Department of Public Health, Centre for Rehabilitation, Section for Clinical Social Medicine and Rehabilitation, Faculty of Health, Aarhus University, Aarhus, Denmark.
DEFACTUM, Central Denmark Region, Vibrog, Denmark.
Disabil Rehabil. 2019 Dec;41(25):3052-3060. doi: 10.1080/09638288.2018.1490461. Epub 2018 Jul 24.
To describe and analyse social interactions among the users, partners and stakeholders involved in developing a rehabilitation park to determine a future approach to community-based rehabilitation. The design was qualitative using the methodology interpretive description and symbolic interactionism as the theoretical framework. Data was generated through a two-year ethnographic fieldwork throughout the development of the SPARK (Sound Park Activities Rehabilitation and Climate) rehabilitation park. The participants were users, partners, and stakeholders of the park and data consisted of participant observations comprising observations, informal conversations, and field notes. Three themes formed an understanding of the significance of involvement; reflected the participants' joint overall idea for the rehabilitation park containing possibilities for health promotions for everyone. represented an experience of a project where everyone's opinion counted whilst signified a state of a deeper experience of being valued and heard. The findings suggest consistent and continuous involvement of users, partners, and stakeholders, creating possibilities for co-creation in rehabilitation in new settings. The development of rehabilitation parks like the SPARK park in a shared public arena may benefit people with disability, and everyone and further help reduce stigma around disability.Implications for RehabilitationThe rehabilitation definition forms the base for co-creation of rehabilitation initiatives among people in need of rehabilitation as such and professionals with different approaches and professions.Conducting rehabilitation practice in a shared outdoor arena may provide professional development and expansion towards interdisciplinary approaches across diagnoses and professions.Outdoor rehabilitation may (despite different target groups) function as a facilitator for professional and chance meetings in the park and thereby create a community for meeting across professional disciplines, founding, and enabling a practice that allows to reflect on and learn from different approaches within rehabilitation.Community-based rehabilitation in a public shared arena may generate possibilities for reducing stigma towards people with disability.
描述和分析参与开发康复公园的用户、合作伙伴和利益相关者之间的社会互动，以确定社区为基础的康复的未来方法。设计采用定性方法，采用解释性描述和符号互动主义作为理论框架。数据是通过在 SPARK（声音公园活动康复和气候）康复公园发展的两年时间里进行的民族志实地考察产生的。参与者是公园的使用者、合作伙伴和利益相关者，数据包括观察、非正式对话和实地笔记组成的参与观察。三个主题形成了对参与意义的理解； 反映了参与者对康复公园的共同整体想法，包含了为每个人促进健康的可能性。 代表了一个每个人的意见都算数的项目经验，而 则代表了一种更深层次的被重视和被倾听的体验状态。研究结果表明，使用者、合作伙伴和利益相关者的持续参与为新环境中的康复共同创造创造了可能性。像 SPARK 这样的康复公园在公共共享场所的发展可能使残疾人和所有人受益，并进一步有助于减少残疾带来的耻辱感。对康复的影响康复定义为有康复需求的人和具有不同方法和专业的专业人员之间共同创造康复举措的基础。在共享的户外场地进行康复实践可能为专业发展和跨诊断和专业的跨学科方法的扩展提供机会。户外康复可能（尽管目标群体不同）作为公园内专业和偶然相遇的促进者，从而为不同专业领域的会议创造一个社区，为基础和启用允许从康复的不同方法中反思和学习的实践创造条件。公共共享场所的社区为基础的康复可能为减少对残疾人士的污名化创造可能性。
