促进慢性中风的社区和社会参与:对ENGAGE干预措施的试点研究
Elizabeth Skidmore1, Carolyn Baum2, Jessica Kersey2
1University of Pittsburgh School of Health and Rehabilitation Sciences Department of Occupational Therapy, USA.
Disability and health journal
|October 31, 2025
概括
通过ENGAGE干预,有望改善中风幸存者的社区和社会参与. 这项以社区为基础的计划在试点研究中展示了高可行性,可接受性和安全性.
科学领域:
- 康复科学 康复科学 康复科学
- 社区健康 社区健康
- 职业疗法 职业疗法 职业疗法
背景情况:
- 卒中幸存者经常经历社区和社会参与的减少.
- ENGAGE干预旨在通过结构化,以社区为基础的方法来应对这些挑战.
研究的目的:
- 评估ENGAGE干预的可行性,可接受性和安全性.
- 评估中风幸存者在社区和社会参与中的变化.
主要方法:
- 这是一项为期6周的,基于社区的2a期临床试验,涉及中风幸存者和职业治疗提供者.
- 该计划利用了社会学习,指导解决问题和监督实践,由同行导师共同促进.
- 可行性是通过保留,参与,满意度和安全度来衡量的;参与度是使用PROMIS参与社会角色和活动能力尺度来评估的.
主要成果:
- 在ENGAGE计划中观察到高保留率 (90%) 和参与度 (85%).
- 参与者报告了非常高的满意度 (87%),没有报告的伤害.
- 中等效果大小 (d=0.38) 表示社区和社会参与度有所改善.
结论:
- 对社区居住的中风幸存者来说,ENGAGE干预是可行的,可以接受的和安全的.
- 它显示了促进中风后加强社区和社会参与的潜力.
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