Evidence map›Paper›PMID 39955489›Full record

ArticleBMC public health2025

Understanding the influencing mechanism of continuance utilization of rehabilitation services among children with disabilities: a cross-sectional survey in two cities of China.

Cong Xia, Ting Wei, Ping Shao, Qi Tang, HongYing Zheng, Mei Sun, Gang Chen, Jun Lu

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Cong XiaSchool of Health Management, Anhui Medical University, Hefei, Anhui Province, 230000, China.
Ting WeiSchool of Public Health, Fudan University, Shanghai, 200032, China.
Ping ShaoKunshan Jiajie Rehabilitation Medical Center, Kunshan, Jiangsu Province, 215300, China.
Qi TangSchool of Public Health, Fudan University, Shanghai, 200032, China.
HongYing ZhengSchool of Public Health, Fudan University, Shanghai, 200032, China.
Mei SunSchool of Public Health, Fudan University, Shanghai, 200032, China.
Gang ChenSchool of Public Health, Fudan University, Shanghai, 200032, China. gchen@shmu.edu.cn.
Jun LuSchool of Public Health, Fudan University, Shanghai, 200032, China. lujun@shmu.edu.cn.

Funding

Foundation of Anhui Medical University 2023xkj022Major Project of National Social Science Foundation of China 17ZDA078National Key Research and Development Program of China 2021YFC2701004National Natural Science Foundation of China 71774030National Natural Science Foundation of China 72274038
6 · The paper itself

Abstract

backgroundContinuance utilization of rehabilitation services among children with disabilities is not optimal. However, little is known about the factors that influence whether rehabilitation is continued. Therefore, a cross-sectional study was conducted in a sample of family caregivers in China to explore the relationship between perceived rehabilitation benefit, expectation, satisfaction, self-efficacy, continuance intention and continuance behavior.

methodsA total of 368 family caregivers of children with disabilities were recruited from rehabilitation institutions through the convenience sampling method in Shanghai and Kunshan, China. We developed a research model that drives continuance utilization of rehabilitation services and proposed 13 research hypotheses based on the Expectation Disconfirmation Theory (EDT) and the extended Expectation-Conformation Model of Information System Continuance (extended ECM-ISC model). A structure equation model was built to test the hypotheses.

resultsAmong the 13 research hypotheses we proposed, 11 of them were supported. The results suggest that family caregivers' continuance intention of taking children with disabilities for rehabilitation services was associated with their continuance behavior. Satisfaction and self-efficacy were associated with continuance intention. Perceived rehabilitation benefit and expectation were associated with satisfaction. Expectation was associated with perceived rehabilitation benefit. Furthermore, we found that perceived rehabilitation benefit was positively associated with continuance behavior from three different paths, whereas expectation had an indirect correlation with continuance behavior via the sequential mediation variables of satisfaction and continuance intention. In addition, satisfaction and self-efficacy were found to have a significant indirect correlation with continuance behavior via continuance intention.

conclusionsBased on these findings, improvements in perceived rehabilitation benefit, expectation, self-efficacy, satisfaction, and continuance intention are the important issues contributing to the enhancement of continuance utilization of rehabilitation services among children with disabilities.

Indexed as

CaregiversChildren with DisabilitiesAdolescentAdultChildChild, PreschoolChinaCitiesCross-Sectional StudiesFemaleHumansIntentionMaleMiddle AgedSelf EfficacySurveys and QuestionnairesChildren with disabilitiesContinuance behaviorFamily caregiversRehabilitation services utilization

Identifiers

PMID39955489
PMCPMC11829575

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.