Department of Public Health, Aarhus University, Aarhus, Denmark.
DEFACTUM, Central Denmark Region, Aarhus, Denmark.
Disabil Rehabil. 2022 Jul;44(15):3992-4003. doi: 10.1080/09638288.2021.1897887. Epub 2021 Mar 21.
The aim was to examine the potential of outdoor contexts within community-based rehabilitation to empower people with disabilities in their rehabilitation. Interpretive description was applied as the methodology in a 5-month ethnographic fieldwork study, and guided by social practice theory. In total, 115 people with disabilities were included for participant observation, of which 15 participants were recruited for individual walking interviews. Analysis revealed four overlapping themes. Firstly, "Revisiting the Outdoors" appeared to be an overarching theme, which created a basis for "Building Autonomy" among the participants. The varied outdoor experiences empowered the participants to take a more active role in their rehabilitation. These experiences afforded unique opportunities for "Connecting with Community" and, finally, "Embodied Learning" - that could be transferred to home and to other everyday contexts. Outdoor contexts within community-based rehabilitation appeared to hold strong potential for connecting people with disabilities to communities. Although barriers exist, we argue that revisiting the outdoors supports collective awareness and action with the capacity to influence community attitudes more broadly.IMPLICATIONS FOR REHABILITATIONOutdoor contexts within community-based rehabilitation for people with disabilities capitalise on the features of both indoor and outdoor environments with activities that meet shifting individual priorities and needs.Outdoor contexts within community-based rehabilitation offer people with disabilities empowering experiences that are part of the landscape of everyday life and transfer well to home and other environments.Community-based rehabilitation directly involving outdoor contexts and supported by professional skills provides a crucial bridge from individual rehabilitation to community belonging.
目的是探讨社区康复中户外环境的潜力，以增强残疾人在康复过程中的能力。本研究采用解释性描述作为方法，以社会实践理论为指导，进行了为期 5 个月的民族志实地研究。共有 115 名残疾人参与了参与观察，其中 15 名参与者接受了个人步行访谈。分析揭示了四个重叠的主题。首先，“重新审视户外环境”似乎是一个总体主题，为参与者“建立自主性”奠定了基础。多样化的户外体验使参与者能够在康复中发挥更积极的作用。这些体验为“与社区建立联系”和“身体学习”提供了独特的机会，这些经验可以转移到家庭和其他日常环境中。社区康复中的户外环境似乎具有将残疾人与社区联系起来的强大潜力。尽管存在障碍，但我们认为重新审视户外环境有助于增强集体意识和行动，从而更广泛地影响社区态度。
社区康复为残疾人提供的户外环境充分利用了室内和室外环境的特点，开展的活动可以满足不断变化的个人优先事项和需求。
社区康复中的户外环境为残疾人提供了赋权的体验，这些体验是日常生活的一部分，可以很好地转移到家庭和其他环境中。
直接涉及户外环境并得到专业技能支持的社区康复为从个人康复到社区归属感提供了至关重要的桥梁。
