Article

PURPOSE: To review models of rehabilitation and to consider factors that
influence a models effectiveness or ineffectiveness. METHODS: Narrative review,
with consultation with researchers. RESULTS: Whether rehabilitation works is
arguably best considered from the perspective of the person with disability.
Rehabilitation models can generally be considered as 'complex interventions' for
which specific research approaches have been defined. It is more likely to be
accepted by the people involved, and be more likely to work, if the complex
intervention paradigm is used and if rehabilitation operates at the level of
activity and participation, as defined by the WHO International Classification of
Functioning, Disability and Health. Reasons for apparent 'non-effectiveness' of
rehabilitation models are protean and can range from inadequately conceptualised
health conditions, or interventions, to interference from 'active' control
interventions, inappropriate outcome measures and, inadequate sample sizes.
CONCLUSION: Many opportunities remain for future research into the effectiveness
of models of rehabilitation and detection of what constitutes the crucial
components.

Langue : ANGLAIS