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Volume 17, Issue 3 (2025)
Iran J War Public Health 2025, 17(3): 1001-1006 |
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Received: 2025/07/24 | Accepted: 2025/08/6 | Published: 2025/07/19
Received: 2025/07/24 | Accepted: 2025/08/6 | Published: 2025/07/19
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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) :1001-1006
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URL: http://ijwph.ir/article-1-1639-en.html
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Abstract (25 Views)
Background: 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.
Methods: A 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 validated instruments: the Home Based Rehabilitation Services Questionnaire (HBRSQ), the Family Involvement Questionnaire - Rehabilitation (FIQ-R), and the Barthel Index. SPSS v28 and PROCESS macro (Model 4) were used for analysis.
Results: 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 is an important mediator. It is recommended to integrate family-centered strategies into rehabilitation programs to improve outcomes.
Methods: A 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 validated instruments: the Home Based Rehabilitation Services Questionnaire (HBRSQ), the Family Involvement Questionnaire - Rehabilitation (FIQ-R), and the Barthel Index. SPSS v28 and PROCESS macro (Model 4) were used for analysis.
Results: 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 is an important mediator. It is recommended to integrate family-centered strategies into rehabilitation programs to improve outcomes.
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