Activity and participation among people with Late Effects of Polio admitted to comprehensive rehabilitation
Notice bibliographique
Résumé
Late effects of polio (LEoP), a chronic progressive neuromuscular condition that affects people who have had polio earlier in life. LEoP manifests with new symptoms such as muscle weakness, fatigue, and pain, and can also have consequences for an individual’s level of activity and participation. People with LEoP can benefit from comprehensive rehabilitation, with focus on enabling activity and participation, yet the understanding of the benefits of comprehensive rehabilitation remains limited. During comprehensive rehabilitation, outcome measures are often chosen based on the International Classification of Functioning, Disability, and Health (ICF), including measures of activity and participation. Common measures in these ares are the Canadian Occupational Performance Measure (COPM) and the Reintegration to Normal Living Index (RNL-I). Still, very few studies have focused on activity and participation in people with LEoP.The overall aim of this licentiate thesis was to increase knowledge about activity and participation among people with LEoP who were admitted to and received comprehensive rehabilitation. That is, how activity and participation can be assessed and evaluated in relation to a comprehensive rehabilitation period, and how people with LEoP change their activity and participation after a comprehensive rehabilitation period.Two quantitative studies were conducted using data from 102 participants with LEoP, collected retrospectively from a clinical database. The participants had been admitted to comprehensive rehabilitation between 2004-2015.Study I, a cross-sectional study, aimed to explore the association between self-perceived performance (COPM performance), satisfaction (COPM satisfaction) in daily activities, and self-reported participation (RNL-I) among people with LEoP on admission to comprehensive rehabilitation. The data were analyzed with linear regression. The analysis was conducted in two steps, as an explorative analysis emerged during the analysis process.In study II, the methodology involved a pre-post retrospective analysis of 102 LEoP participants, assessing changes in COPM performance and COPM satisfaction, using the COPM on admission and at discharge for people admitted to comprehensive rehabilitation. The analysis was conducted using descriptive statistics and a paired sample t-test. Results showed that both COPM performance and COPM satisfaction were significantly associated with self-reported participation (RNL-I). Specifically, COPM performance in the subgroup COPM self-care correlated with RNL-I Daily Functioning. COPM satisfaction in the subgroup COPM leisure correlated with RNL-I Perception of Self. Results also indicated significant increases in mean COPM performance and mean COPM satisfaction scores from admission to discharge. However, a notable proportion of participants showed no change or even lower ratings at discharge, indicating a need for longer follow-ups. In conclusion, COPM and RNL-I partly measure similar aspects of activity and participation, and both assessments are vital in comprehensive rehabilitation. Comprehensive rehabilitation can enhance self-rated performance and satisfaction with performance among people with LEoP. Additional assessments covering diverse activity and participation aspects may be necessary. To measure change in activity and participation, there is a need for longer follow-ups studies to capture the change. Such insights are crucial not only for occupational therapists but also for other rehabilitation professionals working with people with LEoP.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».