greater extent than that estimated by providers: paralysis improvement exercise,floor sitting and standing, and self-care activities. No significant differences inawareness were identified between users and providers regarding themaintenance/improvement effects of home-visit rehabilitation. [Conclusion] Users tend toconsider that programs aimed at relieving symptoms and pain and improving mobility arebeing implemented to a greater extent than that considered by providers. Providers need toexplain the aims of home-visit rehabilitation programs in a way that can be understood byusers.Key words: Home-visit rehabilitation, Subjective effects, Rehabilitation program
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