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Patients' and therapists' perspective of integrating home and family work roles into rehabilitation following distal radius fracture.

Authors :
Philip S
MacDermid J
Rushton A
Parikh P
Seens H
Source :
Disability and rehabilitation [Disabil Rehabil] 2024 Nov; Vol. 46 (22), pp. 5280-5290. Date of Electronic Publication: 2024 Jan 29.
Publication Year :
2024

Abstract

Purpose: To explore distal radius fracture (DRF) patients' and hand therapist/occupational therapist/physiotherapists' perceptions of integrating home and family work roles (HFWR) into rehabilitation.<br />Methods: Eighteen patients and eleven therapists completed a semi-structured telephone interview three months after DRF. Reflexive thematic analysis of the interviews and triangulation of patients' and therapists' themes was performed.<br />Results: The patient interview yielded five themes: the experience of rehabilitation; predetermined expectations of rehabilitation; incorporating HFWR into therapy sessions; varying patient needs for addressing HFWR; and determination to return to valued activities drives behavioral choices. The therapists' interview yielded five themes: The challenges in integrating HFWR into rehabilitation; HFWR addressed when brought up by a patient; working context and referral sources influence the rehabilitation plan; rehabilitation is not explicitly tailored according to sex and gender; and utilizing HFWR as a rehabilitation strategy is perceived beneficial.<br />Conclusions: Patients have predetermined rehabilitation expectations primarily focused on mobility and strengthening exercises. Therapists and patients agree that adapting home and family work roles is beneficial but was not a major focus for either therapists' or patients' expectations during therapy. An unfavourable environment, patient budget constraints, and limited time were identified as challenges to integrating family roles.

Details

Language :
English
ISSN :
1464-5165
Volume :
46
Issue :
22
Database :
MEDLINE
Journal :
Disability and rehabilitation
Publication Type :
Academic Journal
Accession number :
38284803
Full Text :
https://doi.org/10.1080/09638288.2024.2305297