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Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design

Eva Chung Orcid Logo

BMC Health Services Research, Volume: 19, Issue: 1

Swansea University Author: Eva Chung Orcid Logo

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Abstract

BackgroundThis study examined community-based rehabilitation (CBR) practice in China on the basis of the development of an evaluation system using current evidence in a real context.MethodsA multiple embedded case study design was used to interpret both quantitative and qualitative data. In Part 1,...

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Published in: BMC Health Services Research
ISSN: 1472-6963
Published: Springer Science and Business Media LLC 2019
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URI: https://cronfa.swan.ac.uk/Record/cronfa67569
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fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>67569</id><entry>2024-09-04</entry><title>Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design</title><swanseaauthors><author><sid>24f4ade6abb5abebab3a9b3838466101</sid><ORCID>0000-0003-4054-0645</ORCID><firstname>Eva</firstname><surname>Chung</surname><name>Eva Chung</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-09-04</date><deptcode>HSOC</deptcode><abstract>BackgroundThis study examined community-based rehabilitation (CBR) practice in China on the basis of the development of an evaluation system using current evidence in a real context.MethodsA multiple embedded case study design was used to interpret both quantitative and qualitative data. In Part 1, a thematic analysis was conducted to identify the different levels of evidence available in CBR programs in China. Identified themes were then associated with the literature to form a system to code, categorise, and rank the obtained evidence. In Part 2, CBR practice was examined in 12 CBR programs by using the developed evaluation system with the CBR matrix and CBR framework.ResultsSix themes under three categorised levels of evidence for demonstrating quality of practice were found. An evaluation system of program practice, based on existing standards to define levels of evidence, was created and used with the CBR matrix and CBR framework to evaluate the quality of practice in 12 CBR programs. The results of a within-case analysis revealed the strengths and areas for improvement in each program. An across-case analysis by using identified correlations revealed the characteristics of CBR practice in China, as demonstrated in the interaction of core CBR components. The content elements of CBR programs were significantly correlated with health outcomes, social development, education, and empowerment. Empowerment was significantly correlated with participant governance and community ownership.ConclusionThe proposed evaluation system, as developed in a real context, is feasible for monitoring and identifying the strengths of and areas for improvement in CBR programs. This study described the characteristics and interaction of different CBR components in CBR practice in China and is pertinent for enhancing the evidence-based practices and quality of CBR programs in China.</abstract><type>Journal Article</type><journal>BMC Health Services Research</journal><volume>19</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1472-6963</issnElectronic><keywords>Community-based rehabilitation; China; Program evaluation</keywords><publishedDay>5</publishedDay><publishedMonth>1</publishedMonth><publishedYear>2019</publishedYear><publishedDate>2019-01-05</publishedDate><doi>10.1186/s12913-018-3838-7</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>The author acknowledges the SAHK in awarding her a scholarship to pursue a doctoral study to undertake this study. This funding support the research planning, data collection and analysis of this study. The writing up of this paper was supported by the Research Support Scheme of the Department of Special Education and Counselling at the Education University of Hong Kong.</funders><projectreference/><lastEdited>2024-10-28T11:54:35.9892163</lastEdited><Created>2024-09-04T15:21:55.2163534</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Therapies</level></path><authors><author><firstname>Eva</firstname><surname>Chung</surname><orcid>0000-0003-4054-0645</orcid><order>1</order></author></authors><documents><document><filename>67569__32739__ee3b01fdab43406c9d9d94ebc4af7577.pdf</filename><originalFilename>67569.VoR.pdf</originalFilename><uploaded>2024-10-28T11:51:41.8045740</uploaded><type>Output</type><contentLength>643491</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© The Author(s). 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling v2 67569 2024-09-04 Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design 24f4ade6abb5abebab3a9b3838466101 0000-0003-4054-0645 Eva Chung Eva Chung true false 2024-09-04 HSOC BackgroundThis study examined community-based rehabilitation (CBR) practice in China on the basis of the development of an evaluation system using current evidence in a real context.MethodsA multiple embedded case study design was used to interpret both quantitative and qualitative data. In Part 1, a thematic analysis was conducted to identify the different levels of evidence available in CBR programs in China. Identified themes were then associated with the literature to form a system to code, categorise, and rank the obtained evidence. In Part 2, CBR practice was examined in 12 CBR programs by using the developed evaluation system with the CBR matrix and CBR framework.ResultsSix themes under three categorised levels of evidence for demonstrating quality of practice were found. An evaluation system of program practice, based on existing standards to define levels of evidence, was created and used with the CBR matrix and CBR framework to evaluate the quality of practice in 12 CBR programs. The results of a within-case analysis revealed the strengths and areas for improvement in each program. An across-case analysis by using identified correlations revealed the characteristics of CBR practice in China, as demonstrated in the interaction of core CBR components. The content elements of CBR programs were significantly correlated with health outcomes, social development, education, and empowerment. Empowerment was significantly correlated with participant governance and community ownership.ConclusionThe proposed evaluation system, as developed in a real context, is feasible for monitoring and identifying the strengths of and areas for improvement in CBR programs. This study described the characteristics and interaction of different CBR components in CBR practice in China and is pertinent for enhancing the evidence-based practices and quality of CBR programs in China. Journal Article BMC Health Services Research 19 1 Springer Science and Business Media LLC 1472-6963 Community-based rehabilitation; China; Program evaluation 5 1 2019 2019-01-05 10.1186/s12913-018-3838-7 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University The author acknowledges the SAHK in awarding her a scholarship to pursue a doctoral study to undertake this study. This funding support the research planning, data collection and analysis of this study. The writing up of this paper was supported by the Research Support Scheme of the Department of Special Education and Counselling at the Education University of Hong Kong. 2024-10-28T11:54:35.9892163 2024-09-04T15:21:55.2163534 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Therapies Eva Chung 0000-0003-4054-0645 1 67569__32739__ee3b01fdab43406c9d9d94ebc4af7577.pdf 67569.VoR.pdf 2024-10-28T11:51:41.8045740 Output 643491 application/pdf Version of Record true © The Author(s). 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design
spellingShingle Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design
Eva Chung
title_short Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design
title_full Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design
title_fullStr Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design
title_full_unstemmed Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design
title_sort Identifying evidence to define community-based rehabilitation practice in China using a case study approach with multiple embedded case study design
author_id_str_mv 24f4ade6abb5abebab3a9b3838466101
author_id_fullname_str_mv 24f4ade6abb5abebab3a9b3838466101_***_Eva Chung
author Eva Chung
author2 Eva Chung
format Journal article
container_title BMC Health Services Research
container_volume 19
container_issue 1
publishDate 2019
institution Swansea University
issn 1472-6963
doi_str_mv 10.1186/s12913-018-3838-7
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Therapies{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Therapies
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description BackgroundThis study examined community-based rehabilitation (CBR) practice in China on the basis of the development of an evaluation system using current evidence in a real context.MethodsA multiple embedded case study design was used to interpret both quantitative and qualitative data. In Part 1, a thematic analysis was conducted to identify the different levels of evidence available in CBR programs in China. Identified themes were then associated with the literature to form a system to code, categorise, and rank the obtained evidence. In Part 2, CBR practice was examined in 12 CBR programs by using the developed evaluation system with the CBR matrix and CBR framework.ResultsSix themes under three categorised levels of evidence for demonstrating quality of practice were found. An evaluation system of program practice, based on existing standards to define levels of evidence, was created and used with the CBR matrix and CBR framework to evaluate the quality of practice in 12 CBR programs. The results of a within-case analysis revealed the strengths and areas for improvement in each program. An across-case analysis by using identified correlations revealed the characteristics of CBR practice in China, as demonstrated in the interaction of core CBR components. The content elements of CBR programs were significantly correlated with health outcomes, social development, education, and empowerment. Empowerment was significantly correlated with participant governance and community ownership.ConclusionThe proposed evaluation system, as developed in a real context, is feasible for monitoring and identifying the strengths of and areas for improvement in CBR programs. This study described the characteristics and interaction of different CBR components in CBR practice in China and is pertinent for enhancing the evidence-based practices and quality of CBR programs in China.
published_date 2019-01-05T11:54:34Z
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