Evaluation of the Home-based Rehabilitation Program Based on CBR Model Through In-depth Interviews With Visiting Physical Therapists

Abstract

Purpose: This study was conducted in order to explore home visiting therapists’ self-perceived role, problems, and supplement points ofthe home-based rehabilitation (HR) program based on the community-based rehabilitation (CBR) model. Methods: Four home visiting physical therapists, who conducted the HR program, participated in this study. After completion of the HRprogram, in-depth interviews were conducted using a semi-structured questionnaire for participants to explore their self-perceived role,problems, and supplement points of the HR program. Results: Participants regarded the role of the HR program as for “the linkage between recipient & society”, “maintenance & improvementof recipients’ physical function”, and “education of recipient about the way of self rehabilitation”. The problems and supplement pointswere derived from all phases of the HR program, including “human & material resources”, “training program for human resources for HRservice”, “selection of recipient of HR service”, “contents of the intervention for HR service”, and “duration of HR service”. Conclusion: These findings indicate that participants well recognized the intention of the HR program based on the CBR model, andsuggest that high-quality human resources with rich expertise and experiences, a training program for HR service led by experts, and selectionof recipients led by experts are necessary for an effective HR program. In addition, strategies and capacities specified to HR serviceshould be identified, and applied to the training program for human resources for HR service. The results of this study could provideuseful information when the government decides on the next guideline for home visiting health service.