Holistic Rehabilitation Research Articles

Participation of fathers and siblings in home rehabilitation programmes for children with neuro-developmental delay: a scoping review

BackgroundThe role of, and impact on, mothers caring for children with neuro-developmental delay (NDD) is well documented. However, the role of fathers and siblings in families of children with NDD remains significantly understudied, particularly in low- and middle-income countries (LMICs). There has been an increased call for holistic rehabilitation of children with NDD at the family level. This study aimed to explore the involvement of fathers and siblings in the home rehabilitation programmes of children with NDD.MethodsA scoping review was conducted using the Joanna Briggs Institute (JBI) Peters et al.'s methodology and reported according to Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Articles were retrieved from PUBMED, ScienceDirect, PsycINFO, SCOPUS, PEDro, and Google Scholar. Reference lists of relevant studies were also manually searched.ResultsThirty research articles were identified. Father and sibling participation in home-based rehabilitation and caregiving is low in LMICs compared to high-income countries due to economic factors and cultural beliefs. Reduced participation stresses mothers and reduces developmental outcomes in children with NDD.ConclusionsThis review highlights the need for rehabilitation professionals to encourage father and sibling participation in caregiving for children with NDD in home rehabilitation programmes.

Comparative Evaluation of Speech Quality Before and After Functional Palatal Recontouring in Complete Dentures using Artificial Intelligence: A Study Protocol.

Introduction In the realm of dentistry, where precision and understanding of oral structures are paramount, the utilization of advanced technologies has revolutionized diagnostic and treatment methodologies. One such technology, palatography, holds significant importance in understanding the intricate dynamics of the oral cavity, particularly the interaction between the tongue and the palate during speech and swallowing. In the field of prosthodontics, achieving a successful outcome goes beyond simply restoring missing teeth. A well-designed denture or prosthesis should not only function properly but also consider factors like aesthetics, comfort, and speech intelligibility. Methods The speech quality analysis using artificial intelligence has been designed to assist in the palatal recontouring of complete dentures during the trial denture appointment and denture insertion. The study will be conducted on 12 completely edentulous patients, selected based on exclusion and inclusion criteria. Expected results The palatal recontouring assessment is expected to improve speech quality significantly. This could be incorporated into routine complete denture rehabilitation cases where the ease of technology can help enhance the phonetics of the prosthesis. Conclusions Patients undergoing full denture rehabilitation benefit greatly from phonetics. Taking this key factor into play through the use of advanced but readily available technology, palatography can be employed as a routine procedure for rehabilitation through complete dentures. There is definitely a learning curve involved while making it a routine procedure, but it is, nonetheless, a significant addition to holistic rehabilitation.

Integrating pastoral care and appreciative inquiry for sex trafficking survivors: A framework for healing

Integrating appreciative inquiry (AI) and pastoral care may help address the complex issues of commercial sexual exploitation and sex trafficking. This article explores the benefits of incorporating AI principles into pastoral care for survivors of commercial sexual exploitation and sex trafficking. Commercial sexual exploitation and trafficking involve exploitation, degradation, and violence, making them complex issues. By understanding the sex trade, we can recognise that prostitution is an act of exploitation. Some scholars believe that prostitution and human trafficking are interconnected, with a focus on exploiting the poor, especially women and children. Commercial sexual exploitation can cause mental, emotional, and spiritual distress. Survivors require comprehensive aftercare to address their spiritual, self-esteem, and dignity needs. Organisational development-based AI is constructive and strength-based. Appreciative inquiry promotes positive development, community and individual strength, and resilience by re-contextualizing narratives and envisioning brighter futures. The use of AI could improve pastoral care and holistic rehabilitation. Pastoral caregivers using AI can promote reconciliation, development, and rehabilitation. Using strengths-based strategies, pastoral care practitioners can help survivors regain agency and purpose. Survivors receive spiritual support through the Appreciative Way, which combines contemplative spirituality and inquiry. Narrative exploration can help trauma survivors envision a bright future based on love and resilience. This study suggests that AI principles may benefit pastoral care recipients who have experienced commercial sexual exploitation and sex trafficking. Pastoral caregivers can help survivors regain dignity, calling, and well-being by implementing an appreciative healing approach.Contribution: The article sheds light on the dehumanising consequences of sex trafficking on vulnerable populations in South Africa, particularly women and children. This article aims to explain how AI concepts can be applied to Practical Theology. Specifically, this article will demonstrate how the Appreciative Way can be utilised in pastoral care for healing from sex trafficking trauma.

I didn’t know I had executive dysfunction, now I can do something about it: perspectives about CO-OP from people with Parkinson’s disease

Purposes People with Parkinson’s disease (PD) experience increasing disability across their lifespan. Holistic rehabilitation approaches are needed to maximize their daily functioning and quality of life (QoL). The Cognitive Orientation to daily Occupational Performance (CO-OP) approach targets daily functioning, with established efficacy in other neurological populations. This study is part of a larger trial of CO-OP with people with PD, describing the perspectives of people with PD who received CO-OP about its effect on their lives. Methods People with PD participating in a randomized controlled trial (RCT) were interviewed following the CO-OP programme. Views about the feasibility, acceptability, and experiences of CO-OP were explored. Inductive thematic analysis was used to interpret the findings. Results Analysis of interviews (n = 20) identified that CO-OP drove positive change in participants’ daily lives. Participants reported transfer and generalization of learned strategies, suggesting effective use of skills learned in CO-OP. Conclusions Addressing a critical gap in PD management, findings suggest that CO-OP was perceived as effective in addressing a broad scope of PD-related issues. Findings hold particular significance for individuals experiencing long-term PD consequences, potentially offering a viable option to enhance participation and QoL. Findings support CO-OP as an implementable, acceptable, and potentially beneficial intervention in PD. Further research is warranted to establish efficacy.

Sexual relations and rehabilitation of injured athletes: A narrative review

Sexual health is a critical aspect of overall well-being, encompassing physical, mental, and emotional dimensions. For athletes, maintaining sexual health during injury rehabilitation can be particularly challenging. Injuries disrupt training, competition schedules, intimate relationships, and sexual health, impacting the psychological state, the recovery process, and overall quality of life. Athletes are highly attuned to their bodies, and any injury impeding physical performance can lead to significant stress and anxiety, affecting sexual health. Conversely, sexual activity and intimate relationships can influence the rehabilitation process both positively and negatively. Understanding this interplay is essential for holistic rehabilitation programs addressing all aspects of an athlete's well-being. Physiologically, sexual activity involves physical exertion, hormonal changes, and alterations in blood flow, impacting healing. Hormones released during sexual activity, such as oxytocin, endorphins, and dopamine, can provide pain relief and enhance mood, benefiting recovery. Testosterone, crucial for muscle repair and growth, is also influenced by sexual activity. However, physical exertion during sexual activity can strain injured areas, potentially exacerbating injuries if not managed carefully. Psychologically, injuries can impact an athlete’s self-esteem, body image, and mental health. Positive sexual relations offer emotional support, enhancing psychological resilience during recovery. Intimate relationships provide normalcy and help athletes maintain a positive body image, counteracting the negative psychological effects of injuries. Social support from intimate partners is vital for rehabilitation. Open communication about physical limitations and sexual needs can strengthen relationships and create a supportive environment for recovery. Comprehensive rehabilitation programs should address sexual health, providing education on safe practices, offering counseling services, and encouraging open dialogue between athletes, partners, and healthcare providers. Rehabilitation programs can enhance recovery and improve outcomes for injured athletes by integrating physiological, psychological, and social aspects.

Promoting and Sustaining Sexual Health as a Health Resource in Prisons - A Scoping Review

Sexual health is a neglected topic in prisons, even though sexual health is a basic human need that includes physical, mental, social and spiritual aspects. There is limited knowledge concerning how to promote and sustain the sexual health of prisoners. The aim of this study was to increase knowledge of sexual health promotion as a health resource in prisons. By conducting a scoping review, we searched for sexual health-promoting activities, approaches or experiences from prisons globally. The findings included sexual health interventions covering conjugal visits and sexual health promotion through education and collaboration. There are connections between mental health and sexual health for prisoners, and sexual health also influences quality of life. In conclusion, it is evident that there is a significant imperative for further research, interventions and measures in this domain to ensure holistic rehabilitation for prisoners.

The Psychological Impact of Hand Injuries Among Foreign Workers in Singapore.

Foreign workers comprise a significant portion of Singapore's workforce. They face multiple challenges when working there. A hand injury may add to these stressors, causing profound psychological and social impact. There are few studies in the literaturethat have analyzed this effect.The primary objective of this study, the firstof its kind in Singapore, is to investigate the psychological impact and functional outcomes of hand injuries among foreign workers. By assessing the prevalence of psychological conditions such as stress, anxiety, and depression, along with measuring functional impairment using validated tools, this study aims to provide insights into the psycho-social challenges faced by this vulnerable population. A single-encounter interview was conducted for eligible patients. Psychological impact was measured using the DASS-21, symptom severity and function with the QuickDASH, and pain with the VAS. Injury-specific and demographic data were also collected. The Mann-Whitney U test and the Chi-Squared test were applied for non-parametric variables and categorical data, respectively. The adjusted p-value was <0.05. Eighty foreign workers were recruited. The mean age was 33 years, and the median age was 31.5 years (28.2 to 37.0). The majority were male (97.5%), married (60%), and had a salary of less than SGD1500 (USD1077) per month (81.3%). The most common mechanism of injury was penetrating (60%, n=48). Stress, anxiety, and depression were positively associated with limitations in daily function. Multivariate analysis found that limitations in daily function were independently associated with stress, anxiety, and depression, regardless of hand dominance. Conclusion:This study has shown a significant psychological and social impact of hand injuries among foreign workers in Singapore. There is potential for the development of screening and support programs for at-risk workers to cater to their mental well-being. We recommend that the psychological impact of hand injuries be factored into holistic management and rehabilitation with adequate time and resource allocation. An ancillary benefit is the improvement of productivity and overall contribution to Singapore's economy.

Safety-Seeking Behaviors and Anxiety Maintenance in People With Aphasia: A Viewpoint.

People with aphasia (PWA) often experience higher levels of anxiety and social isolation than people without aphasia. Although the presence of anxiety is appreciated in PWA, literature examining the etiology and persistent nature of anxiety in PWA is underdeveloped. Safety-seeking behaviors, or maladaptive acts used by individuals to decrease anxiety from a feared outcome, have been reported as key facilitators of long-term anxiety toward feared situations across a variety of clinical populations. The purpose of this viewpoint is to explore the concept of safety-seeking behaviors and discuss their potential relevance to the maintenance of anxiety in PWA. We further discuss the distinction between maladaptive (i.e., safety seeking) and adaptive (i.e., coping) behaviors and how this knowledge may improve the quality of clinical services for PWA. The present review advocates for further exploration of the safety-seeking behaviors that are used by PWA. Until critical attention is given to this subject, clinicians may remain ill-equipped to identify and depict whether a self-management strategy is facilitative or inhibitive to PWA's communicative participation goals. Critically, a behavior that may be "maladaptive" for one individual may be "adaptive" for another. Future research should seek to identify common behavioral and cognitive strategies that PWA implement to reduce acute perceptions of anxiety. This knowledge may help facilitate holistic aphasia rehabilitation by allowing clinicians to foster conversations around behaviors that inhibit or promote successful communicative participation.

Navigating the integration of technology in physiotherapy: A balanced approach

The integration of technology in physiotherapy practices holds immense promise for advancing patient care and outcomes. Yet, the swift evolution of technological solutions necessitates a cautious and discerning approach from physiotherapists. This article explores the complexities surrounding technology adoption in physiotherapy, emphasizing thorough evaluation, critical analysis, and context-driven implementation. By acknowledging the limitations and constraints inherent in various technological advancements, physiotherapists can effectively harness their potential while prioritizing patient-centered care and evidence-based practice. Such an approach ensures that technology serves as a tool to augment clinical decision-making and therapeutic interventions, rather than overshadowing the fundamental principles of personalized care and holistic rehabilitation. As technology continues to reshape the landscape of physiotherapy, a balanced integration strategy that values both innovation and patient well-being remains paramount for optimizing outcomes and fostering sustainable healthcare practices.

A neuropsychological rehabilitation service delivery model for South African adults with acquired brain injury (RSDM-SA).

In low- and- middle- income countries (LMICs) such as South Africa, a high number of Acquired Brain Injuries (ABIs) and a lack of accessibility to healthcare lead to many survivors of brain injury not receiving the level of healthcare and rehabilitation required. Further, in LMICs life-saving or acute care is prioritized with an inadequate focus on the lifelong effects of ABI. This study used Program Theory to develop a Rehabilitation Service Delivery Model for South African Adults with Acquired Brain Injury (RSDM-SA) that caters for the unique nuances of a resource-constrained and culturally diverse context. The RSDM-SA has four interdependent levels, namely (i) Integration of Relevant Aspects of Explanatory Frameworks (ii) South African Contextual Influences on the Model (iii) Systemic Role players Necessary for the Model and (iv) Evidence-Based Guidelines in a Holistic Rehabilitation Process. The Model is a valuable resource in guiding future research endeavors and its contribution lies in the Model's focus on quality, accessibility, relevance, and efficiency, all of which are needed in healthcare internationally.

Family Role in the Reintegration of Juvenile Delinquents: A Post Release Analysis in Dir Valley Pakistan

This research focuses on the reintegration of released juvenile offenders within Dir Valley in Khyber Pakhtunkhwa, Pakistan. Situated within a unique socio-cultural and legal context, this region face distinct challenges that impact the lives of juvenile offenders. This study aims to uncover the role of family dynamics in shaping successful reintegration and inform tailored interventions. Using a qualitative phenomenological approach, the study collected data through semi structured interviews with twenty released juvenile offenders and twenty family members. Thematic analysis revealed intricate patterns in family involvement that significantly influence the reintegration process. The family emerged as both a source of support and challenge for these juveniles. Challenges included absent key family members, strained relationships, and dysfunctional family environments, which hinderd reintegration efforts. Economic challenges, emotional support, and family criminal history were also found relevant factors in reintegration. The study’s conclusions offer policy implications, including family centered policies, tailored interventions, and holistic rehabilitation.

Perceptions on transitioning from impairment-based to occupation-based practice in public healthcare within KwaZulu-Natal

Introduction:Holistic healthcare service delivery requires rehabilitation personnel to consider all the components of health that influence the client's quality of life. However, there is limited literature on approaches to implementing rehabilitation services within South African public healthcare. This study explored rehabilitation personnel's (such as occupational therapists, speech therapists, physiotherapists) use of occupation-based practice impairment-based practice and the barriers and facilitators associated with their practice choice.&#x0D; Methods: A qualitative research design was conducted through semi- structured interviews (13 participants), a focus group (4 participants) and community mapping. Purposive sampling was utilised to select participants in the iLembe district, KwaZulu-Natal, South Africa. Data were analysed using deductive thematic analysis.&#x0D; Findings: Three themes emerged from the study; Attitudes towards impairment-based practice, Reflections on OBP, and The way forward. The need to focus on all the components of health rather than just the disease and the benefits of using the occupation-based practice approach were highlighted. Additionally, different factors required to implement holistic rehabilitation services and the barriers to OBP were identified.&#x0D; Conclusion: Although the study identified OBP benefits, various barriers associated with its implementation were identified. Rehabilitation personnel, community stakeholders, and clients must work together to improve OBP implementation in public healthcare by combating the barriers identified in the study.&#x0D; Implications for practice&#x0D; This study has implications for rehabilitation service implementation in the iLembe district public healthcare sector. OBP was perceived to have more quality of life and health outcomes, which leads to implications for practice. There is a need to transition from the medical model with approaches only focusing on body structures and functions into approaches that consider all the components of health, such as the OBP. Even though there are barriers towards OBP implementation, rehabilitation personnel can still promote its implementation through inter-professional practice, continuous professional development and health promotion. Furthermore, there are implications for undergraduate programmes to equip undergraduates with the skills to implement OBP within under-resourced facilities.&#x0D;

Youth mentoring: A new holistic intervention targeting the needs of young persons with acquired brain injury

Introduction: Holistic rehabilitation approaches addressing the numerous complex challenges in young persons with acquired brain injury are required. The purpose of this study was to describe and evaluate the holistic person-centered youth mentoring intervention program, which is based on occupational therapy. Methods: Prospectively collected data were extracted from a national clinical quality database ( n = 59). Proportions of young persons receiving different aspects of support and proportions rating the intervention as meaningful were calculated. One-year changes in occupation, work ability, and social interactions were calculated. Results: The young persons most frequently received support for energy management (75%) and structuring of everyday life (61%). Seventy-three percent rated the intervention as meaningful. One year post-inclusion, occupation and work ability had increased by 35% and 58%, respectively, and it had declined by 10% and 26%, respectively. The 1-year increase and decrease in social interactions were less clear (15% and 25%, respectively). One-year changes did not differ between those who entered the program early or late after injury indicating the potential beneficial effect of the program. Conclusion: The findings could indicate that the program has a unique value in supporting young persons with acquired brain injury to create a meaningful everyday life through occupation, work ability, and social interaction.

Holistic Rehabilitation in Action: A Data-Driven Analysis of the Impact on Quality of Life among Individuals with Psychoactive Substance Abuse.

Background: Psychoactive substance abuse can affect biological, psychological, social, and spiritual aspects, as well as the users' quality of life, and obliged to carry out medical and social rehabilitation. Purpose: The purpose of the study was to identify the effect of holistic rehabilitation programs on quality of life among drug abusers. Methods: Quasi-experimental with time series design. The sample of this study amounted to 54 people, taken by G-power, all participants who will take part in the rehabilitation program at the National Narcotics Board rehabilitation clinic. Rehabilitation interventions include health assessment, psychological assessments, health counseling, human immunodeficiency virus-related voluntary counseling and testing, addiction counseling, group therapy, family therapy, client and family monitoring, relapse prevention therapy, and postrehabilitation services. Interventions are provided for 10 weeks, and delivered by health professionals. Measurement of quality of life using World Health Organization Quality of Life-Brief Version (WHOQOL-BREF) MEAT 26 statements consisting of physical, psychological, environmental, and social relationship dimensions, with an alpha value of 0.8756. The data was analyzed with the Friedman test. Results: Holistic rehabilitation influences all dimensions quality of life of drug abusers with a P-value of <0.001. Conclusions: A holistic rehabilitation program improves the quality of life of drug abusers.

Health-related quality of life, needs, and concerns among cancer survivors referred to rehabilitation in primary healthcare setting.

There is a growing need for rehabilitation services beyond hospitals. This study aims to describe challenges faced by cancer survivors (CSs) referred for rehabilitation in primary healthcare, employing standardized scales measuring health-related quality of life (HRQOL) and open-ended questions. Furthermore, the study explores the applicability of patient-reported outcomes (PROs) in comprehensively understanding challenges encountered by CSs. This cross-sectional study involves CSs referred for cancer rehabilitation in a primary healthcare setting, including those participating in PROs as a part of routine practice. HRQOL was assessed using the Functional Assessment of Cancer Therapy-General (FACT-G). The International Classification of Functioning, Disability and Health (ICF) framed the analysis of responses to open-ended questions 'what concerns you the most?' and 'what matters to you?' Results: FACT-G showed the lowest scores for functional well-being (14.4) and emotional well-being (16.6), with higher scores for physical well-being (18.9) and social/family well-being (21.1). Responses to open-ended questions unveiled worries about everyday life and how cancer will impact family well-being presently and in the future. Furthermore, CSs reported a need to maintain normality and proactively address the challenges posed by the disease. CSs referred for rehabilitation in primary healthcare experience comprehensive challenges necessitating a holistic rehabilitation approach. This includes interventions supporting CSs in dealing with uncertainty, regaining a sense of control, and addressing family well-being concerns. When using PROs for need assessment, the combination of validated HRQOL scales and open-ended questions is crucial for an in-depth understanding of CSs' challenges.

“There is More to It than Recidivism” – Outcome Scores among Released Prisoners who participated in Prison-Based “Employment World” Programmes

AbstractIn the quest for effective prisoner rehabilitation, while there is existing literature that predominantly emphasizes recidivism rates, it is important to recognize that this singular focus may sometimes overshadow the broader dimensions crucial for successful societal reintegration. This study, therefore, investigates the multifaceted outcomes of an employment training programme offered by the Israel Prison Service. Employing propensity score matching, we compared outcomes between programme participants and non-participants. Our analysis encompassed recidivism rates, employment stability, income levels, tax-paying behaviour and welfare service engagement. While recidivism rates remained largely unaffected, our findings unveiled promising results in other domains. Programme participants exhibited enhanced employment stability, realized higher incomes, demonstrated increased engagement in tax-paying and accessed welfare services more frequently. This study underscores the need for a comprehensive approach to assessing rehabilitation effectiveness, extending beyond the singular metric of recidivism. While acknowledging certain limitations, our research highlights that employment training programmes may not have a direct impact on recidivism but can significantly contribute to labour market reintegration and promote more productive and socially responsible behaviours. It advocates further exploring diverse outcome measures to develop holistic rehabilitation strategies.

Oral hygiene practices and status of stroke patients attending an outpatient clinic in a Nigerian tertiary hospital.

Background: There may be an impairment of oral self-care post-stroke which may compromise oral hygiene and health. However, there is paucity of information on oral hygiene and oral health status of stroke patients in Nigeria.&#x0D; Objective: To assess the oral hygiene and health status of stroke outpatients.&#x0D; Method: A cross-sectional study of stroke patients attending the neurology outpatient clinic of a tertiary hospital in North Central Nigeria was conducted. Data on sociodemographic variables and oral health behaviour was obtained. Each patient was examined to determine the oral hygiene status using the Simplified Oral Hygiene index, DMFT index for the status of caries, Modified gingival index for the presence or absence of gingival disease and Modified Rankin score for functional impairment&#x0D; Results: There were 120 participants with a mean age of 60.30±13.21 years. Poor oral hygiene status was found in 29.7% while 28.8% had good oral hygiene status. The mean DMFT was 1.37±2.672. Dental caries was seen in 48/120 (40%) while 28 (23.3%) had gingival diseases. A modified Rankin score of 3-5 was independently associated with poor oral hygiene status (OR 1.367; 95% CI 1.020-1.832; p=0.036).&#x0D; Conclusion: Poor oral hygiene status is common in patients with stroke and the risk of this is higher in those with poor functional status. Oral health status should be considered in the holistic rehabilitation of stroke patients.&#x0D;

An Interprofessional Approach to Aural Rehabilitation for Adults with Hearing Loss and Cognitive Concerns.

Individuals with hearing loss are at risk for cognitive decline. The traditional approach to audiological care does not typically involve a team approach that addresses cognitive concerns. While cognitive screening is within the scope of practice in audiology, audiologists are not typically trained in interpreting screening results or providing rehabilitation that supports cognitive health. However, as growing evidence shows that hearing loss is tied to cognitive decline, a team approach is required to support whole-person care. Speech-language pathologists, who specialize in optimizing communication, are best situated to collaborate with audiologists to provide holistic aural rehabilitation. Audiologists and speech-language pathologists who partner to support a client's communication skills and social relationships play an important role in the life of an individual with hearing loss. In this perspective, we describe relevant background information about hearing loss and cognition and present an interprofessional approach to aural rehabilitation for adults with hearing loss who have cognitive concerns. We also discuss implications for future research.

Dyadic Art Appreciation and Self-Expression Program (NCGG-ART) for People with Dementia or Mild Cognitive Impairment and Their Family Caregivers: A Feasibility Study.

Non-pharmacological interventions effective for depressive mood and bilateral relationships among persons with cognitive impairment (PwCI) and their family caregivers (FCGs) have not been established. To examine the feasibility of a newly developed group-based art appreciation and self-expression program (NCGG-ART) for dyads of PwCI and their FCGs. This pilot randomized control trial included 34 dyads of PwCI diagnosed with mild to moderate Alzheimer's disease or mild cognitive impairment, and their FCGs, from an outpatient rehabilitation service (Holistic Physio-Cognitive Rehabilitation [HPCR]). Participants were randomly divided equally into the HPCR (control group) or NCGG-ART and HPCR (intervention group) groups. Both included 1-hour weekly, 6-week programs. The primary outcome was depressive symptoms among FCGs assessed using the Patient Health Questionnaire-9 (PHQ-9). Feasibility outcomes included participant satisfaction and motivation. FCGs were interviewed about their experiences and feelings regarding the program, which were analyzed using content analysis. Thirty-two dyads (intervention group:16; control group:16) completed the study period. High participation rates, satisfaction, and motivation were demonstrated throughout the intervention. Scores in the PHQ-9 among FCGs did not show positive effects: mean changes in the score were 1.3 for the intervention group and -0.8 for the control group (Cohen d:0.56). However, the qualitative analysis revealed favorable experiences and feelings of the FCGs, such as positive emotions, social interactions, and person-centered attitudes to and positive relationships with PwCI. This program demonstrated high feasibility with FCGs' favorable responses to emotions and relationships with PwCI, ensuring future investigations with a confirmatory study design.

Funkcjonowanie osób z niepełnosprawnością przez pryzmat kondycji psychicznej członków rodziny

The article is based on fragments of the results of many years of research conducted under the direction of the author, situated in the context of research on the family of people with disabilities and chronic diseases. The main trend of the research was to diagnose the psychological condition of people who have long-term care obligations for a family member by learning about the factors that create the quality of life, life satisfaction, the recognized system of values and its relationship with the health and mental state of the charges. In these studies, an interesting thread turned out to be the knowledge of the relationship between the rehabilitation progress of the charges, changes in their psyche, especially in self-esteem and in the value system, and analogous changes in the mentality of caregivers. The article presents such relationships not only among carers of people with disabilities, but also among able-bodied siblings, who, although not directly burdened with the care of a family member, indirectly feel the effects of a changed and unusual family situation, also incurring the psychological costs of this situation. This is a very important problem in the context of holistic rehabilitation, and family members of people requiring constant care are not covered by any systemic therapeutic assistance. The examined relationships clearly indicate that both the rehabilitation progress of people with disabilities and the mental state of their family members are interdependent, and the rehabilitation process is not only carried out in direct relationship with professionals, but mainly in the family itself, and it is the family members who permanently create the conditions for motivating to overcome barriers related to disability. Therefore, their mental condition is of great importance for improving the functioning of a family member who requires care.