Outcomes and impact of community-based rehabilitation programmes in Chinese communities

Yin Han Eva CHUNG, Tanya Leigh PACKER

Research output: Contribution to journalArticle

Abstract

Purpose: To identify the most common and most valued outcomes of community-based rehabilitation (CBR) in Chinese communities and to map these to the CBR evaluation framework. Method: A multiple, embedded case study design was used. Four CBR programmes in China met the criteria for inclusion and participated. Data collection, via participant “story telling”, followed the procedures of the most significant change technique (MSC) over a period for five months. Content analysis with thematic coding was used to detect the common significant changes described in “top-rated” stories and in the entire pool of stories. Meta-analysis using the CBR framework was carried out to enrich the understanding of programme outcomes. Results: A total of 101 stories were collected in the two rounds of story collection from the four programmes. Aggregated results demonstrated that, across all programmes, 78.21% of stories focused on changes in people with disabilities, 9.9% described aspects of programme development, 8.91% reported on outcomes related to CBR workers, and only 2.97% were focused on advocacy. When mapped against the elements of the CBR framework the MSCs among these four programmes were (1) psychosocial changes, (2) increased family participation and (3) improved physical functioning. Conclusions: CBR practice in Chinese communities remains orientated towards an approach of functional rehabilitation rather than community-based inclusive development. Copyright © 2016 Informa UK Limited, trading as Taylor & Francis Group.
Original languageEnglish
Pages (from-to)817-821
JournalDisability and Rehabilitation
Volume39
Issue number8
Early online dateApr 2016
DOIs
Publication statusPublished - 2017

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Rehabilitation
Program Development
Disabled Persons
Meta-Analysis
China

Citation

Chung, E. Y., & Packer, T. L. (2017). Outcomes and impact of community-based rehabilitation programmes in Chinese communities. Disability and Rehabilitation, 39(8), 817-821.

Keywords

  • Community-based practice
  • Inclusion
  • Participation
  • Programme outcomes