title: Beyond function: predicting participation in a rehabilitation cohort.
abstract: OBJECTIVE
  To monitor participation in a rehabilitation cohort and to identify determinants of change during a 12-month period posthospitalization following the onset of one of several major disabling conditions.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Postacute care rehabilitation settings.
  
  
  METHODS
  Adults (N=435) aged 18 years and older with complex medical, lower-extremity orthopedic, and major neurologic impairments.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  At 1-, 6-, and 12-month follow-ups, community participation and social and home participation were assessed by personal interviews using the Participation Measure for Post-Acute Care. Information on potential determinants was abstracted from the medical chart and by personal interview using standardized instruments.
  
  
  RESULTS
  On average, rehabilitation patients achieved modest improvements in their levels of community participation during the first 6 months after acute hospitalization. In contrast, these same patients displayed a modest loss in social and home participation levels during the follow-up period. Activity limitations were the dominant factors that explained much of the variance in the extent of community participation achieved by patients. Personal and social environmental factors played a major role in predicting levels of social and home participation.
  
  
  CONCLUSIONS
  The focus of rehabilitation interventions aimed at achieving posthospital participation requires careful consideration of the specific domain of participation that is being targeted.
authors.affiliation: Health and Disability Research Institute, Boston University, Boston, MA 02215, USA. ajette@bu.edu
authors.forename: Alan M
authors.initials: AM
authors.lastname: Jette
authors.forename: Julie
authors.initials: J
authors.lastname: Keysor
authors.forename: Wendy
authors.initials: W
authors.lastname: Coster
authors.forename: Pengsheng
authors.initials: P
authors.lastname: Ni
authors.forename: Stephen
authors.initials: S
authors.lastname: Haley
mesh_terms: D000328:Adult; D000368:Aged; D003071:Cognition; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009043:Motor Activity; D010358:Patient Participation / Q000523:psychology*; D012046:Rehabilitation / Q000523:psychology*; D012720:Severity of Illness Index; D012919:Social Behavior; D012944:Social Support