title: Differences in understanding and subjective effects of home-visit rehabilitation between user families and rehabilitation providers.
abstract: [Purpose] This study aimed to clarify differences in understanding and subjective effects of home-visit rehabilitation between user families and rehabilitation providers. [Subjects] The subjects were home-visit rehabilitation providers and user families. [Methods] Home-visit rehabilitation providers and user families completed a self-administered questionnaire regarding the content and subjective effects of home-visit rehabilitation. For statistical analysis, the McNemar's test was used. [Results] Fifty pairs of responses met the inclusion criteria. The mean age of user families was 65.0 ± 11.2 years, and 58.0% (29/50) were spouses of users (user mean age, 77.7 ± 10.2 years; 48.0% (24/50) female). With regard to home-visit rehabilitation content, user families thought that paralysis improvement exercise, massage, and self-care activities were implemented to a greater degree than did rehabilitation providers. With regard to the subjective effects of home-visit rehabilitation, a higher proportion of user families noticed "maintenance/improvement" effects on symptoms and sequelae, as well as pain and suffering, compared with providers. [Conclusion] User families believed that rehabilitation would also improve users' symptoms and pain. Care providers should explain the aims of home-visit rehabilitation to users and their families, both of which require a strong understanding of home-visit rehabilitation in order to achieve rehabilitation goals.
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: Family’s subjective effects; Home-visit rehabilitation; Rehabilitation program
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