No description available.

Belief constructs appear to govern many aspects of life and may have an influence on coping with severe disability. This study investigated the extent to which coping with a stroke is identified by the belief constructs of just world, locus of control, attribution, and reformulated learned helplessness. The data were collected at a comprehensive rehabilitation center from thirty consenting stroke victims. The sample included 17 women and 12 men with a mean age of 64. The median number of days from the stroke to rehabilitation was 16. Twenty subjects had left hemiparesis and ten subjects had right hemiparesis.In addition to the belief-construct predictor variables, nature-of-stroke and demographic variables were collected during an initial evaluation. Demographic variables included sex, age, marital status, occupation, education, and recreation. Nature-of-stroke variables included period of time since stroke, diagnosis, severity, location, and aphasia as measured by the 'Aphasia Language Performance Scales' (Keenan & Brassell, 1975). The belief constructs were measured by the 'Just World Scale' (Rubin & Peplau, 1975), the 'Internal-External Locus of Control Scale" (Collins, 1974), and an adapted version of the 'Attribution Style Questionnaire' (Seligman, 1984). A coping measure was introduced as the criterion variable. It was administered 21 days following the initial evaluation and is based upon the ratings of the stroke victims' therapists. It includes a scale to more clearly define coping.The results of the study did not produce a clear definition of coping, although cognitive, emotional, and physical factors were evident. In addition, there was preliminary evidence of reliability and validity for measures of this construct. The linear composite of five variables was statistically significant (p < .01) and identified 56% of the variance in the coping measure. The significance of these variables suggests that successful coping is associated with older subjects who had passive premorbid recreation, were admitted relatively soon after their stroke, were rated as having a mild stroke, and made stable attributions about rehabilitation. The fact that one of the belief-construct variables (stability of attribution about rehabilitation) was significant, despite the small sample size, is encouraging and justifies further research in this area.

Thesis (Ph. D.)--University of Notre Dame, 2004. / Includes bibliographical references (leaves 277-280). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.

Thesis (M.A.)--University of Wisconsin--Madison, 1970. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Orientador: Lígia Maria Presumido Braccialli / Banca: Eduardo José Manzini / Banca: Francisco Ricardo Lins Vieira de Melo / Resumo: Dentre os recursos de Tecnologia Assistiva existentes para a adequação postural na posição ortostática, para o aluno com paralisia cerebral que não pode experienciar a postura em pé, está a prancha ortostática. Em um ambiente escolar e terapêutico, foram observadas dificuldades, em posicionar alunos com paralisia cerebral quadriplégica espástica, com um modelo tradicional de prancha existente no mercado. Sendo assim, estes alunos não tinham acesso adequado e não eram incluídos às atividades desenvolvidas naquele ambiente, por falta de um mobiliário de posicionamento adequado. Por isso, foi desenvolvida uma prancha ortostática a fim de favorecer a participação dos alunos nas atividades. O objetivo deste trabalho foi avaliar a efetividade de uso de uma prancha ortostática para o aluno com paralisia cerebral, por meio da opinião de profissionais da educação e da saúde. Os participantes foram quatro profissionais da Educação e da Saúde que atendiam alunos com paralisia cerebral. A coleta de dados foi realizada em duas etapas. Na primeira etapa, foi utilizado um instrumento estruturado com os quatro profissionais que realizaram suas atividades com dois alunos com paralisia cerebral, posicionados na prancha. Os resultados indicaram que o uso da prancha favoreceu o desempenho de habilidades motoras, de comunicação e de participação do aluno A1, porém foi imparcial para seu desempenho de interação. Indicaram também que a prancha não favoreceu os desempenhos de habilidades motoras e de interação da aluna A2, e, para seus desempenhos de comunicação e de participação, foi imparcial. Na segunda etapa, foram realizadas entrevistas semiestruturadas com os participantes. O áudio das entrevistas... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Among the resources available to Assistive Technology in the postural orthostatic position for a student with cerebral palsy who can not experience the orthostatic position, there is available the orthostatic board to help them. In a school and therapeutic environment, difficulties have been reported in positioning students with spastic quadriplegic cerebral palsy with a traditional model of board available on the market is used. So, this being the case, these students did not have access, were not included in some of the activities performed in that environment, for lack of the necessary equipment to help positioning of the students. Consequently an orthostatic board, has been developed, so as to help and enable the students to take part in the activities mentioned. The target of this study was to evaluate the effectiveness of use of an orthostatic board, suitable for the students with cerebral palsy, by means of opinions and suggestions given by the health and education professionals. Those that participated in this work, were four professionals from Education and Health areas, that attend the students with cerebral palsy. Data collection was performed in two steps. In the first step was used a structured instrument by the four professionals, who carried out their activities with two students with cerebral palsy positioned on the board. The results indicated that the use of the board favored the performance of motor skills, communication and participation of the A1 student, but was impartial for his interaction performance. They also indicated that the board did not favor the performance of motor skills and interaction of A2 student... (Complete abstract click electronic access below) / Mestre

Made available in DSpace on 2014-06-11T19:24:48Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-03-02Bitstream added on 2014-06-13T19:52:32Z : No. of bitstreams: 1 spiller_mg_me_mar.pdf: 4782494 bytes, checksum: 248e5cae371e2f16b3cc29fee432c4d2 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Dentre os recursos de Tecnologia Assistiva existentes para a adequação postural na posição ortostática, para o aluno com paralisia cerebral que não pode experienciar a postura em pé, está a prancha ortostática. Em um ambiente escolar e terapêutico, foram observadas dificuldades, em posicionar alunos com paralisia cerebral quadriplégica espástica, com um modelo tradicional de prancha existente no mercado. Sendo assim, estes alunos não tinham acesso adequado e não eram incluídos às atividades desenvolvidas naquele ambiente, por falta de um mobiliário de posicionamento adequado. Por isso, foi desenvolvida uma prancha ortostática a fim de favorecer a participação dos alunos nas atividades. O objetivo deste trabalho foi avaliar a efetividade de uso de uma prancha ortostática para o aluno com paralisia cerebral, por meio da opinião de profissionais da educação e da saúde. Os participantes foram quatro profissionais da Educação e da Saúde que atendiam alunos com paralisia cerebral. A coleta de dados foi realizada em duas etapas. Na primeira etapa, foi utilizado um instrumento estruturado com os quatro profissionais que realizaram suas atividades com dois alunos com paralisia cerebral, posicionados na prancha. Os resultados indicaram que o uso da prancha favoreceu o desempenho de habilidades motoras, de comunicação e de participação do aluno A1, porém foi imparcial para seu desempenho de interação. Indicaram também que a prancha não favoreceu os desempenhos de habilidades motoras e de interação da aluna A2, e, para seus desempenhos de comunicação e de participação, foi imparcial. Na segunda etapa, foram realizadas entrevistas semiestruturadas com os participantes. O áudio das entrevistas... / Among the resources available to Assistive Technology in the postural orthostatic position for a student with cerebral palsy who can not experience the orthostatic position, there is available the orthostatic board to help them. In a school and therapeutic environment, difficulties have been reported in positioning students with spastic quadriplegic cerebral palsy with a traditional model of board available on the market is used. So, this being the case, these students did not have access, were not included in some of the activities performed in that environment, for lack of the necessary equipment to help positioning of the students. Consequently an orthostatic board, has been developed, so as to help and enable the students to take part in the activities mentioned. The target of this study was to evaluate the effectiveness of use of an orthostatic board, suitable for the students with cerebral palsy, by means of opinions and suggestions given by the health and education professionals. Those that participated in this work, were four professionals from Education and Health areas, that attend the students with cerebral palsy. Data collection was performed in two steps. In the first step was used a structured instrument by the four professionals, who carried out their activities with two students with cerebral palsy positioned on the board. The results indicated that the use of the board favored the performance of motor skills, communication and participation of the A1 student, but was impartial for his interaction performance. They also indicated that the board did not favor the performance of motor skills and interaction of A2 student... (Complete abstract click electronic access below)

Vocational Rehabilitation (VR) had its beginning in 1918, when Congress granted to the Federal Board of Vocational Education the power to provide for the training of "any disabled veteran who was unable to carry on a gainful occupation, to resume his former occupation, or to enter upon some other occupation, or having resumed or entered upon such occupation was unable to continue the same successfully." (U.S. Department of Health, Education, and Welfare, 1972). Called the Soldiers Rehabilitation Act, this measure made clear the basic goals of vocational rehabilitation. In 1943, a milestone year, services were extended to all disabled individuals who met the basic criteria of (a) having a disability (physical, emotional, or mental) which (b) poses a substantial handicap to employment, and (c) for whom a reasonable expectation exists that upon receiving services the individual can again (or for the first time) engage in gainful employment.

The purpose of this study was to evaluate an interdisciplinary in-service training program, Family Resource Development for the Handicapped, and through experience gained in the process, to develop a general model for evaluation of interdisciplinary in-service training programs. In addition, the efficacy of this model was tested for its intended use. The model entailed a systems approach to evaluation of interdisciplinary in-service training programs in which the training program was viewed as a temporary educative system and the community as a permanent system. The model was divided into three phases: pretraining assessment in the permanent system, posttraining assessment in the temporary system, and posttraining assessment in the permanent system. An important step in the posttraining assessment was determining effectiveness of the interdisciplinary in-service training program: (a) during the life of the temporary system, and (b) in the permanent system, based on previously established criteria for effectiveness for each system. The overall effectiveness of the interdisciplinary in-service training program then was determined. The final step in the evaluation model entailed the utilization of results of the evaluation in the decision-making process for future interdisciplinary in-service training programs. The model was applied to evaluation of the interdisciplinary in-service training program, Family Resource Development for the Handicapped. The purpose of this training program was to utilize an interdisciplinary team of Extension specialists to train Extension agents from the Virginia Cooperative Extension Service to work with the physically handicapped in the community. Data used to determine the effectiveness of this interdisciplinary in-service training program, based on pre-stated criteria, indicated that the interdisciplinary training was effective in training Extension agents to work with the physically handicapped in the community. Following application of the model to evaluation of Family Resource Development for the Handicapped, it was concluded that the model was an appropriate model for evaluating interdisciplinary in-service training programs in general. Use of the model simplified the evaluation process. To ensure maximum benefit from the model, the steps in all three phases of the evaluation process should be followed implicitly. / Ph. D.

Thesis (MHumanRehabSt)--Stellenbosch University, 2014. / ENGLISH ABSTRACT:Background In the past, a lack of policy guidelines in the area of rehabilitation often resulted in underdeveloped or no rehabilitation services in many areas. This led to the development of The South African National Rehabilitation Policy (NRP) which was finalised in 2000. This policy is guided by the principles of development, empowerment and the social integration of persons with disabilities. It aims to provide improved access to rehabilitation services for all and forms part of a strategy to improve the quality of life of persons with disabilities. South Africa ratified the United Nations Convention for the Rights of Persons with Disabilities (UNCRPD) in 2001. The UNCRPD is an international rights based document and focuses on equalisation of opportunities for people with disabilities and their inclusion in development. Aim The aim of thestudy was to describe and analyse the organizational framework of rehabilitation services at the Gugulethu Community Health Centre (CHC) in Cape Town and to determine if the framework used complied with the objectives of the National Rehabilitation Policy. Method This was a case study that made use of both qualitative and quantitative methods of data collection. The Kaplan framework, the objectives of the NRP and the five relevant articles of the UNCRPD were used to design three questionnaires for data collection. The first questionnaire was for service providers and answered by seven participants. The second questionnaire was completed by the Facility Manager of Gugulethu CHC and the third questionnaire was answered by the managers of 2 purposively sampled NGOs in Gugulethu. Qualitative data was collected from interviews held with three of the service providers and the facility manager as well as from two focus groups held with service users. Results The results of the study showed that there was some coherence between the rehabilitation services provided and the objectives of the NRP such as good access to the service for clients coming to the Centre for rehabilitation and adequate resources to provide assistive devices with. However, in other areas there was little or no adherence. Limited evidence of intersectoral collaboration was found. There was no evidence of the inclusion of persons with disabilities in the planning, implementation and managing of rehabilitation services. Similarly services were not monitored and evaluated in a constructive way and while the therapists did engage in skills development activities the suitability of the courses attended for their role is questioned. Conclusion The findings showed a facility based curative rehabilitation service that was accessible for clients who came to the facility, but did not expand to provide community based rehabilitation. Thus it was concluded that the organisation in its current form lacked the ability to effectively address the needs of the community that it served. At Gugulethu Community Health Centre rehabilitation services need to be planned according to community based rehabilitation strategies by the manager, the service providers and the community. Only when implementation of the NRP and UNCRPD takes place will the benefits become tangible to the entire community. Key Words Rehabilitation, Disability, National Rehabilitation Policy, UNCRPD, Organisational capacity. / AFRIKAANSE OPSOMMING: Agtergrond In die verlede het ‘n gebrekaanbeleidsriglyne in die rehabilitasievelddikwelsgelei tot onderontwikkelde of geenrehabilitasiedienste in baiegebiede. Die gevolghiervan was die ontwikkeling van dieSuidAfrikaanseNasionaleRehabilitasieBeleid (NRB) wat in 2000 gefinaliseer is. Die fokusvan hierdiebeleid is ontwikkeling, bemagtiging en die sosialeintegrasie van persone met gestremdhede. Die doel van die NRB is omtoeganklikheid van rehabilitasiediensteviralmalteverbeter en ditvormdeel van die strategieom die lewensgehalte van persone met gestremdhede to verbeter. SuidAfrika het die VerenigdeNasies se Konvensievir die Regte van Persone met Gestremdhede in 2001 bekragtig. HierdieKonvensie is ‘n internasionaleregsgebaseerdedokument and fokus opgelykeregtevirpersone met gestremdhede en hulinsluiting in ontwikkeling. Doelstelling Die doel van die studiewas om die organisatorieseraamwerk van die rehabilitasiedienste by die GugulethuGemeenskapsGesondheidssentrum in Kaapstadtebeskryf enteontleed, ten eindevastestel of die raamwerk, in ooreenstemming is met die doelwitte van die NasionaleRehabilitasieBeleid. Metode `n Gevallestudie is gedoen. Data is deurmiddel van kwantitatiewe en kwalitatiewemetodesingesamel. Die Kaplanraamwerk, doelwitte van die NasionaleRehabilitasieBeleid en toepaslike 5 artikels van die VerenigdeNasie se Konvensievir die Regte van Persone met Gestremdehede is gebruikomdrievraelysteteontwerp. Die eerstevraelys was virdiensverskaffers en sewedeelnemers het ditbeantwoord. Die tweedevraelys is deur die Fasiliteitsbestuurder van GuguletuGemeenskapsGesondheidssentrumbeantwoord en die derdevraelysdeur twee bestuurders van twee doelbewustegekoseNie-staatsOrganisasies in Guguletu. Onderhoude is met drie van die diensverskaffers en die fasiliteitsbestuurdergebruikomkwalitatiewe data in tesamelsowel as twee fokusgroepe met diensverbruikers.Resultate Die resultate van die studietoondatdaarwel ‘n mate van belyningtussenrehabilitasiedienste by die studiesentrum en die doelwitte van die NasionaleRehabilitasieBeleid is. Ditsluit in goeietoeganklikheidna die diensvirklientewat die sentrumbesoekvirbehandeling en voldoendebronneomhulpmiddelstevoorsien.In andergebiede was daaregter min of geenbelyningnie. Daar is min bewyse van intersektoralesamewerking en geenbewyse van die insluiting van persone met gestremdhede in die beplanning, implementering en bestuur van die rehabilitasiedienstenie. Dienste is nie in ‘n opbouendemaniergemonitor of geevalueernie en terwyl die terapeutewelaanontwikklingsprogrammedeelgeneem het, kan die toepaslikheid van die kursussebevraagteken word. Gevolgtrekking Die bevindingswys op ‘n kuratiewerehabilitasiedienswattoeganklik is virklientewatna die sentrum toe kom. Daar word egterniegemeenskapsbaseerderehabilitasieverskafnie.Dus, is die gevolgtrekkingdat die organisasie in syhuidigevormnie die vermoe het om die behoeftes van die gemeenskapwatditdien, effektiefaantespreeknie.Dierehabilitasiedienste by GuguletuGemeenskapssentrummoetbeplan word volgensgemeenskapsgebaseerderehabilitasiestrategiee, deur die bestuurder, diensverskaffers en die gemeenskap. Eerswanneer die NasionaleRehabilitasieBeleid en die VerenigdeNasie se Konvensievir die Regte van Persone met Gestremdhedetoegepas word sal die helegemeenskapbaatvind by rehabilitasie.

Thesis (M Human RehabSt)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Rehabilitation services, mainly rendered by therapists employed by the Department of Health, forms a critical part of the Primary Health Care (PHC) package of care. Different policies, within the Department of Health (DOH), provide guidance on rehabilitation service delivery. However, implementation of these policies remains a challenge. The current study aimed to describe and analyse the organisational capacity of rehabilitation services at the study site and to assess how congruent the rehabilitation service at the study site was with existing rehabilitation policy. A descriptive methodology was applied making use of both quantitative and qualitative methods in analyzing the organisational capacity of this study site and the alignment of rehabilitation services offered, with the National Rehabilitation Policy (NRP). The study used the Kaplan framework, the objectives of the NRP and specific selected articles of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) to develop indicators to be used for the description and analysis of the organisational capacity of the rehabilitation services at TC Newman Community Day Centre. Questionnaires based on seven objectives from the NRP were developed to collect quantitative data from five service providers, the facility manager of TC Newman CDC and the managers of two Non- Governmental Organisations (NGO) working in the drainage site. Face to face, audio recorded, semi- structured interviews were used to collect qualitative data from the five service providers. A folder audit and document review was used to enhance quantitative findings. After analysis of the data, I still felt the need for additional information and thus developed an open ended questionnaire for participants to complete. Barriers (e.g. defaulting of clients, a lack of standard documentation, poor monitoring and evaluation) and facilitators (e.g. outreach and support, competent staff and multi-disciplinary team) were identified in implementing the NRP. Participants highlighted the importance of accessing rehabilitation services with a focus on the outreach to peripheral clinics and funded NGO’s. Intersectoral collaboration is evident, but mainly with funded NGO’s. A lack of standardised documentation, inadequate monitoring and evaluation systems and uniformed documentation were some of the challenges identified by participants. The absence of participation by persons with disabilities was noted by all participants. With reference to the organisational capacity, the participants had a good understanding of rehabilitation within the PHC context. Participants felt confident in delivering rehabilitation services and were able to identify shortcomings in service delivery. It is concluded that rehabilitation services are not delivered exactly in accordance with the objectives of the NRP. However the organisation demonstrated capacity to deliver rehabilitation services at PHC level, but there is still a need to enhance service delivery on community based level. The results of this study gave me as a manager and implementer of health policy in the District Health System the opportunity to gain deeper insight as to how rehabilitation services are currently rendered. Results from the study highlighted how coherent rehabilitation service delivery is with current policy in health and the capacity of the organisation to deliver rehabilitation services. This gave me the opportunity to adjust and review current rehabilitation service delivery and implement changes, as the study progressed. / AFRIKAANSE OPSOMMING: Rehabilitasie word hoofsaaklik deur terapeute in die departement van gesondheid gelewer binne fasiliteite en vorm ‘n belangrike deel van die Primêre Gesondheid Sorg dienste (PGS). Daar is verskillende beleid binne die Departement van Gesondheid beskikbaar, wat rehabilitasie definieer. Ten spyte van beleid, bly die implimentering van hierdie beleide ‘n uitdaging. Hierdie studie het ontstaan om the kapasiteit van die organisasie te beskryf, om rehabilitasie dienste te implimenteer en ook te bepaal hoe hierdie dienste ooreenstem met die Nasionale Rehabilitasie Beleid (NRB). ‘n Beskrywende metodologie was gebruik, wat uit ‘n kwantitatiewe en kwalitatiewe deel bestaan het. ‘n Vraelys is ontwikkel op grond van die 7 doelwitte beskryf binne die NRB. Dit is gebruik vir die versameling van kwantitatiewe data, by vyf diensversakffers, `n gesondheidsbestuurder en die bestuurders van twee nieregerings organisasies. Kwalitatiewe data is verkry deur onderhoude met die vyf diensverskaffers. ‘n Oudit van pasiënt lêers en die evaluering van dokumente het kwantitatiewe data versterk. Na die analisering van data en die behoefte vir addisionele inligting, is ‘n oop-end vraelys ontwikkel en versprei na deelnemers om te voltooi. Die studie het die organisatoriese kapasiteit van die organisasie ontleed deur gebruik te maak van Kaplan se raamwerk vir organisasie kapasiteit en die doelwitte van die NRB, asook sekere geselekteerde artikels uit die “United Nations Convention of the Rights of Persons with Disabilities” UNCRPD. Deelnemers het belangrikheid van toegang tot rehabilitasie dienste bevestig, met ‘n fokus op uitreik na perifêre klinieke in die sub distrik en befondse Nie-Regerings Organisasies (NRO). Intersektorale skakeling was beskryf, maar beperk tot befondse NRO’s. Verskillende uitdagings soos bv. gestandardiseerde dokumentasie, onvoldoende monitering en evalueringssisteme en die dokumentering van inligting was geïdentifiseer. Die afwesigheid van persone met gestremdhede en hulle deelname by terapie was genoem deur deelnemers. Verskillende uitdagings asook fasiliteerders was geïdentifiseer deur deelnemers t.o.v die implementering van bestaande beleid.