{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:07:56Z","timestamp":1793351276208,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Improved access to rehabilitation is highlighted as a key pathway to achieving the World Health Organisation's (WHO) goal of ensuring healthy lives and promoting well\u2010being for all (Sustainable Development Goal 3). This article is the second in a two\u2010part series outlining the findings from the <jats:italic>Rehabilitation Choices<\/jats:italic> study, which aimed to identify how health professionals and consumers in Australia are informed to make decisions about rehabilitation, and their experience with barriers and enablers to accessing that rehabilitation. In this study, we present the perspectives of consumers with different health conditions and a range of experiences with rehabilitation services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a qualitative study using focus groups and semi\u2010structured interviews. People with self\u2010reported lived experience of rehabilitation and carers were recruited using maximum variation sampling. Thematic analysis of data was conducted using an inductive approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010six consumers with diverse lived experiences of rehabilitation (19\u201380 years, 49 patients, 7 carers) participated in focus groups and interviews to discuss how they sourced information about rehabilitation and their experiences of what made it hard or easy to access rehabilitative care to meet their needs. Four themes were produced from the data: (1) service\u2010centricity of options limits access, (2) access is the patient's responsibility, (3) enabling decision\u2010making about rehabilitation with appropriate information and (4) provision of a psychologically safe environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Any planned (re)design of services to improve consumer access to rehabilitation should consider the themes identified in this study. This will ensure that consumers are provided with rehabilitation options that suit their holistic and unique needs beyond consideration of their medical diagnoses, and are actively supported to navigate this access, provided with information to help them make informed choices and provided a psychologically safe environment to engage effectively with rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Three consumer research partners with lived experience of rehabilitation as patients or carers were core team members. They were involved in the design and implementation of the recruitment and communications strategies, design of the interview approach and discussion guide, contributed to the interpretation and contextualisation of findings and writing of this manuscript and are included as co\u2010authors (A. O., T. W. and S. W.).<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70035","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T13:02:22Z","timestamp":1727182942000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring Consumer Experiences of Barriers and Enablers to Accessing Rehabilitation That Meets Their Needs: The Rehabilitation Choices Study, Part 2\u2014Consumer Perspectives"],"prefix":"10.1111","volume":"27","author":[{"given":"Gillian","family":"Mason","sequence":"first","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"},{"name":"Centre for Rehab Innovations The University of Newcastle, Australia  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Ribbons","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"},{"name":"Centre for Rehab Innovations The University of Newcastle, Australia  Callaghan New South Wales Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle, Australia  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Bailey","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"},{"name":"Centre for Rehab Innovations The University of Newcastle, Australia  Callaghan New South Wales Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle, Australia  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"O'Malley","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Ward","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Ward","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Pollack","sequence":"additional","affiliation":[{"name":"Centre for Rehab Innovations The University of Newcastle, Australia  Callaghan New South Wales Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle, Australia  Callaghan New South Wales Australia"},{"name":"Hunter New England Area Health Service John Hunter Hospital  New Lambton Heights New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick R.","family":"Walker","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"},{"name":"Centre for Rehab Innovations The University of Newcastle, Australia  Callaghan New South Wales Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle, Australia  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"},{"name":"Centre for Rehab Innovations The University of Newcastle, Australia  Callaghan New South Wales Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle, Australia  Callaghan New South Wales Australia"},{"name":"Hunter New England Area Health Service John Hunter Hospital  New Lambton Heights New South Wales Australia"},{"name":"Lee Kong Chian School of Medicine Nanyang Technological University  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolette","family":"Hodyl","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  New Lambton Heights New South Wales Australia"},{"name":"NSW Regional Health Partners  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Rehabilitation in Health Systems. (Geneva:World Health Organization 2017). License: CC By\u2010NC\u2010SA 3.0 IGO."},{"key":"e_1_2_10_3_1","unstructured":"Rehabilitation. (Geneva: World Health Organization 2023) https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/rehabilitation."},{"key":"e_1_2_10_4_1","unstructured":"Strengthening Rehabilitation in Health Systems. Geneva: (World Health Organization Seventy\u2010Sixth World Health Assembly 2023). Agenda item 13.4 WHA 76.6."},{"key":"e_1_2_10_5_1","unstructured":"Principals to Support Rehabilitation Care. (Chatswood Australia: NSW Agency for Clinical Innovation 2019)."},{"key":"e_1_2_10_6_1","unstructured":"Rehabilitation Medicine.Factsheet. (Australian Government Department of Health 2017).healthworkforcedata@health.gov.au."},{"key":"e_1_2_10_7_1","volume-title":"Admitted Patient Care 2015\u201316: Australian Hospital Statistics, Health Services Series no. 75","author":"Australian Institute of Health and Welfare","year":"2017"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4102\/ajod.v2i1.22"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/rnj.0000000000000340"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017042"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0450"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-12-18"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2017.1366010"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5000"},{"key":"e_1_2_10_16_1","unstructured":"L.Heiss Belonging Curriculum\u2014Case Study\u2014Workshop\u2010in\u2010a\u2010Box. 2017 https:\/\/sites.rmit.edu.au\/belonginginthecurriculum."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13102-022-00499-x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13102-022-00407-3"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.20173"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13591"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2009.12.004"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.11124\/JNISRIS-2017-003499"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221121006"},{"key":"e_1_2_10_25_1","unstructured":"The Royal Australasian College of Physicians Australasian Faculty of Rehabilitation Medicine (AFRM) Standards for the Provision of Inpatient Adult Rehabilitation Medicine Services in Public and Private Hospitals (February 2019) Sydney NSW Australia.Standard 1.4 p. 6."},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-071217"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.7224\/1537-2073.2014-007"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13896"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvab114"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-119"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.659"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215516655856"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08047-6"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221131248"}],"container-title":["Health Expectations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.70035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T18:41:45Z","timestamp":1730140905000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.70035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,24]]},"references-count":33,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/hex.70035"],"URL":"https:\/\/doi.org\/10.1111\/hex.70035","archive":["Portico"],"relation":{},"ISSN":["1369-6513","1369-7625"],"issn-type":[{"value":"1369-6513","type":"print"},{"value":"1369-7625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,24]]},"assertion":[{"value":"2024-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70035"}}