TY - JOUR
T1 - Person-Centered Rehabilitation Model
T2 - Framing the Concept and Practice of Person-Centered Adult Physical Rehabilitation Based on a Scoping Review and Thematic Analysis of the Literature
AU - Jesus, Tiago S.
AU - Papadimitriou, Christina
AU - Bright, Felicity A.
AU - Kayes, Nicola M.
AU - Pinho, Cátia S.
AU - Cott, Cheryl A.
N1 - Funding Information:
We thank the contribution of 5 external experts who volunteered their time to provide feedback and suggestions to improve our first draft of the PCR Model and other components of this article. These are, by alphabetical order, Alice ?rts Hansen, PhD, Denmark; Jacinta Douglas, PhD, Australia; Jacob Bentley, PhD, USA; Laura Moll, PhD, Canada; and Matthew Hunt, PhD, Canada. Regarding the initial scoping review that informed this model development, we acknowledge an early contribution from William Levack, PhD, New Zealand, who, along with Hansen, PhD, Douglas, PhD, Moll, PhD, and Hunt, PhD, provided additional suggestions for articles we did not locate through our search strategies. Finally, we thank Oakland University's students Colby Gillette and Maggie Sera (Rochester, MI, USA), who volunteered their time to help locate and obtain the full texts for the underlying scoping review.
Publisher Copyright:
© 2021 The American Congress of Rehabilitation Medicine
PY - 2021
Y1 - 2021
N2 - Objective: To develop a cross-professional model framing the concept and practice of person-centered rehabilitation (PCR) in adult populations, based on a scoping review and thematic analysis of the literature. Data Sources: Key databases (PubMed, Scopus, Cumulative Index to Nursing and Allied Health), snowballing searches, and experts’ consultation were the data sources for English-language empirical or conceptual articles published from January 2007-February 2020. Study Selection: Two independent reviewers selected adult-based articles addressing at least 1 of the 6 categories of PCR-related content, a priori specified in the published review protocol. From 6527 unique references, 147 were finally included in the analysis. Of those, 26 were exclusively conceptual articles. Data Extraction: Two independent reviewers extracted textual data on what PCR entails conceptually or as a practice. No quality appraisals were performed as is typical in scoping reviews. Data Synthesis: A thematic analysis produced thematic categories that were combined into an emergent model (the PCR Model), which was reviewed by 5 external experts. PCR was framed as a way of thinking about and providing rehabilitation services “with” the person. PCR is embedded in rehabilitation structures and practice across 3 levels: (1) the person-professional dyad; (2) the microsystem level (typically an interprofessional team, involving significant others); and (3) a macrosystem level (organization within which rehabilitation is delivered). Thematic categories are articulated within each level, detailing both the conceptual and practice attributes of PCR. Conclusions: The PCR Model can inform both clinical and service organization practices. The PCR Model may benefit from further developments including obtaining wider stakeholders’ input, determining relevance in different cultural and linguistic groups, and further operationalization and testing in implementation projects.
AB - Objective: To develop a cross-professional model framing the concept and practice of person-centered rehabilitation (PCR) in adult populations, based on a scoping review and thematic analysis of the literature. Data Sources: Key databases (PubMed, Scopus, Cumulative Index to Nursing and Allied Health), snowballing searches, and experts’ consultation were the data sources for English-language empirical or conceptual articles published from January 2007-February 2020. Study Selection: Two independent reviewers selected adult-based articles addressing at least 1 of the 6 categories of PCR-related content, a priori specified in the published review protocol. From 6527 unique references, 147 were finally included in the analysis. Of those, 26 were exclusively conceptual articles. Data Extraction: Two independent reviewers extracted textual data on what PCR entails conceptually or as a practice. No quality appraisals were performed as is typical in scoping reviews. Data Synthesis: A thematic analysis produced thematic categories that were combined into an emergent model (the PCR Model), which was reviewed by 5 external experts. PCR was framed as a way of thinking about and providing rehabilitation services “with” the person. PCR is embedded in rehabilitation structures and practice across 3 levels: (1) the person-professional dyad; (2) the microsystem level (typically an interprofessional team, involving significant others); and (3) a macrosystem level (organization within which rehabilitation is delivered). Thematic categories are articulated within each level, detailing both the conceptual and practice attributes of PCR. Conclusions: The PCR Model can inform both clinical and service organization practices. The PCR Model may benefit from further developments including obtaining wider stakeholders’ input, determining relevance in different cultural and linguistic groups, and further operationalization and testing in implementation projects.
KW - Models, theoretical
KW - Patient-centered care
KW - Rehabilitation
KW - Review
UR - http://www.scopus.com/inward/record.url?scp=85114370143&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2021.05.005
DO - 10.1016/j.apmr.2021.05.005
M3 - Review article
C2 - 34228955
AN - SCOPUS:85114370143
SN - 0003-9993
JO - Archives of physical medicine and rehabilitation
JF - Archives of physical medicine and rehabilitation
ER -