Rehabilitation psychology
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Rehabilitation psychology · May 2019
ReviewDisability identity and allyship in rehabilitation psychology: Sit, stand, sign, and show up.
The purpose of this conceptual paper was to put forth a call for rehabilitation practitioners to consider their role in developing disability identity in their clients, and to understand this action as a form of allyship toward the disability community. ⋯ In this conceptual paper, we framed disability in terms of both the medical and social models and argues that thinking about disability identity requires attention to the social model of disability. This attention is important, because it allows practitioners to think about themselves as allies to a particular community, rather than experts who must only "fix" clients' disabilities to elicit positive identity development. This shift toward allyship requires attention, engagement, and openness to see clients simultaneously as individuals and as members of a powerful, diverse community with a unique identity experience. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Rehabilitation psychology · Feb 2019
Online and offline awareness deficits: Anosognosia for spatial neglect.
Anosognosia for spatial neglect (ASN) can be offline or online. Offline ASN is general unawareness of having experienced spatial deficits. Online ASN is an awareness deficit of underestimating spatial difficulties that likely to occur in an upcoming task (anticipatory ASN) or have just occurred during the task (emergent ASN). We explored the relationships among spatial neglect, offline ASN, anticipatory ASN, and emergent ASN. Research Method/Design: Forty-four survivors of stroke answered questionnaires assessing offline and online self-awareness of spatial problems. The online questionnaire was asked immediately before and after each of 4 tests for spatial neglect, including shape cancellation, address and sentence copying, telephone dialing, and indented paragraph reading. ⋯ Individuals with spatial neglect acknowledge their spatial difficulty (certainty of error occurrence) but may not necessarily recognize the extent of their difficulty (accuracy of error estimation). Our findings suggest that offline and online ASN are independent. A potential implication from the study is that familiar and challenging tasks may facilitate emergence of self-awareness. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Rehabilitation psychology · Nov 2018
Randomized Controlled TrialVirtual reality analgesia for burn joint flexibility: A randomized controlled trial.
We conducted a randomized controlled study to determine the effects of virtual reality (VR) distraction on pain and range of motion (ROM) in patients hospitalized for burn care during active physical therapy exercises. ⋯ Immersive VR reduced pain during ROM exercises that were under the control of the patient. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Rehabilitation psychology · Nov 2018
Towards an integration of the health promotion models of self-determination theory and theory of planned behavior among people with chronic pain.
People with chronic pain and related disability often report motivational difficulties with engaging in health-promoting behaviors. Although health promotion models of self-determination theory (SDT) and theory of planned behavior (TPB) have been shown to explain the motivational processes behind health behaviors in the general population, there is limited theoretical research among persons with chronic pain. This study examined the integration of such theories relevant to physical activity and exercise behavior among pain populations. ⋯ Despite preexisting pain and functional disability, the findings suggest that health behavior factors from both SDT and TPB are associated with physical activity and exercise participation. This line of research should encourage rehabilitation professionals to recommend regular physical activity and exercise, while simultaneously addressing and monitoring the SDT and TPB factors that are well-timed and appropriate for persons with chronic pain through motivation-oriented rehabilitation approaches. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Rehabilitation psychology · Aug 2018
Qualitative study of barriers and facilitators to cigarette smoking after spinal cord injury.
Persons with spinal cord injury (SCI) have been shown to have rates of smoking as high as or higher than the general population. As those with SCI are at increased risk for negative health outcomes and early mortality, smoking can be especially dangerous. Our purpose was to assess barriers and facilitators of smoking cessation as defined by those with SCI. ⋯ These categories and themes identify the key barriers and facilitators of smoking cessation in this sample of persons with SCI. Future studies should further quantify specific facilitators and barriers within smoking-related studies and address these in intervention programs and studies of smoking cessation. (PsycINFO Database Record