Purpose: To assess how social rehabilitation (SR) services in Zlín Region, Czechia, strengthen the autonomy and self-sufficiency of disabled persons by monitoring nine areas: exercising rights, safety, work and self-actualization, social relations, eating, coping with everyday tasks and self-care, communication, autonomy, and health care. Methods: Mixed-methods (Embedded) design was used with two data collection waves (2020-2021), involving structured rating interview with disabled individuals ( N 2020 = 105, N 2021 = 95) and semistructured interviews with social workers ( N 2020 , 2021 = 16). Results: Improvements were quantitatively observed and qualitatively validated across all monitored areas ( p < 0.001 for all domains), with the most notable gains in communication (pre mean = 2.95; post mean = 3.27; Cohen's d = .619, p < 0.001), less in social relations (pre mean = 2.82; post mean = 3.02; Cohen's d = .716, p < 0.001). Conclusions: SR enhances autonomy and self-sufficiency, particularly in communication. Improvements were most notable among 25% of participants, who also saw gains in other areas, highlighting abilities interconnectedness.

中文翻译：

---

加强残疾人自主性和自给自足的社会康复：前后研究

目的：评估捷克 Zlín 地区的社会康复 （SR） 服务如何通过监测九个领域来加强残疾人的自主性和自给自足：行使权利、安全、工作和自我实现、社会关系、饮食、应对日常任务和自我保健、沟通、自主和医疗保健。方法：混合方法（嵌入式）设计用于两个数据收集浪潮 （2020-2021），涉及对残疾人的结构化评级访谈 （ N2020 = 105， N2021 = 95） 和对社会工作者的半结构化访谈 （ N2020 ， 2021 = 16）。结果：在所有监测领域（所有领域 p < 0.001）中均进行了定量观察和定性验证，其中沟通方面的进步最为显着（前均值 = 2.95;后均值 = 3.27;Cohen 的 d = .619，p < 0.001），在社会关系中较少（前均值 = 2.82;后均值 = 3.02;Cohen 的 d = .716，p < 0.001）。结论： SR 增强了自主性和自给自足，尤其是在沟通方面。25% 的参与者的改进最为显着，他们还看到了其他领域的进步，突出了能力的相互关联性。