Global Health and Tropical Medicine (GHTM) & WHO Collaborating Centre for Health Workforce Policy and Planning-Institute of Hygiene and Tropical Medicine: NOVA University of Lisbon, Lisbon, Portugal.
Centre for Person Centred Research, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Disabil Rehabil. 2021 Jun;43(11):1626-1636. doi: 10.1080/09638288.2019.1668483. Epub 2019 Sep 25.
To describe the amount, range, and key characteristics (e.g., publication years, methods, topics) of the person-centered rehabilitation literature in adults with physical impairments.
Following the published scoping review protocol, papers were identified through: three major databases, snowball searches and expert consultation. Two independent reviewers have identified English-language papers on adult person-centered rehabilitation according to six pre-defined inclusion categories - theoretical, quantitative and qualitive research papers are included; and then have extracted their key characteristics (e.g., aims, methods, participants). Descriptive statistics, regression and content analyses were used to synthesize the results.
Of 5912 deduplicated records initially screened, 170 papers were included: 136 empirical, including 13 systematic reviews. Empirical papers had data from 15264 clients and 4098 providers, in total. Yearly publications grew significantly from 2009 to 2018 ( = 0.71; = 1.98: < 0.01). Publications were unevenly distributed by countries (e.g., United States' publications per population was 44 times lower than New Zealand's). Most papers focused in more than one profession, setting-type or health conditions. Finally, many empirical papers ( = 67) studied implementation of person-centered rehabilitation approaches, including its effect.
This scoping review synthesizes key characteristics and publication trends in the person-centered rehabilitation literature on adults with physical impairments, a growing but unchartered territory thus far. This large and diverse body of literature can ground further person-centered rehabilitation practices and research, including toward building a transdisciplinary, trans-service model of person-centered rehabilitation.Implications for rehabilitationThe person-centered rehabilitation literature on adults with physical impairments, especially the empirical one, has been growing significantly over time, despite inequitably distributed per countries.Rehabilitation stakeholders, including practitioners, have a growing amount of literature in which they can rely for the operationalization and implementation of person-centered rehabilitation approaches into routine practice.Based on our work, person-centered rehabilitation emerges as a practice requirement that cuts across professional and other rehabilitation silos.
描述身体残疾成年人以患者为中心的康复文献的数量、范围和主要特征（例如，发表年份、方法、主题）。
根据已发表的范围综述方案，通过以下方式确定论文：三个主要数据库、滚雪球搜索和专家咨询。两位独立评审员根据六个预先定义的纳入类别确定了关于成人以患者为中心的康复的英文论文——包括理论、定量和定性研究论文；然后提取了它们的主要特征（例如，目的、方法、参与者）。使用描述性统计、回归和内容分析来综合结果。
在最初筛选的 5912 条去重记录中，有 170 篇论文被纳入：136 篇实证研究，包括 13 篇系统评价。实证论文的数据来自 15264 名患者和 4098 名提供者。从 2009 年到 2018 年，每年的出版物数量显著增长（=0.71；=1.98：<0.01）。各国的出版物分布不均（例如，美国的出版物与人口的比例比新西兰低 44 倍）。大多数论文关注一种以上的职业、设置类型或健康状况。最后，许多实证论文（=67）研究了以患者为中心的康复方法的实施，包括其效果。
这项范围综述综合了身体残疾成年人以患者为中心的康复文献的主要特征和发表趋势，这是一个迄今为止不断发展但尚未开发的领域。大量多样化的文献可以为进一步的以患者为中心的康复实践和研究提供基础，包括建立一个跨学科、跨服务的以患者为中心的康复模式。
身体残疾成年人以患者为中心的康复文献，尤其是实证文献，随着时间的推移显著增长，尽管各国的分布不均。康复利益相关者，包括从业者，有越来越多的文献可以依赖，将以患者为中心的康复方法付诸实施并纳入常规实践。基于我们的工作，以患者为中心的康复作为一种实践要求，跨越了专业和其他康复领域的界限。
