Novel Application of the World Health Organization Community-Based Rehabilitation Matrix to Understand Services' Contributions to Community Participation for Persons With Traumatic Spinal Cord Injury: A Mixed-Methods Study.
- Resource Type
- Article
- Authors
- Raha, Srijan S.; Yip, Silas; Ho, Chester; Olayinka, Olaleye; Peláez-Ballestas, Ingris; Rame-Montiel, Ana K.; MacIsaac, Rob; Henderson, Rita; Burns, Katharina Kovacs; Bakal, Jeffrey; Charbonneau, Rebecca; Kamran, Rija; Loyola-Sanchez, Adalberto
- Source
- American Journal of Physical Medicine & Rehabilitation. Sep2023, Vol. 102 Issue 9, p815-822. 8p.
- Subject
- *COMMUNITY services
*SOCIAL participation
*SPINAL cord injuries
*RESEARCH methodology
*COMMUNITY health services
*QUANTITATIVE research
*QUALITATIVE research
*SELF-efficacy
*QUALITY assurance
*QUALITY of life
*REHABILITATION
*WOUNDS & injuries
RESEARCH evaluation
- Language
- ISSN
- 0894-9115
Purpose: The aimof the study is to use theWorldHealth Organization community-based rehabilitation matrix for understanding services' contributions to foster community participation for people with traumatic spinal cord injury. Methods: This study used a convergent mixed-methods design with a quantitative arm describing the frequency with which services contributed to 22 of the community-based rehabilitation-matrix elements and a qualitative arm involving document reviews and stakeholder interviews. Results were integrated following Onwuegbuzie and Teddlie's method (i.e., quan + QUAL). Results: Twenty of the 22 (91%) of the World Health Organization community-based rehabilitation elementswere addressed by traumatic spinal cord injury services. Five types of services were identified. Integrated results showed that the strengths of traumatic spinal cord injury services were as follows: (1) comprehensiveness; (2) essential medical services publicly funded; (3) numerous social protections available; and (4) highly active community-based organizations. Identified opportunities to improve these services were as follows: (1) increase specificity for traumatic spinal cord injury and (2) increase communication and integration among services. Conclusions: Services available for people with traumatic spinal cord injury in the province studied address most of the elements of theWorld Health Organization community-based rehabilitation matrix. However, lack of cohesion between services could create gaps that hinder community participation. Addressing these gaps could improve the quality of life and outcomes of people with traumatic spinal cord injury. [ABSTRACT FROM AUTHOR]