Association of environmental factors with levels of home and community participation in an adult rehabilitation cohort
- Författare
- Keysor JJ, Jette AM, Coster WJ, Bettger JP, Haley SM.
- Titel
- Association of environmental factors with levels of home and community participation in an adult rehabilitation cohort
- Utgivningsår
- 2006
- Tidskrift
- Arch Phys Med Rehabil
- Volym
- 87
- Häfte
- 12
- Sidor
- 1566-75
- Sammanfattning
Keysor JJ, Jette AM, Coster W, Bettger JP, Haley SM. Association of environmental factors with levels of home and community participation in an adult rehabilitation cohort.
Objective
To examine whether home and community environmental barriers and facilitators are predictors of social and home participation and community participation at 1 and 6 months after discharge from an acute care or inpatient rehabilitation hospital.
Design
Cohort study.
Setting
Postacute care.
Participants
Adults (N=342) age 18 years or older with a diagnosis of complex medical, orthopedic, or neurologic condition recruited from acute care and inpatient rehabilitation facilities. The mean age ± standard deviation of participants was 68±14 years; 49% were women and 92% were white.
Interventions
Not applicable.
Main Outcome Measures
Participation in social, home and community affairs as assessed with the Participation Measure for Post-Acute Care.
Results
Adjusting for covariates, 1 month after discharge a greater presence of home mobility barriers (P<.01) was associated with less social and home participation; whereas greater community mobility barriers (P<.01) and more social support (P<.001) were associated with greater participation. At 6 months, social support was the only environmental factor associated with participation after adjusting for covariates.
Conclusions
This study provides new empirical evidence that environmental barriers and facilitators do influence participation in a general rehabilitation cohort, at least in the short term.
Key Words
Disabled persons; Environment; Outcome assessment (health care); Rehabilitation
Supported by the National Institute of Disability and Rehabilitation Research, U.S. Department of Education (grant no. H133B990005), the National Institute of Child Health and Human Development (grant no. 5 K12 HD043444-02), and the Arthritis Foundation (arthritis investigator award).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.