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Autism is a widespread neurodevelopmental disorder. The cause of autism is still unclear. Once it occurs, it will be accompanied for life. Intervention treatment is currently recognized as an effective method. With the rise of somatosensory technology, Kinect has gradually been applied to the field of autism rehabilitation with its natural human-computer interaction and game rehabilitation psychology. Because there is a great demand for autism rehabilitation training resources in China and the existing somatosensory rehabilitation equipment has some shortcomings, this study designed a set of somatosensory rehabilitation system for autistic children based on Kinect and carried out its rehabilitation effect with experimental demonstration. The specific research work mainly includes the following contents: first, aiming at the rehabilitation needs of children with autism, this article combines mainstream intervention treatment methods, using C# programming language and Windows Presentation Foundation (WPF) development technology to develop Kinect-based somatosensory game modules. The somatosensory rehabilitation game involves the training of the language communication, behavioral movement, daily life, sensory integration, and other comprehensive abilities of children with autism, which improves the shortcomings of the previous rehabilitation training in the scope of intervention. A variety of game types and diversified game modes are designed to meet the individual needs of rehabilitation training for children with autism. Second, experiments were carried out to verify the rehabilitation effect of the system. Using the Childhood Autism Rating Scale (CARS) and Pediatric Evaluation of Disability Inventory (PEDI) scale as the rehabilitation effect evaluation tools of this system, the experimental subjects were divided into the experimental group and control group, and different comparative experiments were conducted, respectively. Through the analysis of the scoring data of the CARS, it is found that the comprehensive ability of the experimental group of children receiving somatosensory rehabilitation training is significantly improved. Through the analysis of the scoring data of the PEDI scale, it is found that the children’s language communication, behavioral activities, and daily life abilities of the experimental group have been significantly enhanced. This article focuses on the design of the somatosensory game module of the autistic somatosensory rehabilitation system and the analysis of the system’s rehabilitation effect. It satisfies the training and rehabilitation needs of children with autism and has strong practical significance.

PURPOSE: To inform the field of rehabilitation psychology about the impacts of the 2019 novel coronavirus (COVID-19) on the disability community in the United States and the additional sources of stress and trauma disabled people face during these times. METHOD: A review of the literature on disability and COVID-19 is provided, with an emphasis on sources of trauma and stress that disproportionately impact the disability community and the ways in which disability intersects with other marginalized identities in the context of trauma and the pandemic. We also reflect on the potential impacts on the field of psychology and the ways in which psychologists, led by rehabilitation psychologists, can support disabled clients and the broader disability community at both the individual client and systemic levels. RESULTS: The COVID-19 pandemic introduces unique potential sources of trauma and stress within the disability community, including concerns about health care rationing and ableism in health care, isolation, and the deaths and illnesses of loved ones and community members. CONCLUSIONS/IMPLICATIONS: Rehabilitation psychologists and other professionals should be aware of the potential for trauma and stress among disabled clients and work with them to mitigate its effects. Additionally, psychologists should also work with the disability community and disabled colleagues to address systemic and institutional ableism and its intersections with other forms of oppression. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Objective: To determine the multidimensionality of acceptance of spinal cord injury (SCI). Participants: Adults with SCI who were admitted to an SCI centre between 1991 and 2020. Methods: All eligible participants (n=686) were invit-ed to complete a survey via REDCap. A 4-dimensional model was hypothesized, which included “Accepting Reality”, “Value Change”, “Letting Go of Control” and “Behavioural Engagement”. Items from 3 accept-ance scales were selected to collectively reflect these 4 dimensions: (i) Spinal Cord Lesion-related Coping Strategies Questionnaire, (ii) Coping Orientations to Problems Experienced, and (iii) a modified Acceptance and Action Questionnaire. A split-sample principal component analysis (PCA) and confirmatory factor analysis (CFA) approach was used. Results: Complete data were provided by 431 participants (62.8%). A PCA on sub-sample one suggest-ed a 4-factor model based on eigenvalues ≥ 1, corresponding to the hypothesized model of acceptance. A CFA on sub-sample 2 showed good model fit, adding further support to the model. Conclusion: These findings suggest that acceptance is a multidimensional construct with 4 facets that represent distinct, but interconnected, psychological processes. This model of acceptance can be used as a framework for future research and clinical practice to deepen our understanding of acceptance processes following severe injuries, such as SCI. Lay abstract Acceptance has long been considered a core principle of adjustment in rehabilitation psychology. However, several distinct ways of defining and measuring acceptance exist in the literature. The aim of this study was therefore to explore the nuances of acceptance by combining these different definitions in a multidimensional model of acceptance, and testing it empirically. The sample included 431 adults with spinal cord injury who responded to 3 acceptance questionnaires that defined acceptance differently. The statistical analysis showed that acceptance should be regarded a multidimensional construct with 4 facets: “Accepting Reality”, “Value Change”, “Letting Go of Control” and “Behavioral Engagement”. These facets of acceptance reflect distinct, but interconnected, psychological processes, which necessitates a shift in how researchers and healthcare professionals approach this complex topic. We need to be mindful of these nuances in our understanding of acceptance, but also in our measurement strategy and communication with other professionals and patients.

Background: Coronavirus disease 2019 (COVID-19) as a fatal epidemic has swept across the world, especially in India where the epidemic situation is the most serious. For COVID-19 patients, pulmonary rehabilitation training plays a significant role. However, it is still a controversial issue regarding the efficacy of WeChat APP-based pulmonary rehabilitation training in improving lung function, quality of life and bad mood of COVID-19 patients. To clarify this issue, a meta-analysis was conducted in this present study, so as to provide a basis for rehabilitation guidance of COVID-19 patients. Methods: We systematically searched PubMed, medRxiv, Web of Science, Scopus, Chinese Science Citation Database, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Chinese Scientific Journal Database, and Wan-fang databases in May 2021 to identify randomized controlled trials and evaluate the effects of WeChat APP-based pulmonary rehabilitation training for COVID-19. Two researchers independently carried out data extraction. On the other hand, literature quality evaluation on the quality and meta-analysis of the included literature was performed with Revman5.3 software. Results: The results of this meta-analysis will be submitted to a peer-reviewed journal for publication. Conclusion: This study will provide reliable evidence-based evidence on the effects of WeChat APP-based pulmonary rehabilitation training on lung function, bad mood, and quality of life in patients with COVID-19. Ethics and dissemination: Ethical approval was not required for this study. The systematic review will be published in a peer-reviewed journal, presented at conferences, and shared on social media platforms. OSF Registration number: DOI 10.17605/OSF.IO/MKXCH.

Rehabilitation psychology uniquely incorporates a holistic, psychosocial perspective encompassing all aspects of disability, with a particular focus on the connection between disabled people and the social environment. This article introduces a special issue of Rehabilitation Psychology on diversity and social justice in disability research. The 13 articles in this special issue coalesce around the 3 themes of (a) critical disability identity theory, (b) discrimination and prejudice, and (c) health disparities in the context of disability. This article introduces each of these articles and draws upon the work contained in this special issue to highlight important future directions for research on diversity and social justice in disability across the following areas: (a) nondisabled privilege, (b) rehabilitation versus cure versus adjustment, (c) diverse modes of knowing, and (d) a priori diversity and strength-based measures. This special issue helps rehabilitation psychologists consider how they can best fulfill their social justice, human rights, and advocacy missions in order to advance access and inclusion with and for diverse groups of disabled people. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

As the proportion and sheer number of older adults in the United States continues to increase, we need to plan for their behavioral health care. Access to accurate data about current workforce characteristics in psychology can provide essential information to inform workforce planning. In this paper, we present results of the American Psychological Association’s Center for Workforce Studies survey of psychologists, with a focus on older adults. Participants (N = 4,109) were doctoral psychologists identified through state licensing boards. Only 1.2% of those surveyed described geropsychology as their specialty area, although 37.2% reported seeing older adults frequently or very frequently, most often from the specialties of rehabilitation psychology, clinical neuropsychology, and clinical health psychology. Frequent providers of aging services were more likely to be older, nonethnic minority, working in independent practice as their primary work setting, and self-employed as compared to other respondents. In addition, frequent providers of services to older adults were more likely to be in practices colocated with medical professionals and to accept Medicare as payment. Low reimbursement rates were cited as a reason for not accepting Medicare by those who did not. There was strong interest in further education in aging from all psychologists in areas including adjustment to medical illness/disability, depression, bereavement, dementia, anxiety, psychotherapy, and caregiver stress. The results of this survey suggest a continued urgent need to train psychologists across subfields in foundational geropsychology competencies that all psychologists should possess to be prepared for the rapidly growing and increasingly diverse population of older adults.

With the evolution of the COVID-19 pandemic in the United States in March 2020, most ambulatory care environments rapidly pivoted to extensive use to telehealth to protect patients and providers while continuing to provide care. This shift resulted in the expansion of telehealth platforms and workflows. Many behavioral health services can be provided in a telehealth format. The case example in this article illustrates that transition to telehealth is feasible and sustainable. Limitations include preoperative psychological assessments and certain neuropsychological tests requiring material manipulation. Careful consideration of risk factors should be exerted for more vulnerable patient populations.

No abstract available.

Introduction: Participation of female athletes in collegiate athletics continues to rise, but there remains a significant underrepresentation of this growth in the literature and lack of knowledge regarding the impact of gender on the college athlete experience. Our goal was to explore how collegiate female and male athletes perceive and approach return to sport after orthopaedic surgery. Methods: Semi-structured, open-ended interviews were conducted with collegiate varsity athletes from a single institution who underwent orthopaedic surgery following injury with at least two years follow-up. Athletes were asked about factors influencing recovery, rehabilitation, and their return to or retirement from sport. Codes, categories, and themes were derived within and across genders. Results: Fifteen athletes (six females and nine males) were interviewed individually. Athletes shared similar experiences following injury, citing similar motivations driving them back to sport. Athletes stressed the importance of the athlete role to their identity regardless of gender. Our analysis revealed two gender-related challenges: male athletes commonly felt weight change was a barrier to successful recovery and often led to self-consciousness; while females expressed frustrations in lack of empathy from those they turned to for support. Conclusion: Female and male athletes shared some common supporting and challenging factors in return to sport following orthopaedic surgery. The most important findings of the present study were the differentiated challenges male versus female athletes experienced. Female athletes found difficulty with interpersonal relationships and external support, while male athletes struggled internally with their own body image and changing self-concept. This qualitative study provides a nuanced look at the experience of varsity athletes returning to sport following surgery. An understanding of the gendered experiences of collegiate athletes is critical to ensure all athletes in this unique population are supported as they cope with injury and seek to return to sport.

Rehabilitation psychology is based on foundational principles that can guide us toward health equity among disabled and nondisabled communities. We summarize the literature on disparities in the disability community and underscore the urgency to address underlying inequities to eliminate disparities. We include examples of population-level interventions that promote equity in the disability community. We conclude with a call for a broader mission for rehabilitation psychologists based on the field's foundational principles, and outline emerging opportunities to widen our impact and advance equity. Our foundational principles, built on systems theory, call on rehabilitation psychologist to work at macrosystemic levels. As rehabilitation psychologists, we need to widen our focus from the micro (individual) to the macro (population) level. We need to bring the respect, dignity, and collaborative spirit that inspire our work with individuals to the broader community by advocating for structures and policies that promote equity for disabled persons. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Objective To test the feasibility of using an Arabic version of CSHCN Screener in identifying CSHCN in the Egyptian setup and to estimate the prevalence of CSHCN among children aged 6-14 years in Alexandria, Egypt using the Arabic version of the CSHCN Screener. Introduction Children with special health care needs (CSHCN) are defined as: “those who have or are at increased risk for a chronic physical, developmental, behavioural, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally.” (1) The care of CSHCN is a significant public health issue. These children are medically complex, require services and supports well beyond those that typically developing children require, and command a considerable proportion of the pediatric health care budget. (2) Different tools were used to identify CSHCN. (3, 4) One of them is the CSHCN screener (5) which uses a non-condition specific approach that identifies children across a range and diversity of childhood chronic conditions and special needs. (6) It identifies children with elevated or unusual needs for health care or educational services due to a chronic health condition. It focuses on health consequences a child experiences as a result of having an ongoing health condition rather than on the presence of a specific diagnosis or type of disability. It allows a more comprehensive assessment of the performance of the health care system than is attainable by focusing on a single diagnosis. (7) The CSHCN screener is only available in English and Spanish. (8) In developing countries, obtaining reliable prevalence rates for CSHCN is challenging. Sophisticated datasets associated with governmental services and high quality research studies are less common due to fewer resources. Egypt has no screening or surveillance systems for identifying CSHCN. (9) Methods A community based survey was conducted among a representative sample of children aged 6-14 years from the 8 health districts of Alexandria, Egypt using a multistage cluster sampling technique. The final sample amounted to 501 children from 405 families. Data about the children and their families were collected by interviewing the mothers of the selected children using a pre-designed interviewing questionnaire. The questionnaire included their personal and family characteristics in addition to the Arabic translation of CSHCN screener. Permission to translate the questionnaire into the Arabic language was obtained from the Child and Adolescent Health Measurement Initiative. Validation and cultural adaptation of the translated CSHCN screener were done. The survey questions were generally understandable by Arabic speakers. As for the screener questions, the Arabic translation was straightforward and clear. The difference between the Arabic translation for the words “health conditions” and “medical conditions” in the 1st follow up questions was not clear for the respondents and the interviewers had to give an explanation for the two terms to help the respondents. So, it was easier for the respondents to answer the screener questions than the follow up questions. Results Out of the 501 children included in the study, 61 were identified by the screener to be CSHCN, making a prevalence of CSHCN of 12.2%. The prevalence of children with dependency on prescription medicine was 11.8%, while the prevalence of children with service use above that considered usual or routine was 11.8%. The prevalence of children with functional limitations was 12%. Among these domains, in almost all children, the reason was a medical, behavioral or health condition (98.3%) and the condition has continued or is expected to continue for at least 12 months in all children. Among CSHCN, the majority (91.8%) had these three domains combined. Sensory impairments ranked first among the most prevalent conditions requiring special health care with a prevalence of 2.8% which represented 23% of the conditions, followed by cognitive impairments with a prevalence of 2% representing 16.4% of all conditions requiring special health care. Impaired mobility was the third most common condition requiring special care with a prevalence of 1.8%. The table shows that CSHCN were more likely to be in the younger age group (6

A State-of-the-Science conference on measurement with disability populations recommended "...the development of cognitive and psychosocial outcome measures, using computer-adaptive testing...that are low in respondent burden and valid across patient populations," (Clohan et al., 2007, p. 1537). Following this recommendation, the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) prioritized the development of measures of cognitive functioning for individuals with disabilities, noting that measures of cognitive functioning "have not been developed for systemic application in the field of medical rehabilitation. Cognition is both a rehabilitation outcome and a factor related to broader functional and community outcomes for individuals with a wide variety of disabling conditions" (Office of Special Education & Rehabilitation Services, 2009, p. 37193). From this came the NIH Toolbox for the Assessment of Neurological and Behavioral Function project (NIH Toolbox) which provides a comprehensive set of cognitive, motor, sensory, and emotional health and function measures for use in clinical, longitudinal, and epidemiological research. The nine papers comprising this special section of Rehabilitation Psychology reflect the sustained collaborative efforts of more than two dozen investigators working at six sites over the past 8 years. They are an initial attempt to validate the NIHTB-CB in disability samples, and they provide initial evidence that the NIHTB-CB can be used with individuals who have TBI, SCI, or stroke. The articles published here reflect the fulfillment of recommendations made during a state-of-the-science conference in 2007. (PsycINFO Database Record

The authors summarize the discussions and proposals from a recent NIH conference, Rehabilitation Research at NIH: Moving the Field Forward, that will help guide rehabilitation research at NIH in the near future, Approximately 53 million Americans live with a disability. For decades, the National Institutes of Health (NIH) has been conducting and supporting research to discover new ways to minimize disability and enhance the quality of life of people with disabilities. After the passage of the Americans With Disabilities Act, NIH established the National Center for Medical Rehabilitation Research, with the goal of developing and implementing a rehabilitation research agenda. Currently, 17 institutes and centers at NIH invest more than $500 million per year in rehabilitation research. Recently, the director of NIH, Francis Collins, appointed a Blue Ribbon Panel to evaluate the status of rehabilitation research across institutes and centers. As a follow-up to the work of that panel, NIH recently organized a conference, “Rehabilitation Research at NIH: Moving the Field Forward.” This report is a summary of the discussions and proposals that will help guide rehabilitation research at NIH in the near future.

Approximately 53 million Americans live with a disability. For decades, the National Institutes of Health (NIH) has been conducting and supporting research to discover new ways to minimize disability and enhance the quality of life of people with disabilities. After the passage of the American With Disabilities Act, the NIH established the National Center for Medical Rehabilitation Research with the goal of developing and implementing a rehabilitation research agenda. Currently, a total of 17 institutes and centers at NIH invest more than $500 million per year in rehabilitation research. Recently, the director of NIH, Dr Francis Collins, appointed a Blue Ribbon Panel to evaluate the status of rehabilitation research across institutes and centers. As a follow-up to the work of that panel, NIH recently organized a conference under the title “Rehabilitation Research at NIH: Moving the Field Forward.” This report is a summary of the discussions and proposals that will help guide rehabilitation research at NIH in the near future. This article is being published almost simultaneously in the following six journals: American Journal of Occupational Therapy, American Journal of Physical Medicine and Rehabilitation, Archives of Physical Medicine and Rehabilitation, Neurorehabilitation and Neural Repair, Physical Therapy, and Rehabilitation Psychology. Citation information is as follows: Frontera WR, Bean JF, Damiano D, et al. Am J Phys Med Rehabil. 2017;97(4):393–403.

One in five Americans experiences disability that affects their daily function because of impairments in mobility, cognitive function, sensory impairment, or communication impairment. The need for rehabilitation strategies to optimize function and reduce disability is a clear priority for research to address this public health challenge. The National Institutes of Health (NIH) recently published a Research Plan on Rehabilitation that provides a set of priorities to guide the field over the next 5 years. The plan was developed with input from multiple Institutes and Centers within the NIH, the National Advisory Board for Medical Rehabilitation Research, and the public. This article provides an overview of the need for this research plan, an outline of its development, and a listing of six priority areas for research. The NIH is committed to working with all stakeholder communities engaged in rehabilitation research to track progress made on these priorities and to work to advance the science of medical rehabilitation. This article is being published almost simultaneously in the following six journals: American Journal of Occupational Therapy, American Journal of Physical Medicine and Rehabilitation, Archives of Physical Medicine and Rehabilitation, Neurorehabilitation and Neural Repair, Physical Therapy, and Rehabilitation Psychology. Citation information is as follows: NIH Medical Rehabilitation Coordinating Committee. Am J Phys Med Rehabil. 2017;97(4):404—407.

Throughout the past 25 years, forgiveness has been a part of psychology and studied within many populations. However, forgiveness has not been considered nor promoted as a helpful skill or approach when counseling persons with disabilities or in the rehabilitation counseling/psychology profession at large. In an effort to change this trend by educating the profession on the importance and relevance of forgiveness to the practice of rehabilitation psychology, readers are afforded the opportunity to learn about forgiveness, its application and relevance to persons with disabilities, and to further their understanding of how forgiveness can be conceptualized and explored. Provided in this article is a proposed forgiveness model which can be used to assist professionals in the exploration of forgiveness among the people they serve. Following this model is an applied case study and professional implications.

Background. The Treatment Beliefs Questionnaire has been developed to measure patients’ beliefs of necessity of and concerns about rehabilitation. Preliminary evidence suggests that these beliefs may be associated with attendance of rehabilitation. The aim of this study was to translate and adapt the Treatment Beliefs Questionnaire for interdisciplinary pain rehabilitation and to examine the measurement properties of the Dutch translation including the predictive validity for dropout. Methods. The questionnaire was translated in 4 steps: forward translation from English into Dutch, achieving consensus, back translation into English, and pretesting on providers and patients. In order to establish structural validity, internal consistency, construct validity, and predictive validity of the questionnaire, 188 participants referred to a rehabilitation centre for outpatient interdisciplinary pain rehabilitation completed the questionnaire at the baseline. Dropout was measured as the number of patients starting, but not completing the programme. For reproducibility, 51 participants were recruited at another rehabilitation centre to complete the questionnaire at the baseline and one week later. Results. We confirmed the structural validity of the Treatment beliefs Questionnaire in the Dutch translation with three subscales, necessity, concerns, and perceived barriers. internal consistency was acceptable with ordinal alphas ranging from 0.66–0.87. Reproducibility was acceptable with ICC2,1 agreement ranging from 0.67–0.81. Hypotheses testing confirmed construct validity, similar to the original questionnaire. Predictive validity showed the questionnaire was unable to predict dropouts. Conclusion. Cross-cultural translation was successfully completed, and the Dutch Treatment Beliefs Questionnaire demonstrates similar psychometric properties as the original English version.

Background The communication of prognosis represents an ethical and clinical challenge in medical practice due to the inherent uncertain character of prognostic projections. The literature has stressed that the mode of communicating prognoses has an impact on patients' hope, which is considered to play a major role in adapting to illness and disability. In light of this, this study aims to explore health professionals' (HPs) perceptions of the role of hope in rehabilitation and to examine if and how they use strategies to maintain hope when discussing prognostic information with patients. Methods Eleven qualitative semi-structured interviews with a purposive sample of HPs were conducted at two rehabilitation clinics in the Canton of Ticino, Switzerland. The interviews were analyzed using thematic analysis. Results The HPs perceive hope in rehabilitation as a double-edged sword. Three main strategies were identified to maintain hope while avoiding false hope: 1) giving space for self-evaluation; 2) tailoring the communication of prognostic information; and 3) supporting the patient in dealing with the prognosis. These strategies are particularly suitable when HPs consider that patients might not be ready to accept the prognosis, due to their expectations for recovery. Conclusions The strategies identified here support a person-centered approach to the communication of prognosis and are in line with existing protocols for the communication of unfavorable medical information. The findings emphasize the need for strengthening communication and inter-professional collaboration skills of rehabilitation HPs.

The lack of specific prosthetic-related outcome instruments for Spanish amputees must be addressed.To elaborate a culturally equivalent version of the Prosthesis Evaluation Questionnaire in the Spanish language.Cross-cultural questionnaire validation.Two-step process for cultural adaptation: forward and backward translations of English original and Spanish translated versions; assessment of both construct and criterion validity and reliability in a group of vascular amputees.A total of 61 patients were recruited, 44 men (72.1%) and 17 women (27.9%), with a median age of 71.1 years (standard deviation: 7.7 years; range: 51-87 years). In the Prosthesis Evaluation Questionnaire-Spanish, the lowest scores were for gait and frustration, and the highest scores were for noise and stump health. Internal consistency of the questionnaire was acceptable (0.70) for four of the scales used in the Prosthesis Evaluation Questionnaire but poor (0.50) for the scales relating to appearance and stump health. Correlations with the quality-of-life levels as measured by the Short Form-36 were positive and mostly significant.Prosthesis Evaluation Questionnaire-Spanish could assess the quality of life in patients who have undergone vascular amputations and then been fitted with a prosthetic limb. The questionnaire shows adequate criteria validity when compared with other instruments for measuring quality of life.The Prosthesis Evaluation Questionnaire-Spanish could be a valid and reliable instrument for assessing adaptation to prostheses in vascular amputees. The questionnaire adds information relevant to the patient and the physician and may identify cases with poor expected adaptation to the prosthesis.

Objective The authors examined depression and health-related quality of life among individuals with self-reported sensory impairments living in a health professional shortage area. Research method Health surveys of residents were conducted in 2006 and 2010. Responses were analyzed by groups of residents reporting vision loss, hearing loss, dual hearing and vision loss, and no sensory loss. In 2006, the total sample size was n = 2,591, and in 2010, it was n = 3,955. Main outcome measures The CESD-5 scale (Shrout & Yager, 1989) was included in 2006, and the PHQ-9 (Kroenke, Spitzer, & Williams, 2001) was included in 2010. Rates of depression on the CESD-5 were determined by the recommended cut-off scores and on the PHQ-9 by the recommended algorithm. The Centers for Disease Control (CDC) Healthy Days instrument (Moriarty, Zack, & Kobau, 2003) was used in both surveys to assess health-related quality of life. Results In both surveys, individuals who reported sensory loss had higher rates of depression and lower health-related quality of life than individuals with no reported sensory loss. Conclusions Individuals reporting sensory loss had high rates of depression and a compromised quality of life compared to respondents without these impairments. These data imply strategic community-based health care services, including mental health initiatives, may be indicated for individuals with sensory loss living in underserved regions. Implications for rehabilitation psychology research, service, and policy are discussed as innovations in these areas are needed to better understand and address the disparities that may compromise the overall well-being of residents of underserved communities. (PsycINFO Database Record

Japanese studies examining psychosocial issues in people with acquired mobility-related disabilities have been developed under the influence of rehabilitation psychology theories, such as the theory of value change and stage theory, established in the United States. In Japan, the combination of disability acceptance and stage theory is distinctive, focusing on the occurrence of depression. These psychosocial studies have been criticized, because they have placed excessive emphasis on individual factors and have underestimated sociocultural factors from a long-term perspective. Therefore, researchers have begun to examine the meanings of disabilities via qualitative analysis, as they have not assumed psychological goals, such as acceptance or adjustment. These studies have revealed that people with disabilities tend to revise the meanings of disabilities, as they lead their lives in diverse contexts with respect to coping. Stories that have involved “subjunctivizing” reality have deepened participants’ understanding of their lives and have allowed for the identification of new meanings for disabilities. These studies also value identity development in people with disabilities via relationships with those with diverse disabilities. Further studies examining the association between these results and disability welfare from a lifespan perspective are required.

PURPOSE/OBJECTIVE This article reviewed foundational principles in rehabilitation psychology and explored their application to global health imperatives as outlined in the World Report on Disability (World Health Organization & World Bank, 2011). RESEARCH METHOD/DESIGN Historical theories and perspectives are used to assist with conceptual formulation as applied to emerging international rehabilitation psychology topics. RESULTS According to the World Report on Disability (World Health Organization & World Bank, 2011), there are approximately 1 billion individuals living with some form of disability globally. An estimated 80% of persons with disabilities live in low- to middle-income countries (WHO, 2006). The primary messages and recommendations of the World Report on Disability have been previously summarized as it relates to potential opportunities for contribution within the field of rehabilitation psychology (MacLachlan & Mannan, 2014). Yet, undeniable barriers remain to realizing the full potential for contributions in low- to middle-income country settings. CONCLUSIONS/IMPLICATIONS A vision for engaging in international capacity building and public health efforts is needed within the field of rehabilitation psychology. Foundational rehabilitation psychology principles have application to the service of individuals with disabilities in areas of the world facing complex socioeconomic and sociopolitical challenges. Foundational principles of person-environment interaction, importance of social context, and need for involvement of persons with disabilities can provide guidance to the field as it relates to global health and rehabilitation efforts. The authors illustrate the application of rehabilitation psychology foundational principles through case examples and description of ongoing work, and link foundational principles to discreet domains of intervention going forward.

Since 1972 Rehabilitation Psychology has played a fundamental role in disseminating theoretical, scientific, clinical, and educational advances in the field of rehabilitation psychology. In the author's view, the journal's role is not only to promote and communicate these advances but also, as aptly stated more than 50 years ago in an editorial on the purpose of scientific journals, to "be maximally useful to its readers" (Comroe, 1966, p. 3). As the new editor of Rehabilitation Psychology, she looks forward to maximizing its usefulness over the next 6 years. Joining her in this venture are two capable associate editors, Anna Kratz and Paul Perrin, a dedicated editorial board, numerous generous ad hoc reviewers, and an engaged rehabilitation psychology community. Innovative, rigorous, and theory-driven science will always have a home in the journal, and during the author's editorial term I will especially seek theoretical, conceptual, and empirical submissions that: (a) promote methodological advances in rehabilitation research; (b) build the evidence base underpinning rehabilitation psychology services and practices; and (c) advance disability research relevant to public policy and social justice. (PsycINFO Database Record

Problem-based learning (PBL) is widely recognised as a pedagogical approach across disciplines. However, the relevance and application of PBL in psychology has received limited attention. Therefore, this article presents a PBL-based master degree programme for psychologists. The article is divided into three sections. First, we present the rationale and need for developing this programme. Secondly, the programme curriculum is described in details and, third, the programme’s practical and theoretical aspects and potentials are discussed in light of PBL principles., Journal of Problem Based Learning in Higher Education, Early view

Adhesive capsulitis is a stick of shoulder capsule that causes stick due to acute or chronic inflammation. It will cause serious impacts on patient’s daily life. Rehabilitation agencies used a shoulder abduction ladder, Pulley System for Upper Limb rehabilitation. Without electronics, networking is its drawback. The system digitizes an upper extremity rehabilitation equipment, and records the patient's rehabilitation information, such as the ability to lift the upper limbs, rehabilitation time and frequency, and so on. In addition, the system uses the Gray relational analysis to evaluate the rehabilitation efficacy. Physicians can know the patient's condition to improve his rehabilitation strategy. Patients can also know their rehabilitation effects so to encourage their rehabilitation psychology, so the arms can be recovered early.

Purpose: Clients with an acquired brain injury (ABI) are at risk of mental health problems and it has been argued that transitions throughout the rehabilitation process are a challenge for rehabilitation practice; however, the link between transitions and psychosocial outcome has been under-researched. Therefore, this study aims to (1) investigate the status of clients with moderate or severe ABI two-year post-discharge on the following outcomes variables: Physical and cognitive function, depression, quality of life, civil and work status, (2) examine correlations between these outcomes and (3) explore through qualitative interviews the subjective experiences of individuals with ABI in order to increase our understanding of clients’ perspectives on this outcome and its relation to life transitions in a two-year period.Method: 37 individuals aged 18–66 with moderate or severe ABI were interviewed two years after discharge. At this time, they also completed standard measures of depression (MDI), quality of life (WHOQOL-bref) and functional independence (FIM™). Historical data of their FIM™ status at discharge were obtained for comparison.Results: We found psychological problems two years post-hospitalization, especially depression (35.1%) and decreased psychological QOL (61%). Analysis of interviews found six main factors perceived as important for psychosocial outcome: family relations, return to work, waiting lists, psychological support, fatigue and personal competences.Conclusions: Clients’ status two years post-hospitalization is often characterized by psychological problems. Based on clients’ accounts, we found a connection between psychosocial outcome and life transition experiences and developed a model of factors that are perceived as helping and hindering positive outcome.

Purpose Rehabilitation is a complex field incorporating many disciplines, settings, interventions, and populations, with patient goals ranging from improvement in function to enhanced participation in societal roles. Although there has been progress in measuring the inputs to the rehabilitation process, such as patient characteristics, and the outputs (i.e., outcomes) of the process, little attention has been devoted to specifying and measuring the process itself: the treatment. In this article, the authors describe a framework by which rehabilitation interventions, including those delivered by rehabilitation psychologists, may be defined according to the treatment theories underlying them. Results The tripartite structure of a treatment theory-the targets, active ingredients, and mechanisms of action-may be specified, often in hypothesized form, for each treatment component used to effect desired changes for each patient. Targets are specific, measurable aspects of patient functioning in which change is desired; active ingredients are specific, measurable actions performed by a clinician to effect these changes; and mechanisms of action are the often invisible and inferred ways in which ingredients work to cause the desired effects. To illustrate these concepts, the authors present how they might be applied in 2 areas of treatment that frequently involve rehabilitation psychologists: management of memory disorders and interventions for chronic pain. Conclusions/implications This type of systematic approach to defining and, ultimately, measuring the quality and quantity (dose) of specific treatments stands to enhance research, practice, and training in rehabilitation as well as communication across the treatment team and other stakeholders in the process and outcomes of rehabilitation.

Objective To evaluate the proportion of patients hospitalised with acute coronary syndrome (ACS) in Australia and New Zealand who received optimal inpatient preventive care and to identify factors associated with preventive care. Methods All patients hospitalised bi-nationally with ACS were identified between 14–27 May 2012. Optimal in-hospital preventive care was defined as having received lifestyle advice, referral to rehabilitation, and prescription of secondary prevention pharmacotherapies. Multilevel multivariable logistic regression was used to determine factors associated with receipt of optimal preventive care. Results For the 2299 ACS survivors, mean (SD) age was 69 (13) years, 46% were referred to rehabilitation, 65% were discharged on sufficient preventive medications, and 27% received optimal preventive care. Diagnosis of ST elevation myocardial infarction (OR: 2.64 [95% CI: 1.88–3.71]; p

Today's rapidly changing society can lead to maladaptive behaviors. In the situations, rehabilitation psychology analysis using the on-line test be needed to solve the problem. However, Internet-based rehabilitation psychology analysis by a malicious attacker may still be vulnerable to denial-of-service attacks. The service flooding attacks render the server incapable of providing its service to legitimate clients. Therefore the importance of implementing systems that prevent denial of service attacks and provide service to legitimate users cannot be overemphasized. In this paper, we propose a puzzle protocol which applies to authentication model. our gradually strengthening authentication model improves the availability and continuity of services and prevent denial of service attacks and we implement flooding of service tolerance system to verify the efficiency of our model. This system is expected to be ensure in the promotion of reliability. 키워드 : 재활심리, 심리분석, 서비스거부공격, 인증시스템, 지연프로토콜

Mental health describe our social, emotional, and psychological states, all wrapped up into one. Someone who experiences “good” mental health, therefore, has found a balance in his or her social, emotional, and psychological areas of life. Term “behavioral health” is being used incorrectly refer to mental illness. We explore the nature of psychology. We outline the different schools of thought and method of inquiry in psychology. Psychologists provide vital mental and behavioral health services in primary care. They identify and modify behaviors to promote individuals’ health and wellness across the lifespan. A significant and growing number of psychologists (e.g., in such areas as health, clinical, counseling, family, and rehabilitation psychology) provide inter professional, team-based care in pediatric, adult, and family-oriented primary care settings in both the public and private sectors. This paper tries to highlight the role of psychology in mental health and practically utilities of psychology in present scenario of mental health.