What Person-Centered Rehabilitation Means in Concept and Practice: The Person-Centered Rehabilitation Model for Adult Physical Rehabilitation Derived from a Scoping Review and Thematic Synthesis

Abstract

<h3>Objective(s)</h3> To frame the concept and practice of Person-Centered Rehabilitation (PCR) in adult physical rehabilitation, derived from a scoping review and thematic synthesis of the literature. <h3>Data Sources</h3> English-language empirical or conceptual papers, published from January 2007 to February 2020, were found through searches in databases (PubMed, Scopus, CINAHL), snowballing searches, and experts' consultation. <h3>Study Selection</h3> Two independent reviewers selected papers with PCR-related content, using the criteria in the published review protocol. From 6527 unique references, 147 were used in the analysis, 18% of them exclusively conceptual. <h3>Data Extraction</h3> Textual data on the PCR concepts or practices were extracted by two independent reviewers. <h3>Data Synthesis</h3> The thematic analysis and experts' consultation gave rise to the Person-Centered Rehabilitation Model (PCR Model): a cross-professional model for the concept and practice of PCR in adult physical rehabilitation settings. At the person-professional dyad, PCR was framed as: a respectful of and tailored to the person; reflexive and adaptive to the situation; compassionate and caring; focused on strengths and hopes - beyond deficits, and empowering and collaborative - toward a co-constructed rehabilitation. At the team level, a PCR approach includes significant others, is delivered in a welcoming and secure environment, and is articulated through a PCR team. At the organization level, PCR approaches are inclusive of clients and staff in service evaluation and improvement, create the context (e.g. provides training opportunities) for PCR to occur, and is organized for coordinated and tailored approaches. <h3>Conclusions</h3> PCR occurs at clinical and service organization practices, which are articulated through the PCR Model. The PCR model offers a conceptualization of PCR applicable in clinical and service settings and may assist in the implementation of PCR principles. <h3>Disclosures</h3> No conflicts of interest declared.