Objective. To study if Randomized Controlled Trials (RCTs) in rehabilitation (a field where complex interventions prevail) published in main journals include all the details needed to replicate the intervention in clinical practice (clinical replicability).Study Design and Setting. Forty-seven rehabilitation clinicians of 5 professions from 7 teams (Belgium,

Częstotliwość odczuwania lęku i występowania zaburzeń lękowych wśród osób z niepełnosprawnością wzrokową znacząco przekracza poziom szacowany dla populacji ogólnej. Szacuje się, że 1/3 osób z niepełnosprawnością wzrokową doświadcza uczucia depresji i/lub lęku, zaś 4–6 % osób ma stawianą diagnozę zaburzeń lękowych. Celem niniejszej pracy jest analiza problematyki występowania lęku u osób z niepełnosprawnością wzrokową na podstawie dotychczasowych doniesień. Przegląd literatury wskazuje, że osoby z dysfunkcją wzroku doświadczają zarówno powszechnie występujących, jak i specyficznych symptomów lęku, często przybierających charakter przewlekły. Mimo znaczącej skali tego zjawiska, jak i jego negatywnych konsekwencji, w literaturze brakuje doniesień, które wyjaśniałaby przyczyny, precyzowały problem, a przede wszystkim rekomendowały zalecenia pozwalające przeciwdziałać występowaniu lęku w omawianej grupie. Dla zrozumienia natury lęku istotne jest poznanie zarówno jego przyczyn, jak i konsekwencji dla zdrowia w rozumieniu dobrostanu biopsychospołecznego i duchowego. Ponieważ u osób z dysfunkcjami wzroku te zależności mogą być modyfikowane przez szczególne warunki, z którymi spotykają się w swoim codziennym funkcjonowaniu, zagadnienie lęku w tej grupie wymaga osobnego rozważenia.

Purpose The aim of this study was to evaluate the level of burnout syndrome and quality of life (QoL) among Polish massage therapists, and determine their relationship with sociodemographic and work-related variables. Methods A group of 43 participants aged 28-63, who were blind or poor-sighted were recruited for the study. They were surveyed with sociodemographic data questionnaire and the Polish versions of the Maslach Burnout Inventory-General Survey and WHOQOL-BREF. Results The overall level of exhaustion was 6.79 ± 4.45, cynicism was estimated at 7.30 ± 3.43, and professional efficacy was 23.3 ± 5.44. Regarding QoL, the psychological domain was the highest (73.6 ± 10.0), while the physical domain was the lowest (61.1 ± 6.94). None of the sociodemographic variables or occupational factors had any statistical relationship with any burnout subscale. Significant correlations were found between the psychological domain of QoL and marital status (H = 6.570; p = 0.037), years of practice (ρ = 0.315; t = 2.124; p = 0.039), hours of practice per week (ρ = 0.364; t = 2.505; p = 0.016) and private practice (z = 2.393; p = 0.017). Significant relationships were found between the environmental domain of QoL and the place of residence (H = 5.977; p = 0.050) and between hours of practice per week (ρ = 0.335; t = 2.276; p = 0.028). A significant positive correlation was noted between professional efficacy and the social relationship domain (ρ = 0.306; t = 2.056; p = 0.046). Conclusion Job activity plays a crucial function in the psychosocial rehabilitation of massage therapists with visual impairment. This was confirmed by the low risk of burnout, and the psychological domain being the highest of QoL.

Issue/problem Young people with visual impairment (VI) are more likely to have low literacy comparing to the rest of population. Additionally, they are at the high risk of obesity what has been attributed to poor food choices or lack of physical activity. Hence, interventions to support their nutrition status are needed. Description of the problem One hundred eighty six students aged 10-18 years (M = 13.9; SD = 2.44) selected from 6 schools for pupils with VI. An intervention describing healthy lifestyle guidelines was performed. Two innovative tools concerning nutrition guidelines tailored to the needs of people with VI were used during intervention: The Healthy Lifestyle Pyramid (HLP) and the Puzzle Game (PG). Participants were devoted to the Control Group (CG; N = 94) where only HLP was used and the Study Group (SG, N = 92) who participated in the classes with both tools: HLP and PG. Before and just after intervention a single-choice questionnaire regarding health literacy comprising 15 questions was used to verify the level of required knowledge regarding nutrition. Results There was a significant main effect of using HLP in the CG F(1. 132)=14.524, p < 0.001. The main effect of using HLP and PG in the SG was also significant, F(1. 132)=6.188, p = 0.014. The actual difference in mean scores between SG and CG was medium. The effect size, calculated using partial eta squared, was .045. Lessons The interventions with tools tailored to the needs of people with VI had positive significant impact on nutrition knowledge. Health promotion activities focusing on the health literacy improvement are more effective when various approaches are used to present information. Future health promotion activities should be adjusted to the needs of different populations to provide an equal access to healthy behaviours and to enhance health literacy. Key messages Using tools tailored to the needs of people with VI provide an equal access to health promotion. Health promotion activities are more effective when range approaches are used to present information.

Background Although there are about 1.3 billion people affected by visual impairment (VI), they do not have equal access to social activities, i.e. they are very often unemployed. The authors hypothesized that being job active plays crucial role for their well-being. The aim of the study was to evaluate the level of burnout and quality of life (QoL) among Polish massage therapists with VI and to determine their relationship with sociodemographic and work-related variables. Methods 43 participants aged 28-63, blind or poor-sighted were surveyed with sociodemographic data questionnaire and Polish versions of the Maslach Burnout Inventory-General Survey to measure burnout and World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) to evaluate quality of life. Results Low level of burnout was indicated: 6.79 ± 4.45 in the exhaustion, 7.30 ± 3.43 in cynicism and 23.3 ± 5.44 in professional efficacy. Among domains of QoL the psychological one was the highest (73.6 ± 10.0). Professional efficacy correlated with the social QOL domain (ρ = 0.306; t = 2.056; p = 0.046). Among significant socio-demographic determinants of QOL marital status and working conditions were found. The most general explanation is that job activity gives feeling of self-realization, independence and enhance social functioning which has important meaning for QOL and can be a protective factor for burnout among workers with disability (according to researches among healthy professionals they are at high risk of burnout). Conclusions Job activity is essential for psychosocial rehabilitation in VI. That is why we recommend education tailored to the needs and capabilities of persons with VI to prepare them for work as well as supporting employers in creating jobs opportunities for people with disabilities. Key messages Job opportunities for people with disabilities mean higher level of psychosocial functioning. Workers with disabilities present lower risk of burnout than professionals without impairment.