Whittaker Sara L, Brusco Natasha K, Hill Keith D, Ekegren Christina L, Taylor Nicholas F
Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Frankston, Australia.
Alfred Health, Melbourne, Australia.
Disabil Rehabil. 2025 Jan;47(2):425-434. doi: 10.1080/09638288.2024.2339533. Epub 2024 Apr 16.
To evaluate the implementation of a self-management program, My Therapy, designed to increase inpatient rehabilitation therapy dosage via independent practice.
A process evaluation of My Therapy for adult patients admitted for rehabilitation for any condition supervised by physiotherapists and occupational therapists across eight rehabilitation wards compared usual care. Outcomes included , , and
The mean (SD) age of the process evaluation sample ( = 123) was 73 (11) years with a mean (SD) length of stay of 14.0 (6.6) days. The My Therapy program 68% of participants ( = 632/928), and resulted in an average increase in therapy of 26 (95% CI 12 to 40) minutes/day of independent practice. All My Therapy audited programs ( = 28) included body function/structure impairment-based exercises, and half ( = 13/28) included activity/participation-based exercises. On average, participants completed programs 1.8 (SD 1.2) times/day, which were prescribed in accordance with the My Therapy criteria, demonstrating . There were no between-group differences in daily steps or standing time, however, My Therapy participants spent more time sitting ( ≤ 0.05). Implementation were minimal.
A self-management rehabilitation program was implemented with fidelity for two in three rehabilitation patients, resulting in increased therapy dosage with minimal adaptations.
评估一项自我管理计划“我的治疗”的实施情况，该计划旨在通过自主练习增加住院康复治疗剂量。
对在八个康复病房接受物理治疗师和职业治疗师监督的任何疾病康复治疗的成年患者进行的“我的治疗”过程评估与常规护理进行比较。结果包括……
过程评估样本（n = 123）的平均（标准差）年龄为73（11）岁，平均（标准差）住院时间为14.0（6.6）天。“我的治疗”计划覆盖了68%的参与者（n = 632/928），并使自主练习的治疗时间平均每天增加26（95%可信区间12至40）分钟。所有接受审核的“我的治疗”计划（n = 28）都包括基于身体功能/结构损伤的锻炼，一半（n = 13/28）包括基于活动/参与的锻炼。参与者平均每天完成计划1.8（标准差1.2）次，这些计划是根据“我的治疗”标准规定的，显示出……。两组之间在每日步数或站立时间上没有差异，然而，“我的治疗”参与者坐着的时间更多（P≤0.05）。实施方面的调整很少。
一项自我管理康复计划在三分之二的康复患者中得到了忠实实施，在调整最少的情况下增加了治疗剂量。
