Improving Social Rehabilitation Services For Physical Disabilities Through Technology and Family Involvement At East Java Provincial Social Service
DOI:
https://doi.org/10.62951/ijss.v2i4.519Keywords:
Digital health, Disability services, Family involvement, Service quality improvement, Social rehabilitationAbstract
This study investigates strategies for improving social rehabilitation services for people with physical disabilities through technology-based approaches and family involvement at UPT Social Rehabilitation Bina Laras Pasuruan, East Java. Employing a qualitative case study design, data were collected through in-depth interviews, focus group discussions, observation, and documentation with rehabilitation staff, persons with disabilities, family members, and technology specialists. Findings reveal that integrating digital technologies—including mobile health applications, telemedicine platforms, and assistive devices—significantly enhances service accessibility and monitoring capabilities. Structured family involvement programs, encompassing psychoeducation sessions, home-based care training, and support groups, demonstrate substantial improvements in rehabilitation outcomes. Critical success factors include adequate technological infrastructure, staff digital literacy, family commitment, and inter-agency coordination. Challenges include the digital divide, resistance to technological adoption, and sustainability concerns. The research concludes that a hybrid model combining technology-enabled services with intensive family participation offers the most promising approach and recommends policy frameworks that institutionalise these innovations while ensuring equitable access across diverse beneficiary populations
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Adioetomo, S. M., Mont, D., & Irwanto. (2014). Persons with disabilities in Indonesia: Empirical facts and implications for social protection policies. TNP2K.
Bamm, E. L., & Rosenbaum, P. (2008). Family-centred theory: Origins, development, barriers, and supports to implementation in rehabilitation medicine. Archives of Physical Medicine and Rehabilitation, 89(8), 1618-1624. https://doi.org/10.1016/j.apmr.2007.12.034
Bowen, M. (1978). Family therapy in clinical practice. Jason Aronson.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Brennan, D. M., Mawson, S., & Brownsell, S. (2020). Telerehabilitation: Enabling the remote delivery of healthcare, rehabilitation, and self-management. In M. Friesen (Ed.), Advances in telerehabilitation (pp. 1-24). Springer.
Bright, F. A., Kayes, N. M., Worrall, L., & McPherson, K. M. (2015). A conceptual review of engagement in healthcare and rehabilitation. Disability and Rehabilitation, 37(8), 643-654. https://doi.org/10.3109/09638288.2014.933899
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Cason, J. (2014). Telehealth: A rapidly developing service delivery model for occupational therapy. International Journal of Telerehabilitation, 6(1), 29-35. https://doi.org/10.5195/ijt.2014.6148
Cason, J., & Cohn, E. R. (2014). Telepractice: An overview and best practices. Perspectives on Telepractice, 4(1), 4-17.
Cheng, H. Y., Chair, S. Y., & Chau, J. P. C. (2018). Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes, and physical health among family caregivers of stroke survivors. International Journal of Nursing Studies, 87, 84-93. https://doi.org/10.1016/j.ijnurstu.2018.07.005
Cook, A. M., & Polgar, J. M. (2015). Assistive technologies: Principles and practice (4th ed.). Elsevier.
Cottrell, M. A., Galea, O. A., O'Leary, S. P., Hill, A. J., & Russell, T. G. (2017). Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice. Clinical Rehabilitation, 31(5), 625-638. https://doi.org/10.1177/0269215516645148
Creasy, K. R., Lutz, B. J., Young, M. E., Ford, A., & Martz, C. (2015). The impact of provider interactions on stroke caregivers' needs. Rehabilitation Nursing, 40(3), 155-166. https://doi.org/10.1002/rnj.193
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage Publications.
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice. Implementation Science, 4(1), Article 50. https://doi.org/10.1186/1748-5908-4-50
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319-340. https://doi.org/10.2307/249008
Donabedian, A. (2005). Evaluating the quality of medical care. The Milbank Quarterly, 83(4), 691-729. https://doi.org/10.1111/j.1468-0009.2005.00397.x
East Java Provincial Social Service. (2023). Annual report: UPT Rehabilitasi Sosial Bina Laras Pasuruan. Dinas Sosial Provinsi Jawa Timur.
Foster, A. M., Armstrong, J., Buckley, A., Sherry, J., Young, T., Foliaki, S., James-Mayson, S., & Nayar, S. (2019). Encouraging family engagement in the rehabilitation process. Disability and Rehabilitation, 41(9), 1057-1063. https://doi.org/10.1080/09638288.2017.1422028
Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A'Court, C., Hinder, S., Fahy, N., Procter, R., & Shaw, S. (2017). Beyond adoption: A new framework for theorising and evaluating nonadoption, abandonment, and challenges to the scale-up of health and care technologies. Journal of Medical Internet Research, 19(11), Article e367. https://doi.org/10.2196/jmir.8775
Hastuti, R. K., Dewi, R. K., Pramana, R. P., & Sadaly, H. (2020). Inclusive social protection in Indonesia: Challenges and recommendations. SMERU Research Institute.
Hossain, M., & Ahmed, S. (2021). Digital divide in rehabilitation services: Challenges and opportunities in developing countries. Disability and Rehabilitation: Assistive Technology, 16(7), 725-733. https://doi.org/10.1080/17483107.2019.1710772
King, G., Chiarello, L. A., Thompson, L., McLarnon, M. J., Moran, M. F., & Ziviani, J. (2015). Development of an observational measure of therapy engagement for pediatric rehabilitation. Disability and Rehabilitation, 37(14), 1277-1287. https://doi.org/10.3109/09638288.2014.961657
Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of electronic health records to support population health: A systematic review of the literature. Journal of Medical Systems, 42(11), Article 214. https://doi.org/10.1007/s10916-018-1075-6
Laver, K. E., Adey-Wakeling, Z., Crotty, M., Lannin, N. A., George, S., & Sherrington, C. (2020). Telerehabilitation services for stroke. Cochrane Database of Systematic Reviews, 2020(1), Article CD010255. https://doi.org/10.1002/14651858.CD010255.pub3
Lindeman, D. A., Kim, K. K., Gladstone, C., & Apesoa-Varano, E. C. (2020). Technology and caregiving: Emerging interventions and directions for research. The Gerontologist, 60(Supplement 1), S41-S49. https://doi.org/10.1093/geront/gnz178
Meskó, B., Drobni, Z., Bényei, É., Gergely, B., & Győrffy, Z. (2017). Digital health is a cultural transformation of traditional healthcare. mHealth, 3, Article 38. https://doi.org/10.21037/mhealth.2017.08.07
Ministry of Social Affairs. (2023). Statistical data on persons with disabilities in Indonesia. Kementerian Sosial Republik Indonesia.
Nilsen, P. (2015). Making sense of implementation theories, models, and frameworks. Implementation Science, 10(1), Article 53. https://doi.org/10.1186/s13012-015-0242-0
Nugraha, B., Gutenbrunner, C., Barber, S., Bardhan, R., Widjaja, A., Wahyuni, L. K., & Koesoema, T. (2021). Strengthening rehabilitation services in Indonesia: A brief situation analysis. Journal of Rehabilitation Medicine, 53(3), Article jrm00164. https://doi.org/10.2340/16501977-2797
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12-40.
Republic of Indonesia. (2016). Undang-Undang Nomor 8 Tahun 2016 tentang Penyandang Disabilitas [Law Number 8 of 2016 concerning Persons with Disabilities]. Sekretariat Negara.
Republic of Indonesia. (2020). Peraturan Presiden Nomor 67 Tahun 2020 tentang Penanganan Disabilitas [Presidential Regulation Number 67 of 2020 concerning Disability Affairs]. Sekretariat Negara.
Sumarto, S., Suryahadi, A., & Bazzi, S. (2020). Social protection in Indonesia: Current status and next steps. Asian Development Bank Institute.
Tenforde, A. S., Borgstrom, H., Polich, G., Steere, H., Davis, I. S., Cotton, K., & Silver, J. K. (2020). Outpatient physical, occupational, and speech therapy synchronous telemedicine: A survey study of patient satisfaction with virtual visits during the COVID-19 pandemic. American Journal of Physical Medicine & Rehabilitation, 99(11), 977-981. https://doi.org/10.1097/PHM.0000000000001571
Turnbull, A. P., Turnbull, H. R., Erwin, E. J., Soodak, L. C., & Shogren, K. A. (2015). Families, professionals, and exceptionality: Positive outcomes through partnerships and trust (7th ed.). Pearson.
Viana, M. C., Gruber, M. J., Shahly, V., Alhamzawi, A., Alonso, J., Andrade, L. H., Angermeyer, M. C., Benjet, C., Bruffaerts, R., & Caldas-de-Almeida, J. M. (2020). Family burden related to mental and physical disorders in the world: Results from the WHO World Mental Health surveys. Brazilian Journal of Psychiatry, 42(3), 277-289. https://doi.org/10.1590/1516-4446-2019-0530
Wade, D. T. (2020). What is rehabilitation? An empirical investigation leading to an evidence-based description. Clinical Rehabilitation, 34(5), 571-583. https://doi.org/10.1177/0269215520905112
Widinarsih, D. (2019). Penyandang disabilitas di Indonesia: Perkembangan istilah dan definisi [Persons with disabilities in Indonesia: Development of terms and definitions]. Jurnal Ilmu Kesejahteraan Sosial, 20(2), 127-142.
World Bank. (2023). Indonesia Digital Economy Report. World Bank Group.
World Health Organisation. (2001). International Classification of Functioning, Disability and Health (ICF). WHO Press.
World Health Organisation. (2022). Global report on health equity for persons with disabilities. WHO Press.
Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Sage Publications.
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