Psychosocial, Cultural, and Accessibility Factors Associated With Participation of African-Americans in Rehabilitation


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Abstract

The purpose of this study was to examine the association among psychosocial, cultural, and accessibility factors and participation of African-Americans in the rehabilitation process. One hundred and eighty-six African-Americans with disabilities were recruited from agencies and facilities in cities throughout the United States. Subjects were categorized into one of two groups corresponding to whether or not they were currently receiving rehabilitation services. The subjects' histories of level of participation in the rehabilitation process were also obtained and categorized as periodic, short-term continuous, or long-term continuous. An instrument which contained several measures of psychosocial, cultural, and accessibility factors, along with measures of rehabilitation participation, was administered to subjects. The results of a discriminant analysis indicated that perception of service provider capability, self-esteem, emotional support, and attitude toward seeking and receiving services were significant predictors of whether or not subjects were in the current rehabilitation group. Whether or not client/service providers were of the same race/ethnic group, perception of service provider capability, attitude toward employment, and perceptions of the rehabilitation process were significant predictors of whether or not subjects participated in periodic or more continuous rehabilitation.

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