Participation readiness at discharge from inpatient rehabilitation in children and adolescents with acquired brain injuries.
Participation readiness at discharge from inpatient rehabilitation in children and adolescents with acquired brain injuries.
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DOI：
10.1080/1363849021000013540
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发表时间：
2002-04-01
期刊：
影响因子：
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通讯作者：
Smith, Kevin W
中科院分区：
文献类型：
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作者：
Bedell, Gary M;Haley, Stephen M;Smith, Kevin W
目的：描述的程度，准备参与家庭，学校和社区生活出院的住院康复和选定的因素与参与准备在儿童和青少年获得性脑injuries.METHODS：工作人员从8个网站使用回顾性审查，以完成一个原型的临床性能测量，最多10个他们最近的出院。数据来自65名6个月至18岁（X = 9.5岁）的儿童和青少年。对参与准备程度进行了分析。选定的变量和参与准备之间的关联进行了检查，使用相关性和多元回归analysis.RESULTS：只有3-27%的儿童被认为是准备在出院年龄预期参与在15个领域的家庭，学校和社区生活。出院时的社会行为活动表现解释了74%的方差与参与准备在discharge.CONCLUSIONS：低百分比的儿童被认为准备好年龄预期的参与有影响出院后的编程，因为82%的儿童出院回家。参与准备可能不是一个容易实现的目标，或者在住院康复期间可能无法完全解决。初步研究结果表明，社会行为活动的表现是一个关键的变量，以考虑在努力促进参与的准备。
OBJECTIVE: To describe the extent of readiness for participation in home, school and community life at discharge from inpatient rehabilitation and selected factors associated with participation readiness in children and adolescents with acquired brain injuries.METHODS: Staff from eight sites used retrospective review to complete a prototype clinical performance measure on up to 10 of their most recent discharges. Data were obtained on 65 children and adolescents, aged 6 months to 18 years (X = 9.5 years). The extent of participation readiness was analysed descriptively. Associations between selected variables and participation readiness were examined using correlation and multiple regression analyses.RESULTS: Only 3-27% of the children were deemed ready for age-expected participation at discharge in 15 domains of home, school and community life. Social behavioural activity performance at discharge explained 74% of the variance associated with participation readiness at discharge.CONCLUSIONS: The low percentage of children deemed ready for age-expected participation has implications for post-discharge programming, since 82% of the children were discharged home. Participation readiness may not be an easily achievable goal or may not be fully addressed during inpatient rehabilitation. Preliminary findings suggest that social-behavioural activity performance is a key variable to be considered in efforts to promote participation readiness.