Fiona Rigney
SETU Waterford
https://orcid.org/0009-0002-5636-8974 (unauthenticated)
Sharon Kinsella
South East Technological University Carlow
https://orcid.org/0000-0001-9051-4467 (unauthenticated)
Mary Moylan
South East Technological University Waterford
https://orcid.org/0000-0003-0235-9749 (unauthenticated)
Zeta Dooly
South East Technological University Waterford
https://orcid.org/0000-0001-6777-9862 (unauthenticated)
Mary Doherty
University College Dublin
https://orcid.org/0000-0002-6995-3745 (unauthenticated)
Nicole Rinehart
Monash University
https://orcid.org/0000-0001-6109-3958 (unauthenticated)
Martina Gooney
South East Technological University Waterford
https://orcid.org/0000-0003-1499-3472 (unauthenticated)
DOI: https://doi.org/10.33700/jhrs.5.1.224
Abstract
Introduction: Autistic adults experience high rates of co-occurring physical and mental health conditions and often face unmet needs in all healthcare settings due to communication differences, sensory sensitivities, and atypical presentations. Healthcare professionals (HCPs) play a central role in addressing these needs; however, evidence suggests there are significant gaps in autism-specific knowledge and training.
Aim: Examine HCPs knowledge, experience, and training related to caring for autistic adults.
Methods: A systematic review was conducted according to the PRISMA guidelines. Studies were retrieved from five databases (Scopus, PsycINFO, PubMed, Medline and Web of Science). Nineteen studies were included in the final analysis.
Results: Findings across studies indicated that HCPs possess limited and inconsistent autism-specific knowledge, and have common deficits, with notable gaps in communication, recognition of autistic adults, and management of sensory and co-occurring health needs. Clinical experience caring for autistic adults was variable and often limited. Autism-specific training was inconsistent and typically brief, with between one-third and three-quarters of HCPs reporting unmet training needs.
Conclusion: This review highlighted substantial gaps in HCPs’ autism-specific knowledge, training, and experience, contributing to barriers in healthcare for autistic adults Findings highlight a clear need for standardised, evidence-based autism education across undergraduate training and continuing professional development. Future work is needed to establish coherent structured curricula with the meaningful involvement of autistic adults in the design and delivery of training and education to support person-centred healthcare.
Keywords: Autistic adults, healthcare professionals, knowledge, training, experience
Full Text Article
Thursday, July 9, 2026
Tuesday, July 7, 2026
Parental bonding in individuals with autism spectrum disorder: insights through the separation individuation lens
Simona Rogič Ožek
National Education Institute of Slovenia, National School for Leadership in Education, Ljubljana, Slovenia
Abstract
Introduction: This study examines how individuals with autism spectrum disorder (ASD) perceive early relationships with their parents, framing these perceptions within Mahler’s separation-individuation process and Bowlby’s attachment theory. Early parent-child interaction is conceptualized as a reciprocal developmental process shaped primarily by ASD-related communication profiles and parental responses to these developmental characteristics and other various factors that contribute to parent-child interaction.
Objectives: The study aims to investigate whether adults with and without ASD differ in their perceptions of parental bonding – specifically care and overprotection – and to explore how adults with ASD describe early relational experiences with both mothers and fathers.
Methods: A mixed‑methods design was applied to deepen understanding of both measurable and subjective relational patterns. Quantitatively, 38 adults with ASD and 100 adults without ASD completed the Parental Bonding Instrument (PBI), assessing each parent separately. Reliability was examined using Cronbach’s alpha, and group differences were tested with independent sample t‑tests. Qualitatively, semi‑structured interviews with 18 adults with ASD were analyzed using inductive thematic analysis to capture lived experiences of early relational processes and to triangulate quantitative findings.
Results: Adults with ASD reported significantly higher perceived maternal overprotection, whereas no differences emerged in perceived care. Qualitative analysis revealed heterogeneity in relational experiences, including emotional distance, misunderstandings, and limited autonomy, alongside examples of supportive parental behavior.
Conclusion: The findings indicate that perceptions of overprotection and relational challenges arise within a broader developmental and sociocultural context shaped by neurodivergent communication patterns, parental coping strategies, and prevailing intervention narratives. The results highlight the need for parent support programs that promote relational sensitivity, autonomy support, and a nuanced understanding of ASD-specific developmental characteristics, rather than attributing relational difficulties to parents.
Keywords: autism spectrum disorder, perception of parental bonding, parent-child interaction, separation-individuation process, overprotection, professional support
Monday, July 6, 2026
A Growing International Community of Reviewers at the Journal of Health and Rehabilitation Sciences (JHRS)
Dear readers,
As of July 6, 2026, the Journal of Health and Rehabilitation Sciences (JHRS) is proud to be supported by 105 distinguished reviewers from 24 countries across Europe, North America, Asia, Australia, and South America.
Our international reviewer community includes colleagues from the United States (16 reviewers), Serbia (14), Macedonia (13), the United Kingdom (8), Croatia (8), Slovenia (7), Hungary (4), India (4), Germany (3), Ireland (3), Italy (3), Lithuania (3), Poland (3), Spain (3), Canada (2), the Netherlands (2), Australia (1), Austria (1), Bosnia and Herzegovina (1), Brazil (1), Bulgaria (1), Cyprus (1), Greece (1), Latvia (1), Moldova (1), Saudi Arabia (1), and Türkiye (1).
This international network reflects the journal's commitment to scientific excellence, rigorous peer review, and global collaboration in health and rehabilitation sciences.
We extend our sincere gratitude to all of our reviewers for generously sharing their expertise, time, and dedication. Your invaluable contributions help ensure the quality, integrity, and impact of every article published in JHRS.
Thank you for being an essential part of the JHRS community!
JHRS Editor-in-chief
Effects of Sports Rehabilitation and Caregiver-Led Home-Based Exercise on Gross Motor Function and Therapy Engagement in Children with Developmental Disabilities
Jihun Hwang
Seoul National University Hospital
Chunghwi Yi
Yonsei University Mirae Campus
Jongmin Lee
SMG-SNU Boramae Medical Center
Abstract
Aim: This study aimed to compare the effectiveness of a hospital-based sports rehabilitation program (SRP) versus a home-based exercise program (HEP) on motor function, participation-related, and therapy engagement outcomes in children with developmental disabilities and to evaluate feasibility and safety.
Methods: This exploratory randomized pilot study allocated 16 children to SRP or HEP (1:1) using block randomization stratified by Gross Motor Function Classification System (GMFCS) level. Both interventions were delivered for 8 weeks. Outcomes included Gross Motor Function Measure (GMFM), Pediatric Balance Scale (PBS), Canadian Occupational Performance Measure (COPM-Performance/Satisfaction), Pediatric Volitional Questionnaire (PVQ), and Goal Attainment Scaling (GAS; T-score). A 2×2 mixed ANOVA (group × time) was used for most outcomes, and an independent t-test was used for GAS T-scores.
Results: Both groups showed significant improvements over time in GMFM and PBS (p < 0.001). Group-by-time interactions favored SRP for COPM–Performance (p = 0.038), COPM–Satisfaction (p = 0.025), and PVQ (p = 0.038). The GAS T-scores did not differ between the groups (p = 0.645). Feasibility criteria were met (≥75% adherence, fidelity, and exercise dose).
Conclusion: Both interventions were feasible and safe over 8 weeks. The SRP may confer greater benefits for participation-related outcomes. Future adequately powered trials with a longer follow-up period are warranted to confirm these findings.
Keywords: developmental disabilities, sports rehabilitation, home-based exercise, gross motor function, participation, feasibility
Saturday, July 4, 2026
Families as System Actors in Discovery: Embedding Co-Production Within the Equilibrium Systems Model of Employment
Peter Smith
Centre for Disability Employment Research and Practice
Abstract
Background: Discovery is a core practice within Customised Employment, intended to identify the strengths, interests, and support needs of people with disability to inform meaningful employment pathways. Despite strong evidence that families influence employment outcomes, their role within Discovery remains informal, inconsistent, and largely untheorised.
Aim: This paper examines the role of families within Discovery and proposes a structured model for embedding family involvement as a core component of inclusive employment practice.
Methods: Drawing on the Equilibrium Systems Model of Employment (ESME), international literature, and applied practice experience, the paper develops the Family Discovery Model as a conceptual and practice-informed framework. The model is examined in relation to co-production theory, Customised Employment fidelity, and contemporary disability employment policy contexts.
Results: The Family Discovery Model positions families as system actors who contribute through narrative building, network mapping, and collaborative reflection. These functions strengthen employment planning, improve alignment between participant goals and service delivery, and enhance system coherence. Practice-based vignettes demonstrate how structured family involvement can support school-to-work transitions, movement from segregated employment, and pathway development for individuals with complex support needs.
Conclusion: Embedding families as co-producers within Discovery offers a practical and scalable mechanism for strengthening rehabilitation practice and advancing inclusive employment systems. By operationalising family involvement within a structured framework, the model supports improved employment outcomes, greater fidelity to Customised Employment principles, and stronger alignment with contemporary disability policy objectives.
Keywords: customised employment, family involvement, disability employment, co-production, systems theory, rehabilitation
Friday, July 3, 2026
Impact of Information and Communication technology use on well-being of older adults in the (post)Covid-19 pandemic
Nikolaj Lipič
Alma Mater Europaea University, Department of Social Gerontology
Mitja Bagari
University Alma Mater Europaea, Department of Social Gerontology
Nejc Krašovec
University Alma Mater Europaea, Department of Social Gerontology
Marija Ovsenik
University Alma Mater Europaea, Department of Social Gerontology
Abstract
Introduction: The period during and after the Covid-19 pandemic is marked by accelerated digitalization and digital transformation. For most older adults, use of Information and Communication technology (ICT) presents numerous challenges and dilemmas, as well as facing hardships and dangers. The latter affects well-being of older adults. Therefore, primary objective of the study is to examine ICT use impact on well-being of older adults in the (post) Covid-19 pandemic.
Methods: Qualitative research approach was applied, as data were collected through semi-structured, in-depth and individual interviews with 15 older adults aged between 65 and 87. Collected data was analyzed using conventional qualitative content analysis.
Results: Older adults have different perceptions of impact of increased ICT use on their well-being during and after the Covid-19 pandemic. Some reported positive effects of increased ICT use on their well-being, particularly in maintaining social contacts, greater connections with others and improved accessibility of communication during limited in-person contact. Greater digital confidence was also mentioned. Increased ICT use during the pandemic was not a universal experience for all older adults.
Conclusion: Older adults, who use ICT moderately or regularly, ICT use maintained or even encouraged their well-being, while for some it had no effect. Recommendations of older adults for decision-makers in the field of digitalization and well-being of older adults are an important contribution of the study. Basic digital literacy of older adults, while taking into account circumstances of their well-being, is also an important factor of the study.
Keywords: well-being, ICT use, older adults, digitalization, digital transformation, Covid-19, satisfaction, digital self-confidence
Thursday, July 2, 2026
Socio-Gerontological Perspectives on Disease-Modifying Alzheimer’s Therapies (Lecanemab): A Delphi Study in Central Europe
Natasa Standeker
Alma Mater Europaea University
Šefik Salkunič
Alma Mater Europaea University, Department of Social Gerontology, Maribor, Slovenia University Clinical Centre Maribor
Jana Goriup
Alma Mater Europaea University, Department of Social Gerontology, Maribor, Slovenia https://orcid.org/0009-0001-8926-084X (unauthenticated)
Kristijan Jejčič
Alma Mater Europaea University, Department of Social Gerontology, Maribor, Slovenia
Mateja BerčanAlma Mater Europaea University, Department of Social Gerontology, Maribor, Slovenia https://orcid.org/0009-0001-1157-876X (unauthenticated)
Abstract
Introduction: This study examines experts forecasts on societal, ethical, and structural challenges of DMT introduction in Austria, Slovenia, and Bosnia and Herzegovina—countries differing in care models and cultural attitudes toward dementia.
Aim: The aim of this study was to explore experts perspectives on the societal, ethical, and systemic implications of introducing disease-modifying Alzheimer’s therapies in Central European care contexts.
Methods: A three-round Delphi study engaged 10 multidisciplinary experts . The panel included three full professors (PhD) specialising in sociology, law and psychology, three medical doctors (MD) with specialisations in psychiatry, gerontology and geriatrics, two associate professors (PhD) in social gerontology, and one professor of public health (PhD).
Results: Strong consensus emerged on six priorities: (1) public and professional awareness/education (x̄=9.71), (2) tailored long-term care models (x̄=9.71), (3) faster drug access (x̄=9.43), (4) open dialogue to reduce stigma (x̄=8.57), (5) integrating cultural beliefs and funding (x̄=8.29), and (6) accessibility despite pricing (x̄=8.29).
Conclusion: Despite systemic disparities, experts across contexts identified shared challenges. Successful DMT integration demands culturally sensitive destigmatization, professional training, and community-based LTC adaptation.
Keywords: Alzheimer’s disease, Lecanemab, Delphi method, Long-term care, Health equity, Social gerontology
Wednesday, July 1, 2026
Cognitive-Communicative Differences Between Mild Cognitive Impairment and Healthy Aging: A Comparative Study Using the SCCAN
Kostadin Chompalov
Medical University of Plovdiv https://orcid.org/0000-0002-4636-1384 (unauthenticated)
Abstract
Aim: To examine cognitive-communicative functioning in adults with Mild Cognitive Impairment due to Alzheimer’s disease (MCI-AD) and compare performance with cognitively healthy older adults using the Bulgarian-adapted version of the Scales of Cognitive and Communicative Ability for Neurorehabilitation (SCCAN-BG).
Methods: This cross-sectional comparative study included 60 participants: 30 individuals with MCI-AD and 30 cognitively healthy controls comparable in education. Cognitive-communicative functioning was assessed across SCCAN domains, including orientation, memory, attention, oral expression, auditory and reading comprehension, writing, and problem solving. Group differences were analysed using non-parametric statistical methods.
Results: Overall SCCAN performance was lower in the MCI-AD group. Consistent group differences were observed in memory, attention, oral expression, and problem solving. These differences suggest reduced efficiency in tasks that require integrated cognitive-communicative processing. Reading comprehension and writing were largely preserved. Auditory comprehension showed a non-significant trend towards lower performance in the MCI-AD group.
Conclusion: Cognitive-communicative changes are evident at the MCI-AD stage and extend beyond memory impairment alone. The SCCAN-BG captures early, functionally relevant vulnerability in everyday communication. This supports its use for clinical monitoring and rehabilitation-oriented decision-making in populations at risk for Alzheimer’s disease–related cognitive decline.
Keywords: cognitive-communicative functioning, Mild Cognitive Impairment due to Alzheimer’s disease, healthy aging, clinical monitoring, SCCAN
Sunday, June 7, 2026
New Issue Published – Journal of Health and Rehabilitation Sciences, Volume 5, Issue 1 (2026)
Dear Colleagues,
We are pleased to announce that today June 7th, the publication of the latest issue of the Journal of Health and Rehabilitation Sciences (JHRS):
Volume 5, Issue 1 (2026)
This issue features a diverse collection of original research articles, reviews, case studies, and scholarly contributions addressing contemporary topics in health sciences, rehabilitation, disability studies, education, and related interdisciplinary fields.
We invite you to explore the new issue at:
We encourage you to read, share, and cite the published articles. Your continued support as authors, reviewers, readers, and members of our scholarly community contributes significantly to the growth and impact of the journal.
We would also like to express our sincere gratitude to all authors, reviewers, editorial board members, and readers for their valuable contributions and continued trust in JHRS.
We look forward to receiving your future submissions and to continuing our mission of advancing high-quality research in health and rehabilitation sciences.
With best wishes,
Editor-in-Chief
Journal of Health and Rehabilitation Sciences (JHRS)
Journal Website:
Current Issue:
Submit Your Manuscript:
Saturday, January 31, 2026
The Interplay of Patient Demographics, Pain and Quality of Life in Chronic Low Back Pain Management Through Physiotherapy
Helena Blažun Vošner
Community Health Center dr. Adolf Drolc, Maribor, Slovenia
https://doi.org/10.33700/jhrs.4.2.182
Abstract
Abstract
Background: Chronic Lower Back Pain (CLBP) represents a pandemic diagnosis of contemporary society. Pain is a multidimensional personal experience influenced by various interrelated subjective and objective factors. In this study, we examined the impact of physiotherapeutic treatment on the quality of life (QoL) of patients with CLBP.
Methods: Multiple linear regression analysis, Paired Student's t-test, and Pearson Correlation were used to statistically analyse data collected through various measurement instruments: a demographic questionnaire, 36-Item Short Form Survey Instrument (SF-36v2) and the Numerical Pain Rating Scale (NPRS). A total of 123 participants (29 males, 94 females) with CLBP were included in the study, undergoing physiotherapeutic rehabilitation lasting eight working days.
Results: The findings indicate positive associations between Age, Education level, Female gender with QoL, while negative associations were observed between BMI, work experience, and Difference in pain with QoL. In the study, only SF36 dimensions showed statistically significant improvements following physiotherapy in individuals with chronic low back pain namely Pain Reduction, Social functioning and Physical Functioning.
Conclusion: The results provide a solid foundation for further professional and scientific research in this field, as well as for the complex multidisciplinary collaboration between physiotherapy and medical sciences
Keywords: Chronic lower back pain, Quality of Life, Physiotherapy
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Dóra Szanati ELTE Bárczi Gusztáv Faculty of Special Needs Education, Instititute for the Methodology of Special Needs Education and Rehabi...