Iranian Journal of War and Public Health

eISSN (English): 2980-969X
eISSN (Persian): 2008-2630
pISSN (Persian): 2008-2622
JMERC
0.5
Volume 17, Issue 3 (2025)                   Iran J War Public Health 2025, 17(3): 217-222 | Back to browse issues page

Print XML PDF HTML Full-Text (HTML)


History

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. Iran J War Public Health 2025; 17 (3) :217-222
URL: http://ijwph.ir/article-1-1639-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rights and permissions
1- Department of Community Health Nursing, College of Nursing, University of Thi-Qar, Thi-Qar-Iraq
* Corresponding Author Address: Department of Community Health Nursing, College of Nursing, University of Thi-Qar, Thi-Qar-Iraq. (kf88@utq.edu.iq)
Abstract   (470 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.
 
Keywords:

References
1. Radhi MM, Al-Eqabi QA, Hindi NK. Rehabilitation problems of people with motor disabilities at Babylon center for rehabilitation of the disabled. Med J Babylon. 2023;20(4):838-43. [Link] [DOI:10.4103/MJBL.MJBL_674_23]
2. Denham AC, Kistler CE. Home- and community-based care. In: Chronic illness care: Principles and practice. Cham: Springer International Publishing; 2023. p. 269-83. [Link] [DOI:10.1007/978-3-031-29171-5_20]
3. Sanaie N, Nejati S, Zolfaghari M, Alhani F, Kazemnezhad A. The effects of family-based empowerment on family cooperation in following patient treatment regime after coroner arteries bypass surgery. Modern Care J. 11(1): 19-27. [Link]
4. Dehghan Nayeri N, Mohammadi S, Pedram Razi S, Arazi TM, Kazemnejad A. Effectiveness of family empowerment program on level of adherence to treatment regimens in stroke patients; a randomized controlled trial. Evid Based Care. 2015;5(1):57-66. [Link]
5. Gilson A, Gassman M, Dodds D, Lombardo R, Ford JH, Potteiger M. Refining a digital therapeutic platform for home care agencies in dementia care to elicit stakeholder feedback: Focus group study with stakeholders. JMIR Aging. 2022;5(1):e32516. [Link] [DOI:10.2196/32516]
6. Radhi MM, Elywy GJ, Al-Eqabi QAK. Burdens among wives of disabled people in the light of some social variables. Iran Rehabil J. 2023;21(3):473-84. [Link] [DOI:10.32598/irj.21.3.1765.3]
7. Jafari J, Kermansaravi F, Yaghoubinia F. The effect of home-based rehabilitation on adherence to treatment and quality of life of individuals after stroke. Med Surg Nurs J. 2020;9(2): e107716. [Link] [DOI:10.5812/msnj.107716]
8. Radhi MM, Niazy SM, Abed SN. Individual-related factors associated with treatment adherence among hypertensive patients. J Public Health Afr. 2023;14(6):2466. [Link] [DOI:10.4081/jphia.2023.2466]
9. Elywy GJ, Radhi MM, AlEqabi QA. Relationship between social support and self-hardiness among breast cancer women in Nasiriyah, Iraq. J Pak Med Assoc. 2023;73(9):S9-14. [Link] [DOI:10.47391/JPMA.IQ-02]
10. Aliedan MM, Elshaer IA, Zayed MA, Elrayah M, Moustafa MA. Evaluating the role of university disability service support, family support, and friends' support in predicting the quality of life among disabled students in higher education: Physical self-esteem as a mediator. J Disabil Res. 2023;2(3):48-59. [Link] [DOI:10.57197/JDR-2023-0035]
11. Handayani AA. Family involvement in mental health recovery: Systemic barriers and supportive strategies for enhancing treatment adherence and outcomes. JURNAL RISET KUALITATIF DAN PROMOSI KESEHATAN. 2022;1(2):57-71. [Link] [DOI:10.61194/jrkpk.v1i2.656]
12. Zawaly K, Ripat J, Guse L, Katz A, Edwards J, Sibley KM. Re-braiding the strands of life through community rehabilitation, home care, and informal support: A longitudinal collective case study. Can J Aging. 2023;42(1):80-91. [Link] [DOI:10.1017/S0714980822000137]
13. Elywy GJ, Radhi MM, Al-Eqabi QAK. Social support and its association with the quality of life (QoL) of amputees. Iran Rehabil J. 2022;20(2):253-60. [Link] [DOI:10.32598/irj.20.2.1784.1]
14. Cipriani G, Danti S, Picchi L, Nuti A, Fiorino MD. Daily functioning and dementia. Dement Neuropsychol. 2020;14(2):93-102. [Link] [DOI:10.1590/1980-57642020dn14-020001]
15. Balat KZ, Laftah SA, Radhi M. The relationship between psychological distress and quality of life among women undergoing mastectomy in Iraq: A descriptive correlational study. Natl J Community Med. 2025;16(1):20-7. [Link] [DOI:10.55489/njcm.160120254716]
16. Al-Eqabi QA, Niazy SM, Radhi MM. Amputation-related factors influencing activities of daily living among amputees. Iran J War Public Health. 2024;16(2):123-9. [Link]
17. Bogner J, Hade EM, Peng J, Beaulieu CL, Horn SD, Corrigan JD, Hammond FM, Dijkers MP, Montgomery E, Gilchrist K, Giuffrida C. Family involvement in traumatic brain injury inpatient rehabilitation: A propensity score analysis of effects on outcomes during the first year after discharge. Archives of physical medicine and rehabilitation. 2019;100(10):1801-9. [Link] [DOI:10.1016/j.apmr.2019.04.008]
18. Foster AM, Armstrong J, Buckley A, Sherry J, Young T, Foliaki S, James-Hohaia TM, Theadom A, McPherson KM. Encouraging family engagement in the rehabilitation process: a rehabilitation provider's development of support strategies for family members of people with traumatic brain injury. Disability and rehabilitation. 2012;34(22):1855-62. [Link] [DOI:10.3109/09638288.2012.670028]
19. Lee IF, Yau FN, Yim SS, Lee DT. Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: A matched-control quasi-experimental study. Clin Interv Aging. 2018;13:1727-37. [Link] [DOI:10.2147/CIA.S172871]
20. Fantuzzo J, Tighe E, Childs S. Family involvement questionnaire: A multivariate assessment of family participation in early childhood education. J Educ Psychol. 2000;92(2):367-76. [Link] [DOI:10.1037/0022-0663.92.2.367]
21. Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: A reliability study. Int Disabil Stud. 1988;10(2):61-3. [Link] [DOI:10.3109/09638288809164103]
22. Makofane K, Berkman LF, Bassett MT, Tchetgen EJ. The effect of family wealth on physical function among older adults in Mpumalanga, South Africa: A causal network analysis. Int J Public Health. 2023;68:1606072. [Link] [DOI:10.3389/ijph.2023.1606072]
23. Roberto KA, Savla J. Extended family caregivers for persons living with dementia. J Fam Nurs. 2022;28(4):396-407. [Link] [DOI:10.1177/10748407221115455]
24. Kaambwa B, Bulamu NB, Mpundu-Kaambwa C, Oppong R. Convergent and discriminant validity of the Barthel Index and the EQ-5D-3L when used on older people in a rehabilitation setting. Int J Environ Res Public Health. 2021;18(19):10314. [Link] [DOI:10.3390/ijerph181910314]
25. Alwatify SS, Radhi MM. Diabetes self-management and its association with medication adherence in diabetic patients. Iran J War Public Health. 2025;17(1):17-22. [Link] [DOI:10.58209/ijwph.17.1.17]
26. Abed Laftah S, Kadhim Abdul-Hameed A, Balat KZ, Radhi MM. Barriers and facilitators in rehabilitative nursing care for clients with disabilities: A mediating roles of nurse-related factors. Iran Rehabil J. 2025;23(2):165-74. [Link] [DOI:10.32598/irj.23.2.1989.4]
27. Vrettos I, Anagnostopoulos F, Voukelatou P, Panayiotou S, Kyvetos A, Nikas A, et al. Factors associated with health‐related quality of life of informal caregivers of older patients and the mediating role of subjective caregivers' burden. Psychogeriatrics. 2023;23(2):286-97. [Link] [DOI:10.1111/psyg.12930]
28. Religioni U, Barrios-Rodríguez R, Requena P, Borowska M, Ostrowski J. Enhancing therapy adherence: Impact on clinical outcomes, healthcare costs, and patient quality of life. Medicina. 2025;61(1):153. [Link] [DOI:10.3390/medicina61010153]
29. Radhi MM, Abd RK, Al Eqabi QA. The body image and its relation to self-esteem among amputation patients at artificial limbs hospital at Kut City, Iraq. J Public Health Afr. 2022;13(4):9. [Link] [DOI:10.4081/jphia.2022.1228]
30. Radhi MM. Degree of disease acceptance and health seeking behaviors for type 2 diabetic patients at diabetic center in Hilla City. Medico Leg Update. 2020;20(2):853-8. [Link] [DOI:10.37506/mlu.v20i2.1347]
31. Barria P, Andrade A, Yelincic A, Córdova B, Covarrubias-Escudero F, Cifuentes C, et al. Impact of a long-term home-based rehabilitation program on quality of life, balance, and autonomy in adults with disabilities. J Funct Morphol Kinesiol. 2025;10(1):24. [Link] [DOI:10.3390/jfmk10010024]

Add your comments about this article : Your username or Email:
CAPTCHA