Evaluation of Outcomes Associated with a Leisure-time Activity Program for Disadvantaged Youth

The SLEAK (Skills, Learning and Educational Activities for Kids) program was established in 2008 as a joint partnership between a community leader and the Division of Occupational Therapy Stellenbosch University. The vision of the SLEAK program is to create a sustainable, non-profit, leisure-time activity program for the youth (10-13 years of age) of the community in order to curb drug and gangster-related activities and to foster healthy work-related skills in the youth to make them responsible and productive members of their community. The SLEAK program was evaluated in its entirety and this article will focus on the results for the outcomes set for the children in the SLEAK program. The results indicated that although it is still a rather small project, it seems as if the project is effective in what it set out to achieve and that it could serve as a pilot for starting projects in similar communities

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

Die uitkomste wat fisies-gestremde kliënte bereik deur hul deelname aan rehabilitasie by ‘n gemeenskapsrehabilitasiesentrum in die Wes-Kaap

Thesis (MOccTher)--Stellenbosch University, 2012.ENGLISH ABSTRACT: Despite the existence of many guidelines for rehabilitation services both internationally and in South Africa, there is a need for a uniform format for the measurement and reporting of outcomes reached by clients utilising these services. Traditionally, statistics on client numbers fail to report actual outcomes attained by clients. Aim: This aim of the study was to describe the outcomes achieved by clients after participating in rehabilitation at the Bishop Lavis Rehabilitation Centre (BLRC) over a three month period. It was done by describing clients’ function according to the World Health Organisation’s International Classification of Function (ICF) model, and included both the environmental and personal factors impacting on an individual’s function. Method: The study employed a descriptive design and used six measuring instruments which exceeded acceptable test-retest requirements to gather data from within the framework of the ICF Model. A field worker was trained to administer the majority of instruments which were pilot-tested for pre and post-test purposes. A sample of 78 clients who met the inclusion criteria was selected from the five main diagnostic categories seen at the BLRC. All clients were evaluated on referral, and again after receiving rehabilitation services for three months. An open-ended questionnaire was also administered as part of the post-test to obtain clients’ personal perspective on outcomes reached, as well as their subjective opinion of the rehabilitation experience. Data on the impact of various demographic and environmental factors on function was also gathered and statistically analysed in conjunction with the qualitative data obtained from the interviews in order to identify the rehabilitation outcomes achieved by the clients included in this study. Results: Clients reported a statistically significant decrease in the impact of disability on their function, with ‘mobility’ emerging as the aspect of function which improved the most after rehabilitation. The effect of most demographic and environmental factors investigated were perceived as facilitating rather than debilitating to rehabilitative outcomes, with ‘faith’ reported to be most facilitating and ‘monthly income’ the most debilitating of all factors. Subjectively, clients perceived their participation in rehabilitation to be a contributing factor to the improvement in their function, and generally expressed a positive attitude toward the rehabilitation experience. Recommendations based on the results of this study are presented to inform governing bodies involved in rehabilitation in South Africa.AFRIKAANSE OPSOMMING: Ten spyte van die bestaan van veelvuldige riglyne vir rehabilitasie dienste, beide internasionaal en in Suid-Afrika, is daar steeds ‘n behoefte vir uniforme riglyne vir die meting en rapportering van die uitkomste wat kliënte bereik met deelname aan hierdie dienste. Tradisionele statistiek rakende kliëntegetalle rapporteer nie die werklike uitkomste wat kliënte bereik het nie. Doel: Die doel van die studie was om die uitkomste te beskryf wat kliënte bereik na hul deelname aan rehabilitasie by Bishop Lavis Rehabilitasiesentrum (BLRS) oor ‘n drie maande periode. Dit is gedoen deur kliënte se funksionering te beskryf volgens die Wêreld Gesondheidsorganisasie se Internasionale Klassifikasie van Funksie (IKF) model, insluitend beide die omgewings- en persoonlike faktore wat ‘n impak op ‘n individu se funksionering kon hê. Metode: Die studie het gebruik gemaak van ‘n beskrywende studiestruktuur. Dit het ses meetinstrumente gebruik wat beter as aanvaarbare vereistes vir toets-hertoets-betroubaarheid getoon het om data binne die raamwerk van die IKF-model in te samel. ‘n Veldwerker is opgelei vir die administrasie van die meerderheid van die meetinstrumente wat vir voor- en na-toets doeleindes in ‘n loodstudie getoets is. ‘n Steekproef van 78 kliënte wat aan die insluitingskriteria voldoen het, is geselekteer uit die vyf hoof diagnostiese groepe gesien by BLRS. Alle kliënte is geevalueer met verwysing en weer na hulle drie maande se rehabilitasie dienste ontvang het. Administrasie van ‘n oop-einde vraelys is ook as deel van na-toetsing gedoen om kliënte se persoonlike perspektief van die uitkomste wat hulle bereik het in te samel, sowel as hulle subjektiewe opinie van die rehabilitasieproses. Data oor die impak wat verskeie demografiese en omgewingsfaktore op funksionering kon hê is ingesamel, statisties ontleed en gebruik saam met die kwalitatiewe data wat met onderhoudsvoering ingesamel is om sodoende die rehabilitasieuitkomste te identifiseer wat behaal is deur kliënte wat ingesluit was in die studie. Resultate: Kliënte rapporteer ‘n statisties beduidende vermindering in die impak van gestremdheid op hulle funksionering, met ‘mobiliteit’ wat uitstaan as die area van funksionering wat die meeste verbeter het na rehabilitasie. Die effek van die meeste demografiese en omgewingsfaktore wat ondersoek was, is as fassiliterend eerder as inhiberend tot rehabilitasieuitkomste ervaar, met ‘geloof’ gerapporteer as die mees fassiliterende en ‘maandelikse inkomste’ as die die mees inhiberende faktor. Op 'n subjektiewe vlak het kliënte hul deelname aan rehabilitasie as ‘n bydraende faktor tot hul verbetering in funksionering ervaar, en het hulle oor die algemeen ‘n positiewe houding teenoor rehabilitasie gerapporteer

Clients’ subjective experience of their participation in rehabilitation at an out-patient community rehabilitation center

CITATION: Kloppers, M., Pretorius, B. & Vlok, E. D. 2016. Clients’ subjective experience of their participation in rehabilitation at an out-patient community rehabilitation center. South African Journal of Occupational Therapy, 46(1):59-63, doi:10.17159/2310-3833/2016/v46n1a12.The original publication is available at http://www.sajot.co.zaIntroduction: Rehabilitation services in South Africa are governed by various policies. It is important to evaluate these services to assess if the services are achieving their aims as set out in these policies. The evaluation should include the outcomes that clients achieve by participating in rehabilitation services. Method: The findings presented were obtained as part of a larger mixed methods descriptive study and this paper will focus on clients’ subjective experience of participating in rehabilitation. Convenience sampling was used to select 78 clients from the five most prevalent diagnostic groups seen at the centre. Semi-structured interviews were conducted, transcribed and analysed by means of basic content analysis. Results: Clients commented on the emotional impact that participating in rehabilitation had had on them and on the physical changes it had brought about. Clients experienced a high level of satisfaction with the service and enjoyed participating in rehabilitation. The knowledge, skills and confidence that they gained enabled them to be more independent in Daily life activities and to share this knowledge with others in their community. Conclusions: The results emphasise the importance of providing rehabilitation services for persons with disabilities that are based in their community. It will be useful in further service and policy planning for persons with disabilities.http://www.sajot.co.za/index.php/sajot/article/view/341Publisher's versio

Students’ experiences of inter-professional education through International classification of functioning-based activities at a community-based rehabilitation centre

CITATION: Kloppers, M., et al. 2015. Students’ experiences of inter-professional education through International classification of functioning-based activities at a community-based rehabilitation centre. African Journal of Health Professions Education, 7(1):22-25, doi:10.7196/AJHPE.289.The original publication is available at http://www.ajhpe.org.zaENGLISH SUMMARY : Introduction. The training of healthcare professionals is faced with many challenges. To ultimately strengthen the health system, training has to respond to new health challenges, health science developments and societal needs. The Bishop Lavis Primary Health Care Project was established in 1993 and led to the establishment of the Bishop Lavis Rehabilitation Centre (BLRC). The current inter-professional service delivery at the Centre is based on the World Health Organization’s International Classification of Functioning (ICF) model for holistic client-centred care. The objective of this article is to describe the students’ experiences of inter-professional education (IPE) through ICF-based activities at BLRC. Methods. Data were gathered from a retrospective review of student feedback forms from 2010 to 2012. Content analysis was employed to identify key themes regarding IPE. Results. Inter-professional learning was found to occur spontaneously between the four allied health professions as a result of the ICF model-driven activities at BLRC. Conclusion. Feedback at the end of the students’ clinical placement was open ended and no information was asked specifically about IPE. More than half of the students spontaneously mentioned that learning about working in an inter-professional team as one of the highlights of their placement at BLRC, has prompted the sharing of this information. This article offers a potential framework (ICF) that fosters and supports the IPE philosophy in a clinical setting.http://www.ajhpe.org.za/index.php/ajhpe/article/view/289Publisher's versio

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