Promoting Health Management in Rehabilitation

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Background

People with disabilities are living longer, but experiencing greater incidence of chronic conditions. While more people are living after a developmental or disabling incident like Down syndrome, spinal cord injury or stroke, there are limited increases in lifespan due to chronic health conditions like heart disease, diabetes, and cancer. Subsequently, the role of rehabilitation practitioners is evolving to include health management. Emerging evidence also suggests that rehabilitation services may need to extend into further phases of recovery to help individuals build and sustain health promoting behaviors. Rehabilitation practitioners across the continuum of care report needing more supports to better address health management. Subsequently, we propose a Research Topic is to support rehabilitation researchers and clinicians in developing, selecting, and implementing health management interventions that support the development of habits and routines for maintaining health and wellness in people disability across the life span.

Developing health management intervention is a process. The National Institute of Health Stage Model for Behavioral Intervention Development suggests that interventions move through 5 stages of development. We welcome submissions describing any stage of the intervention development process.

• Stage 0 – Understanding barriers and facilitators or mechanisms of behavior change

• Stage I – Creation and preliminary testing of a new behavioral intervention.

• Stage II - Efficacy research in experimental settings

• Stage III – Efficacy research in real world settings

• Stage IV – Effectiveness research

• Stage V – Implementation and dissemination research exploring the implementation and adoption of new interventions in real world settings.

Behavioral intervention development also leverages a variety of methodological techniques. Subsequently, we are open to submission of varying article types including, original research using qualitative, quantitative, and mixed methods design. We will also consider case reports or case series but encourage a pre-submission inquiry.

Topics that are of specific interest include (but are not limited to):

- Health management interventions that help individuals develop or maintain routines and behaviors that promote health and wellness. This includes interventions that improve medication management, home exercise or physical activity, healthy eating, or facilitate disease self-management and wellness.

- Interventions that address primary and secondary prevention

- Utilization of self-management to increase quality of life for persons with chronic illness or disability

- Interprofessional approaches to implementation of home rehabilitation programs for individuals who are post-injury or living with a chronic disability.

- Applying validated interventions, such as strategy training, to help create or improve health routines (e.g., medication management, weight loss/nutrition, or physical activity)

- Dyadic interventions focused on creating new health or wellness routines

- Use of technology to support the development or maintenance of health management routines.

- Review papers describing the body of evidence for specific interventions or areas of intervention in rehabilitation.

This issue would provide a unique opportunity to generate a collection of articles across rehabilitation’s heterogeneous diagnostic groups and diverse interdisciplinary team around an issue that impact all rehabilitation stakeholders.

Keywords: Health Management, Interdisciplinary, Physical Activity, Participation, Telerehabilitation, Remote Monitoring, Weight Management, Medication Management

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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