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Biomedical subjects

C Partridge

Publications and source records attributed to C Partridge.

11 recordsLinked to original sources

Changing perceived control in patients with physical disabilities: an intervention study with patients receiving rehabilitation.

Physiotherapy patients' perceptions of personal control over recovery (during rehabilitation) have been shown to be predictive of their progress. An experimental letter, consisting of the routine appointment letter plus some paragraphs designed to increase perceived control, was sent to 39 randomly selected patients prior to their first appointment. The remaining 32 control patients received the routine letter only. Approximately one week after each patient's first appointment, all patients were interviewed. The group to whom the experimental letter had been sent were found, on average, to have significantly higher levels of perceived control and tended to be more satisfied with information than the control group. There were no significant differences between groups on accuracy of expectations of physiotherapy. It is suggested that this type of communication given prior to treatment might lead to patients making better and faster progress with recovery. However, this possibility needs to be investigated by further study.

Persons with Disabilities

Perceived control of recovery from physical disability: measurement and prediction.

Perceived personal control has been found to be predictive of desirable outcomes in a variety of health care settings. It was hypothesized that it would also explain some of the variance in adaptation to and coping with physical disability and would therefore be predictive of recovery. A Recovery Locus of Control scale (RLOC) was developed, independent judges agreeing on five internal and four external items. The scale was shown to have good internal consistency when used with adults recently disabled by a stroke or wrist fracture. Patients' RLOC was assessed at the start of rehabilitation and recovery from physical disability was monitored using measures appropriate for each clinical group. In both groups, greater internality was associated with faster recovery. Results are discussed with respect to the likely mediating factors and the role of health professionals in facilitating internality.

Adaptation, Psychological

The treatment of connective tissue diseases with antilymphocyte globulin.

Immunosupprissive therapy was carried out using steroids, azathiprine and antilymphocyte globulin in one patient with systemic lupus erythematosus (SLE) and four with dermatomyositis. Response to treatment was based upon clinical evaluation. The patients with SLE and two of the four with dermatomyositis responded favourably to the regime. It is suggested that this preliminary study is sufficiently promising to warrant the creation of a rigidly controlled investigation.

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