43 Rehabilitation for social inclusion: tailoring to patient interests

Abstract

Background Rehabilitating a person encompasses more than just their physical recovery as it also involves rekindling their enthusiasm for life.1 Customizing rehabilitation programmes to a patient‘s hobbies and passions is a potent strategy to accomplish this. People who do this not only recover their physical abilities but also feel joy and purpose again in the things they love to do. This method not only makes them healthier, but also increases their social engagement, which builds relationships and a sense of community that is essential for general well-being. The project aimed to improve patients’ ability to participate in social roles and activities from 65% in December 2022 to 80% by December 2022.

Methods After admission to the Adult Day-care Rehabilitation unit, patients filled an interest checklist to determine the rehabilitative activities which interests them. The rehabilitation programme was designed according to their interests which can include group activities for social interactions, and simulation for real-life situations and activities. At the end of the rehabilitation programme, patients filled two surveys; the Ability to participate in social roles and activities (Neuro-QOL short form), the Satisfaction with Participation in social roles (PROMIS short form 8a).2

Results Our goal was to maintain the average percentage of participation in social roles and activities above 80% until the completion of the rehabilitation programme. Prior to implementing this practice, the average percentage of participation in social roles and activities was 65%. After that, it reached 86.2% (figure 1). Additionally, the average percentage of satisfaction with participation in social roles was 84.1% (figure 2).

Conclusion Using the person-centred approach to rehabilitate patients according to their interests was successful to improve the ability to participate in social roles and activities since it increased 65% up to 80%.

Abstract 43 Figure 1

Patients’ ability to participate in social roles and activities over the course of the rehabilitation project

Abstract 43 Figure 2

Patients’ average percentage of reported satisfaction level with participation in social roles

References

  1. Tamminga SJ, van Vree FM, Volker G, Roorda LD, Terwee CB, Goossens, PH; Vliet Vlieland, TP. Changes in the ability to participate in and satisfaction with social roles and activities in patients in outpatient rehabilitation. Journal of Patient-Reported Outcomes 2020;4(1). https://doi.org/10.1186/s41687-020-00236-3

  2. Kozlowski AJ, Cella D, Nitsch KP , Heinemann AW. Evaluating individual change with the quality of life in neurological disorders (neuro-qol) short forms. Archives of Physical Medicine and Rehabilitation. 2016;97(4). https://doi.org/10.1016/j.apmr.2015.12.010

  3. Cella D, Choi SW, Condon DM, Schalet B, Hays R , Rothrock NE, Yount S, Cook KF, Gershon RC, Amtmann D, DeWalt DA, Pilkonis PA, Stone AA , Weinfurt K, & Reeve B B .Promis® Adult health profiles: efficient short-form measures of seven health domains. Value in Health 2019;22(5):537–544. https://doi.org/10.1016/j.jval.2019.02.004

Ethical Approval/IRB Statement This project has been approved for publication by the Director of the Adult Day Rehabilitation Unit and the Quality and Safety Department of the Qatar Rehabilitation Institute, Doha, Qatar.

  • First published: 23 April 2025

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