A conceptual review of engagement in healthcare and rehabilitation

Bright, Felicity A. S., Kayes, Nicola M., Worrall, Linda and McPherson, Kathryn M. (2015) A conceptual review of engagement in healthcare and rehabilitation. Disability and Rehabilitation, 37 8: 643-654. doi:10.3109/09638288.2014.933899

Author Bright, Felicity A. S.
Kayes, Nicola M.
Worrall, Linda
McPherson, Kathryn M.
Title A conceptual review of engagement in healthcare and rehabilitation
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
Publication date 2015-04-01
Year available 2015
Sub-type Article (original research)
DOI 10.3109/09638288.2014.933899
Open Access Status
Volume 37
Issue 8
Start page 643
End page 654
Total pages 12
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2016
Language eng
Formatted abstract
Purpose: This review sought to develop an understanding of how engagement in healthcare has been conceptualized in the literature in order to inform future clinical practice and research in rehabilitation. A secondary purpose was to propose a working definition of engagement.

Methods: EBSCO and SCOPUS databases and reference lists were searched for papers that sought to understand or describe the concept of engagement in healthcare or reported the development of a measure of engagement in healthcare. We drew on a Pragmatic Utility approach to concept analysis.

Results: Thirty-one articles met the criteria and were included in the review. Engagement appeared to be conceptualized in two inter-connected ways: as a gradual process of connection between the healthcare provider and patient; and as an internal state, which may be accompanied by observable behaviors indicating engagement.

Conclusion: Our review suggests engagement to be multi-dimensional, comprising both a co-constructed process and a patient state. While engagement is commonly considered a patient behavior, the review findings suggest clinicians play a pivotal role in patient engagement. This review challenges some understandings of engagement and how we work with patients and highlights conceptual limitations of some measures.Implications for Rehabilitation
Keyword Adherence
Clinical practice
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 6 times in Scopus Article | Citations
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