title: [A field assessment of a community 'rehabilitation class' for home handicapped persons--focusing on participant social network].
abstract: The purpose of this study is to evaluate a community 'Rehabilitation class' for its effectiveness. A function of the 'Rehabilitation class' is the expansion of a participant's social network, and the following hypothesis was formulated: the reciprocal relationships of participant and class or staff members bring about psychological effectiveness and a change of their awareness, resulting in the expansion of social networks. Actual class activity, psychological aspects and social networks of twenty-six participants and twenty care takers, who responded to a questionnaire survey, were examined with respect to the above hypothesis. Those reporting having changed were compared to those reporting no change. The results were as follows: (1) Class activity was directed at developing relationships among participants, and while most of them were changed positively, it appeared that staff members were not sufficiently involved. (2) There were 23 participants in the 'changed' group. Most of their care takers and family were changed positively. Eleven reported receiving significant emotional support from other 'Rehabilitation class' members, and therefore their social networks appeared to have expanded generally. (3) The 'non changed' group consisted of 3 participants whose social networks did not appear to have expanded. (4) Social networks outside the home were not expanded for all participants, probably due to their reported receiving little social support from others outside family members, and because they had few social roles outside the home. Based on the above results, it is concluded that effective classes involve participants individually, and encourage the independent activity of participants, and that it is necessary to have networking with other organizations in community, and the 'Rehabilitation class' should be provided to smaller local regions.
authors.affiliation: School of Allied Medical Sciences, Shinshu University.
authors.forename: K
authors.initials: K
authors.lastname: Asahara
authors.forename: K
authors.initials: K
authors.lastname: Hirabayashi
authors.forename: N
authors.initials: N
authors.lastname: Yokouchi
authors.forename: T
authors.initials: T
authors.lastname: Okubo
mesh_terms: D000368:Aged; D003153:Community Health Services; D006233:Persons with Disabilities / Q000534:rehabilitation*; D004521:Educational Measurement; D005069:Evaluation Studies as Topic; D005260:Female; D006701:Home Nursing; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D012046:Rehabilitation / Q000193:education*; D012944:Social Support