Exploring Recipients’ Experience with the Home-based Rehabilitation Program Based on CBR Model through In-depth Interviews

Abstract

Purpose: This study was conducted in order to explore self-perceived objectives, effects, determinant factors of satisfaction and demands on home-based rehabilitation service (HBRS) based on a community-based rehabilitation (CBR) model in community-dwelling disabilities. Methods: This research was conducted through in-depth interview. HBRS was conducted by four physical therapists for one hour a day, once a week, for eight weeks. After an eight-week intervention period, in-depth interviews were conducted using a semi-structured ques tionnaire for five recipients of HBRS and six care givers. Results: For the physical effect, some participants experienced positive effects, whereas others did not due to the short-term intervention period. For the social and emotional effects, `occurrence of motivation for exercise`, `change of surroundings` and `sorriness for the thera pist` emerged as keywords. For the determinant factors of satisfaction, `movement-inducing therapy`, `therapy from the specialist`, `devel opment of friendship & social network`, and `learning the way of self-rehabilitation` emerged as keywords. For further demands on HBRS, participants stated that `sufficient time for therapy`, `user opinion-reflected therapy`, `additional instructions for therapeutic exercise & ac tivities of daily living`, and `active promotion for HBRS` were necessary. Conclusion: Participants were satisfied with the physical, social, emotional, and educational aspects of HBRS. In particular, the participants regarded educational aspects as the significant factor throughout self-perceived objectives, determinant factors of satisfaction and the de mands. This result suggests that when providing HBRS to community-dwelling persons with disabilities, therapists should recognize the necessity and significance not only of the physical, but also the educational aspect of HBRS.