Article

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. Implications for
rehabilitation Community-based rehabilitation is a strategy for community-based
inclusive development. Commonly reported significant outcomes of community-based
rehabilitation programmes in China focus on changes in psychosocial and physical
status of people with disabilities and family participation. Community-based
rehabilitation in China continues to focus on traditional rehabilitation. New
efforts and directions are needed to also include goals of equity and community
inclusion. Further efforts to promote the use of CBR guideline with the goal of
facilitating inclusion and equal participation are strongly recommended.

Langue : ANGLAIS