Enhancing Community Resilience: An Integrated Home-based Psychological Intervention for Individuals Living with Physical Disabilities
DOI:
https://doi.org/10.52053/jpap.v5i1.256Keywords:
Community Functioning, Integrated Healthcare, Psychosocial DisabilityAbstract
Individuals living with physical disabilities more likely develop psychological problems and less able to seek appropriate care for their issues as compared with the individuals living without disability. This study aimed to assess the effectiveness of an integrated home-based psychological intervention in managing psychological problems among individuals living with disabilities. For the purpose, a total of 60 participants were enrolled from the Community-Based Rehabilitation (CBR) program at Aid to Leprosy Patients (ALP) in Rawalpindi Pakistan between November 2021 and July 2022. These participants received comprehensive rehabilitation services alongside a structured psychological intervention. The duration of the study was 5 months including the follow up sessions. Significant improvements observed from pre-treatment to post-treatment. The main effect for psychosocial disabilities was (F = 116.93, p<.001), emotional problems (F = 116.93, p<.001), Depression (F = 117.30, p<.001), Anxiety (F = 150.02, p<.001) and Stress (F = 93.36, p<.001). The integrated home-based psychological intervention served as an effective rehabilitation approach for individuals with physical disabilities, particularly those previously unable to reintegrate into community life.
References
Arsh, A., & Darain, H. (2019). Persons with disabilities in Pakistan. Annals of Allied Health Sciences, 5, 1-2. https://aahs.kmu.edu.pk/index.php/aahs/article/view/104
Dawson, K. S., Bryant, R. A., Harper, M., Tay, A. K., Rahman, A., Schafer, A., & Van Ommeren, M. (2015). Problem Management Plus (PM+): a WHO transdiagnostic psychological intervention for common mental health problems. World Psychiatry, 14(3), 354. https://doi.org/10.1002%2Fwps.20255
Hamdani, S. U., Rahman, A., Wang, D., Chen, T., van Ommeren, M., Chisholm, D., & Farooq, S. (2020). Cost-effectiveness of WHO Problem Management Plus for adults with mood and anxiety disorders in a post-conflict area of Pakistan: randomized controlled trial. The British Journal of Psychiatry, 217(5), 623-629. https://doi.org/10.1192/bjp.2020.138
Hussain, B., Khalily, M. T., & Hallahan, B. (2023). Psychological intervention for a person living with amblyopia: a case study from home-based integrated care. The Journal of the Pakistan Medical Association, 73(6), 1330-1333. https://doi.org/10.47391/jpma.7304
Hussain, S., Munir, A., & Ibrar, M. (2020). Children with disability: Problems and challenges in Pakistan. The Journal of Humanities & Social Sciences, 28(1), 87-99.
Kissow, A. M. (2015). Participation in physical activity and the everyday life of people with physical disabilities: a review of the literature. Scandinavian Journal of Disability Research, 17(2), 144-166. https://doi.org/10.1080/15017419.2013.787369
Minhas, F. A. & Mubbashar, M. H. (1996). Validation of General Health Questionnaire in a primary care setting of Pakistan. Journal of the College of Physicians and Surgeons Pakistan, 6(3), 133-136.
Mitchell, G. K., Burridge, L., Zhang, J., Donald, M., Scott, I. A., Dart, J., & Jackson, C. L. (2015). Systematic review of integrated models of health care delivered at the primary–secondary interface: how effective is it and what determines effectiveness? Australian Journal of Primary Health, 21(4), 391-408. https://doi.org/10.1071/py14172
Pourhoseingholi, M. A., Vahedi, M., & Rahimzadeh, M. (2013). Sample size calculation in medical studies. Gastroenterology and Hepatology from Bed to Bench, 6(1), 14.
Rahman, A., Hamdani, S. U., Awan, N. R., Bryant, R. A., Dawson, K. S., Khan, M. F., Azeemi, M. M., Akhtar, P., Nazir, H., Chiumento, A., Sijbrandij, M., Wang, D., Farooq, S., & Van Ommeren, M. (2016). Effect of a multicomponent behavioral intervention in adults impaired by psychological distress in a conflict-affected area of Pakistan: a randomized clinical trial. Journal of American Medical Association, 316(24), 2609-2617. https://doi.org/10.1001/jama.2016.17165
Rokach, A., Lechcier-Kimel, R., & Safarov, A. (2006). Loneliness of people with physical disabilities. Social Behavior and Personality: An International Journal, 34(6), 681-700. https://doi.org/10.2224/sbp.2006.34.6.681
Watkinson, S. (2011). Managing depression in older people with visual impairment. Nursing Older People, 23(8). https://doi.org/10.7748/nop2011.10.23.8.23.c8714
World Health Organization. (2001). The World Health Report 2001: Mental health: new understanding, new hope. Geneva, Switzerland, World Health Organization. https://www.who.int/news/item/28-09-2001-the-world-health-report-2001-mental-disorders-affect-one-in-four-people
World Health Organization (2010). Measuring Health and Disability: Manual for WHO Disability Assessment Schedule WHODAS 2.0. Geneva, Switzerland: World Health Organization. https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health/who-disability-assessment-schedule
World Health Organization. (2016). Problem Management Plus (PM+): Individual psychological help for adults impaired by distress in communities exposed to adversity. Geneva, Switzerland, World Health Organization. https://www.who.int/publications/i/item/WHO-MSD-MER-18.5
World Health Organization (2017). Scalable psychological interventions for people in communities affected by adversity: a new area of mental health and psychosocial work at WHO. Geneva, Switzerland, World Health Organization. https://www.who.int/publications/i/item/WHO-MSD-MER-17.1
World Health Organization (2018). Integrating palliative care and symptom relief into primary health care: a WHO guide for planners, implementers and managers. Geneva, Switzerland, World Health Organization. https://www.who.int/publications/i/item/integrating-palliative-care-and-symptom-relief-into-primary-health-care
World Health Organization. (2023). Disability. https://www.who.int/news-room/fact-sheets/detail/disability-and-health/
Zafar, H., & Khalily, M. T. (2015). Didactic Therapy for Management of Stress and Co-morbid Symptoms of Depression and Anxiety in Pakistani Adolescents. Pakistan Journal of Psychological Research, 30(1), 131-149.
Zaman, S., Hussain, B., Irfan, S., & Khan, M. M. (2021). Psychosocial functioning of the patient with spinal cord and whiplash injury: A case report. The Journal of the Pakistan Medical Association, 71(8), 2080-2082.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 Basharat Hussain, Muhammad Tahir Khalily
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) License: This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International License (https://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-Commercial use, reproduction
and distribution of the work without further permission provided the original work is attributed as specified on the Journal website at (https://iprpk.com/ojs/index.php/jpap)
