3 research outputs found
Rehabilitation needs in individuals with knee OA in rural Western Cape, South Africa: an exploratory qualitative study
Background: Current clinical practice guidelines have suggested that each individual with knee
osteoarthritis (OA) should receive three core treatments from their health care provider. These
core treatments comprise of exercise, education and weight loss. Identification of the health care
and rehabilitation needs of individuals with knee OA in rural areas are imperative for focusing
service delivery in a specific context in order to empower the individual. The aim of this study
was to explore the rehabilitation needs of individuals with knee OA living in rural Western Cape
in order to identify the gaps in services offered and inform rehabilitation programmes in these
settings. Methods: Semi-structured in-depth individual interviews were performed on 16 individuals with knee OA living in rural settings of the Western Cape, South Africa. A deductive
data analysis approach was used and the needs of the individuals were identified and categorised
for interpretation and comparison with the reported services received. Findings: The three
major themes identified were ‘I would like to know more’, ‘There’s not much support from
the clinic’ and ‘I don’t feel myself anymore’. These themes relate to the lack of disease-specific
education, barriers in the health systems and service delivery resulting in individuals lack of
self-worth and poor mental wellbeing. The results revealed the integral relationship between
health care systems, service delivery and the effect on patient wellbeing. Conclusion: The rehabilitation needs of individuals with knee OA in rural areas advocates for addressing barriers in
rural primary health care system such as adequate human resources, referral systems and
continuity of care. This will allow for a comprehensive, person-centred and context-specific
multidisciplinary approach focused on empowering individuals with knee OA through
disease-specific education, improving functional participation and symptom management
strategies. This could improve the social inclusion and mental wellbeing of individuals living
with knee OA.National Research Fund of South Afric
Collaborative capacity development to complement stroke rehabilitation in Africa
This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke
Collaborative capacity development to complement stroke rehabilitation in Africa
This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke