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Home / Publicações / Person-Centered Rehabilitation Model: Framing the Concept and Practice of Person-Centered Adult Physical Rehabilitation Based on a Scoping Review and Thematic Analysis of the Literature

Person-Centered Rehabilitation Model: Framing the Concept and Practice of Person-Centered Adult Physical Rehabilitation Based on a Scoping Review and Thematic Analysis of the Literature

  • Autores: Tiago Jesus, Christina Papadimitriou, Felicity A. Bright, Nicola M. Kayes, Cátia S. Pinho, Cheryl A. Cott
  • Ano de Publicação: 2021
  • Journal: Archives of Physical Medicine and Rehabilitation, 103(1), 106-120
  • Link: https://doi.org/10.1016/j.apmr.2021.05.005

ABSTRACT

‘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 (organisation 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 organisation practices. The PCR Model may benefit from further developments including obtaining wider stakeholders’ input, determining relevance in different cultural and linguistic groups, and further operationalisation and testing in implementation projects.

 

KEYWORDS

Models, theoretical; Patient-centered care; Rehabilitation; Review.

 

‘List of abbreviations:’
PCR; person-centered rehabilitation; SDM; shared decision making.

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About GHTM

GHTM is a R&D Center that brings together researchers from IHMT with a track record in Tropical Medicine and International/Global Health. It aims at strengthening Portugal's role as a leading partner in the development and implementation of a global health research agenda. Our evidence-based interventions contribute to the promotion of equity in health and to improve the health of populations.

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