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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
The capability approach in rehabilitation: lessons learned from a process evaluation
Eirlys J Pijpers1, Bart Bloemen2, Wija J Oortwijn3
1Department of Rehabilitation, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Disability and Rehabilitation
|August 14, 2026
Summary
Implementing the capability approach in healthcare showed potential, but professionals faced challenges. Capability care discussions focused more on underlying values, indicating a shift in patient-centered care delivery.
Area of Science:
- Healthcare research
- Clinical intervention development
- Process evaluation
Background:
- Growing interest in the capability approach for healthcare.
- Need to understand the delivery and experience of capability care.
- Capability approach focuses on enabling individuals' freedoms and opportunities.
Purpose of the Study:
- To develop, implement, and evaluate a clinical intervention based on the capability approach.
- To understand how capability care was delivered by healthcare professionals.
- To explore healthcare professionals' experiences with delivering capability care.
Main Methods:
- Mixed methods approach using the Medical Research Council framework.
- Intervention group received capability care; control group received usual care (n=28 vs n=29).
- Data collected from electronic health records, consultation recordings, and professional interviews/focus groups (n=13).
Main Results:
- Healthcare professionals encountered challenges implementing capability care, leading to partial adoption.
- Discussions in capability care sessions more frequently addressed underlying patient values.
- While views on added value varied, some professionals reported capability care changed their practice.
Conclusions:
- The capability approach shows promise for healthcare, but implementation hurdles require attention.
- Addressing practical challenges is crucial for successful integration of capability care.
- Recommendations for future implementation and evaluation strategies are provided.
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