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Volume 17, Issue 3 (2025)
3 2025, 17(3): 217-222 |
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Received: 2025/05/29 | Accepted: 2025/07/10 | Published: 2025/07/15
Received: 2025/05/29 | Accepted: 2025/07/10 | Published: 2025/07/15
How to cite this article
Balat K, Elywy G. The Mediators of Family Involvement between Home-Based Rehabilitation and Daily Living Activities of Individuals with Disabilities. 3 2025; 17 (3) :217-222
URL: http://ijwph.daneshafarand.org/article-3-85652-en.html
URL: http://ijwph.daneshafarand.org/article-3-85652-en.html
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1- Department of Community Health Nursing, College of Nursing, University of Thi-Qar, Thi-Qar-Iraq
Abstract (1600 Views)
Aims: Home rehabilitation plays a crucial role in enhancing the functional capabilities of individuals with disabilities. However, the influence of family involvement as a mediating factor in this relationship has not been fully explored. This study aimed to investigate whether family involvement mediates the relationship between home rehabilitation and activities of daily living.
Materials & Methods: This cross-sectional, descriptive correlational study was conducted from March to June 2025 in Dhi Qar Governorate, Iraq, and included 422 adults with physical or neurological disabilities receiving home-based rehabilitation. Participants were recruited using systematic random sampling. Data were collected using the Home-Based Rehabilitation Services Questionnaire, the Family Involvement Questionnaire-Rehabilitation, and the Barthel Index. SPSS 28 and PROCESS macro (Model 4) were used for data analysis.
Findings: Strong positive associations were found between home rehabilitation, family involvement, and activities of daily living (r=0.69-0.79, p<0.001). Mediation analysis confirmed a significant indirect effect of home rehabilitation on activities of daily living through family involvement (B=1.05, 95% CI [0.91, 1.19]). The model explained 66% of the variance in job independence.
Conclusion: Family involvement significantly mediates the relationship between home rehabilitation and activities of daily living for individuals with disabilities.
Materials & Methods: This cross-sectional, descriptive correlational study was conducted from March to June 2025 in Dhi Qar Governorate, Iraq, and included 422 adults with physical or neurological disabilities receiving home-based rehabilitation. Participants were recruited using systematic random sampling. Data were collected using the Home-Based Rehabilitation Services Questionnaire, the Family Involvement Questionnaire-Rehabilitation, and the Barthel Index. SPSS 28 and PROCESS macro (Model 4) were used for data analysis.
Findings: Strong positive associations were found between home rehabilitation, family involvement, and activities of daily living (r=0.69-0.79, p<0.001). Mediation analysis confirmed a significant indirect effect of home rehabilitation on activities of daily living through family involvement (B=1.05, 95% CI [0.91, 1.19]). The model explained 66% of the variance in job independence.
Conclusion: Family involvement significantly mediates the relationship between home rehabilitation and activities of daily living for individuals with disabilities.