title: Differences between home-visit rehabilitation users and providers in their understanding of the content and subjective effects of rehabilitation practices.
abstract: [Purpose] This study aimed to clarify differences between home-visit rehabilitation users and providers in their understanding of the content and subjective effects of this practice. [Subjects] The subjects of this study were home-visit rehabilitation users and providers. [Methods] Home-visit rehabilitation users and providers were given self-administered questionnaires regarding home-visit rehabilitation, such as the content and subjective effects. The McNemar's test was used for statistical analysis. [Results] Responses of 34 pairs meeting the inclusion criteria were analyzed. Mean user age was 75.2 ± 9.2 years, and 58.8% (20/34) of respondents were female. In terms of home-visit rehabilitation content, users believed that the following 3 items had been "implemented" to a greater extent than that estimated by providers: paralysis improvement exercise, floor sitting and standing, and self-care activities. No significant differences in awareness were identified between users and providers regarding the maintenance/improvement effects of home-visit rehabilitation. [Conclusion] Users tend to consider that programs aimed at relieving symptoms and pain and improving mobility are being implemented to a greater extent than that considered by providers. Providers need to explain the aims of home-visit rehabilitation programs in a way that can be understood by users.
authors.affiliation: Division of Occupational Therapy, Faculty of Care and Rehabilitation, Seijoh University, Japan ; Department of Health Informatics, Kyoto University School of Public Health, Japan.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Ohura
authors.affiliation: Kumano Clinic, Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Tsuyama
authors.affiliation: Department of Health Informatics, Kyoto University School of Public Health, Japan.
authors.forename: Takeo
authors.initials: T
authors.lastname: Nakayama
keywords: Home-visit rehabilitation; Rehabilitation program; Subjective effects