Shrey Vazir, Kaela L Newman, Lara Kispal, Amanda E. Morin, Yang Mu, Meredith Smith, S. Nixon
Purpose: We explored the perspectives of racialized physiotherapists in Canada on their experiences of racism in their roles as physiotherapists. Method: This qualitative descriptive cross-sectional study used semi-structured, one-on-one interviews. Data were organized using NVivo qualitative analysis software and analyzed using inductive and deductive coding following the six-step DEPICT method. Results: Twelve Canadian licenced physiotherapists (four men and eight women, three rural and nine urban, from multiple racialized groups) described the experiences of racism they faced in their roles as physiotherapists at the institutionalized, personally mediated, and internalized levels. These experiences were shaped by their personal characteristics, including accent, geographical location, and country of physiotherapy (PT) education. Participants described their responses to these incidents and provided insight into how the profession can mitigate racism and promote diversity and inclusion. Conclusions: Participants described interpersonal racism often mediated by location and accent and experiences of internalized racism causing self-doubt, but they most commonly detailed institutionalized racism. PT was experienced as being infused with Whiteness, which participants typically responded to by downplaying or ignoring. The findings from this study can be used to stimulate conversations in the Canadian PT community, especially among those in leadership positions, about not only acknowledging racism as an issue but also taking action against it with further research, advocacy, and training.
{"title":"Perspectives of Racialized Physiotherapists in Canada on Their Experiences with Racism in the Physiotherapy Profession.","authors":"Shrey Vazir, Kaela L Newman, Lara Kispal, Amanda E. Morin, Yang Mu, Meredith Smith, S. Nixon","doi":"10.3138/PTC-2018-39","DOIUrl":"https://doi.org/10.3138/PTC-2018-39","url":null,"abstract":"Purpose: We explored the perspectives of racialized physiotherapists in Canada on their experiences of racism in their roles as physiotherapists. Method: This qualitative descriptive cross-sectional study used semi-structured, one-on-one interviews. Data were organized using NVivo qualitative analysis software and analyzed using inductive and deductive coding following the six-step DEPICT method. Results: Twelve Canadian licenced physiotherapists (four men and eight women, three rural and nine urban, from multiple racialized groups) described the experiences of racism they faced in their roles as physiotherapists at the institutionalized, personally mediated, and internalized levels. These experiences were shaped by their personal characteristics, including accent, geographical location, and country of physiotherapy (PT) education. Participants described their responses to these incidents and provided insight into how the profession can mitigate racism and promote diversity and inclusion. Conclusions: Participants described interpersonal racism often mediated by location and accent and experiences of internalized racism causing self-doubt, but they most commonly detailed institutionalized racism. PT was experienced as being infused with Whiteness, which participants typically responded to by downplaying or ignoring. The findings from this study can be used to stimulate conversations in the Canadian PT community, especially among those in leadership positions, about not only acknowledging racism as an issue but also taking action against it with further research, advocacy, and training.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127314615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical Case: A boy aged 14 years with conversion disorder who presented with an ataxic gait pattern experienced complete symptom resolution after engaging in physiotherapy (PT) as part of interdisciplinary treatment. Clinical Question: Is there evidence to support the use of PT in children and adolescents with motor symptoms of conversion disorder? Evidence: All the extant paediatric literature consists of case studies and case series. Some exciting research has been published in the adult literature that suggests the potential positive benefits of PT. Limitation of the Evidence and Future Research: The paediatric literature is limited in quantity and quality. In the adult literature, most studies are limited in that they do not control for the type of motor symptoms and do not evaluate PT independent of interdisciplinary treatment. In future research, it would be pertinent to (1) evaluate PT independent of interdisciplinary treatment, (2) control for the type of motor symptoms, and (3) describe theoretical models. Recommendation for Clinical Question: Expert consensus and emerging evidence suggest that PT may be beneficial in adults with conversion disorder, but the evidence in the paediatric population is insufficient.
{"title":"Evidence-Based Practice: Physiotherapy for Children and Adolescents with Motor Symptoms of Conversion Disorder.","authors":"G. Mesaroli, C. Munns, C. DeSouza","doi":"10.3138/PTC-2018-68","DOIUrl":"https://doi.org/10.3138/PTC-2018-68","url":null,"abstract":"Clinical Case: A boy aged 14 years with conversion disorder who presented with an ataxic gait pattern experienced complete symptom resolution after engaging in physiotherapy (PT) as part of interdisciplinary treatment. Clinical Question: Is there evidence to support the use of PT in children and adolescents with motor symptoms of conversion disorder? Evidence: All the extant paediatric literature consists of case studies and case series. Some exciting research has been published in the adult literature that suggests the potential positive benefits of PT. Limitation of the Evidence and Future Research: The paediatric literature is limited in quantity and quality. In the adult literature, most studies are limited in that they do not control for the type of motor symptoms and do not evaluate PT independent of interdisciplinary treatment. In future research, it would be pertinent to (1) evaluate PT independent of interdisciplinary treatment, (2) control for the type of motor symptoms, and (3) describe theoretical models. Recommendation for Clinical Question: Expert consensus and emerging evidence suggest that PT may be beneficial in adults with conversion disorder, but the evidence in the paediatric population is insufficient.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"425 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115998217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-01DOI: 10.3138/ptc.71.3.cochrane
The Cochrane Collaboration is an international not-for-profit and independent organization dedicated to making up-to-date, accurate information about the effects of health care readily available worldwide. It produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of inter ventions. For more information, visit https://www.cochrane.org.
{"title":"What Does Cochrane Say about … the Rehabilitation of Adult Incontinence?","authors":"","doi":"10.3138/ptc.71.3.cochrane","DOIUrl":"https://doi.org/10.3138/ptc.71.3.cochrane","url":null,"abstract":"The Cochrane Collaboration is an international not-for-profit and independent organization dedicated to making up-to-date, accurate information about the effects of health care readily available worldwide. It produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of inter ventions. For more information, visit https://www.cochrane.org.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"238 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133873016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physiotherapists are an essential part of the multidisciplinary team involved in treating children with cancer.2 Physiotherapy (PT) intervention aims to reduce morbidity and address the side effects of treatment that result in functional impairment.3 Cur rent research supports the feasibility of PT programmes during and after cancer treatment,4,5 but the question of how the cur rent literature informs clinical practice remains. To answer this question, Ospina and McNeely performed a scoping review of the literature. Their goal was to identify the current state of research examining PT techniques that address specific impair ments or functional limitations and to identify any gaps in the literature.1 After reviewing all eligible articles, Ospina and McNeely con cluded that the current state of the literature did not inform clin ical practice.1 They found that translating research findings into practice was impaired because of the use of functional interven tions that could not be defined and because of the heterogeneity of the study populations. In addition, the authors acknowledged a lack of input from clinician experts, which would have pro vided a unique perspective on the benefits of PT intervention for children with cancer. In this commentary, I provide insight into (1) the challenges associated with carrying out research and im plementing research findings and (2) what appears to make PT effective with this unique population. Most PT intervention for children with cancer occurs during acute care management or into survivorship. Children acquire many impairments during the acute stage of therapy, and PT intervention may mitigate them. During acute care, the goal of PT is often to maximize functional independence to ensure a safe discharge home. Functional mobility becomes the priority at this stage, and it may include gait aid training, strengthening for transfers and mobility, and educating parents on ways to help the child improve function. However, this type of interven tion does not always translate into concrete techniques that can be defined for research; rather, they are unique to the specific needs of the individual. In addition, the variability of a child’s response to therapy is often a barrier to PT intervention and carrying out research dur ing this stage. Although physiotherapists often have more access to children during a hospital admission, this is when children appear to be the most unwell. Regardless of what type of cancer diagnosis a child has, the child may have the challenges of medi cation side effects, immune system vulnerability, fatigue, nausea, pain, and poor sleep hygiene. In addition to these challenges, some cancer diagnoses may be associated with other, specific common impairments. Ospina and McNeely suggest that it may be beneficial for research to stratify specific cancer types to help identify com mon impairments that would respond to similar interventions,1 at least for some populations. This may
{"title":"Clinician's Commentary on Ospina and McNeely.","authors":"Krista Johnston","doi":"10.3138/PTC.2018-13-CC","DOIUrl":"https://doi.org/10.3138/PTC.2018-13-CC","url":null,"abstract":"Physiotherapists are an essential part of the multidisciplinary team involved in treating children with cancer.2 Physiotherapy (PT) intervention aims to reduce morbidity and address the side effects of treatment that result in functional impairment.3 Cur rent research supports the feasibility of PT programmes during and after cancer treatment,4,5 but the question of how the cur rent literature informs clinical practice remains. To answer this question, Ospina and McNeely performed a scoping review of the literature. Their goal was to identify the current state of research examining PT techniques that address specific impair ments or functional limitations and to identify any gaps in the literature.1 After reviewing all eligible articles, Ospina and McNeely con cluded that the current state of the literature did not inform clin ical practice.1 They found that translating research findings into practice was impaired because of the use of functional interven tions that could not be defined and because of the heterogeneity of the study populations. In addition, the authors acknowledged a lack of input from clinician experts, which would have pro vided a unique perspective on the benefits of PT intervention for children with cancer. In this commentary, I provide insight into (1) the challenges associated with carrying out research and im plementing research findings and (2) what appears to make PT effective with this unique population. Most PT intervention for children with cancer occurs during acute care management or into survivorship. Children acquire many impairments during the acute stage of therapy, and PT intervention may mitigate them. During acute care, the goal of PT is often to maximize functional independence to ensure a safe discharge home. Functional mobility becomes the priority at this stage, and it may include gait aid training, strengthening for transfers and mobility, and educating parents on ways to help the child improve function. However, this type of interven tion does not always translate into concrete techniques that can be defined for research; rather, they are unique to the specific needs of the individual. In addition, the variability of a child’s response to therapy is often a barrier to PT intervention and carrying out research dur ing this stage. Although physiotherapists often have more access to children during a hospital admission, this is when children appear to be the most unwell. Regardless of what type of cancer diagnosis a child has, the child may have the challenges of medi cation side effects, immune system vulnerability, fatigue, nausea, pain, and poor sleep hygiene. In addition to these challenges, some cancer diagnoses may be associated with other, specific common impairments. Ospina and McNeely suggest that it may be beneficial for research to stratify specific cancer types to help identify com mon impairments that would respond to similar interventions,1 at least for some populations. This may ","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126190107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. King, L. Brosseau, P. Guitard, C. Laroche, Julie Alexandra Barette, Dominique Cardinal, S. Cavallo, L. Laferrière, K. Toupin-April, Marie-ève Bérubé, Jennifer O'neil, Jessane Castro, Cendy Kidjo, Sandy Fakhry, Anne Sutton, R. Galipeau, J. Tourigny, J. Lagacé, Catrine Demers, N. Paquet, Denyse Pharand, Laurianne Loew, V. Vaillancourt, Katrine Sauvé-Schenk
Purpose: The main purpose of this article is to produce a French-Canadian translation of the Consolidated criteria for reporting qualitative studies (COREQ) scale under the proposed name "échelle COREQ" and to assess the transcultural validity of its content. The secondary purpose is to examine the inter-rater reliability of the French-Canadian version of the COREQ scale. Method: A modified approach to Vallerand's methodology (1989) for cross-cultural validation was used. First, a parallel back-translation of the COREQ scale was performed, by both professionals and clinicians. Next, a first committee of experts(P1) examined the translations to create a first draft of the French-Canadian version of the COREQ scale. This draft was then evaluated and modified by a second committee of experts (P2). Finally, 28future professionals (master's students in physiotherapy) rated this second draft of the tool for clarity using a seven-point scale (1:very clear; 7:very ambiguous). The principal co-investigators then reviewed the problematic elements and proposed final changes. Two independent raters used this French-Canadian version of the COREQ scale to assess 13qualitative studies that were published in French after the year2007. The kappa coefficient was used to examine inter-rate reliability. Results: The different elements of the final version of the COREQ scale received an average ambiguity rating between 1.04 and 2.56. These low values show a high level of clarity for the French-Canadian version of the COREQ scale. In relation to the total score of the COREQ scale, inter-rater reliability (n = 2) is considered to be average to excellent for 62.5% of individual elements, according to the kappa values obtained. Conclusions: A valid French-Canadian version of the COREQ scale was created using this rigorous five-step process.
{"title":"Validation transculturelle de contenu de la version franco-canadienne de l’échelle COREQ","authors":"J. King, L. Brosseau, P. Guitard, C. Laroche, Julie Alexandra Barette, Dominique Cardinal, S. Cavallo, L. Laferrière, K. Toupin-April, Marie-ève Bérubé, Jennifer O'neil, Jessane Castro, Cendy Kidjo, Sandy Fakhry, Anne Sutton, R. Galipeau, J. Tourigny, J. Lagacé, Catrine Demers, N. Paquet, Denyse Pharand, Laurianne Loew, V. Vaillancourt, Katrine Sauvé-Schenk","doi":"10.3138/PTC.2018-44.F","DOIUrl":"https://doi.org/10.3138/PTC.2018-44.F","url":null,"abstract":"Purpose: The main purpose of this article is to produce a French-Canadian translation of the Consolidated criteria for reporting qualitative studies (COREQ) scale under the proposed name \"échelle COREQ\" and to assess the transcultural validity of its content. The secondary purpose is to examine the inter-rater reliability of the French-Canadian version of the COREQ scale. Method: A modified approach to Vallerand's methodology (1989) for cross-cultural validation was used. First, a parallel back-translation of the COREQ scale was performed, by both professionals and clinicians. Next, a first committee of experts(P1) examined the translations to create a first draft of the French-Canadian version of the COREQ scale. This draft was then evaluated and modified by a second committee of experts (P2). Finally, 28future professionals (master's students in physiotherapy) rated this second draft of the tool for clarity using a seven-point scale (1:very clear; 7:very ambiguous). The principal co-investigators then reviewed the problematic elements and proposed final changes. Two independent raters used this French-Canadian version of the COREQ scale to assess 13qualitative studies that were published in French after the year2007. The kappa coefficient was used to examine inter-rate reliability. Results: The different elements of the final version of the COREQ scale received an average ambiguity rating between 1.04 and 2.56. These low values show a high level of clarity for the French-Canadian version of the COREQ scale. In relation to the total score of the COREQ scale, inter-rater reliability (n = 2) is considered to be average to excellent for 62.5% of individual elements, according to the kappa values obtained. Conclusions: A valid French-Canadian version of the COREQ scale was created using this rigorous five-step process.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127048910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Wojkowski, Puja Ahluwalia, Katrina Radassao, Caitlin Wharin, Glen Walker, N. Rushford
Purpose: We describe the development, implementation, and outcomes of role-emerging (RE) clinical placements at Positive Living Niagara (PLN), a community-based HIV organization (CBHIVO), for two second-year, entry-level Master of Science (Physiotherapy) (MSc[PT]) students from McMaster University. Client Description: A national, not-for-profit organization, Realize, conducted outreach to identify CBHIVOs interested in developing physiotherapy (PT) student placements. Intervention: PLN responded to the outreach and worked with McMaster's MSc(PT) programme and Realize to establish two part-time RE PT student placements. The placement description and expectations were developed collaboratively by PLN, Realize, and the MSc(PT) programme. All PT students participating in their third 6-week clinical placement were eligible to apply. A registered occupational therapist and physiotherapist and PLN's programme services manager participated in a shared model to supervise the students' clinical and administrative activities. Measures and Outcome: These first RE PT placements in a Canadian CBHIVO were completed between November and December 2016. The evaluation of the student and placement included a learning contract and the Canadian Physiotherapy Assessment of Clinical Performance. Over 6 weeks, the students collaborated with people living with HIV (PLWHIV) who were members of PLN to identify a role for physiotherapists at PLN and led two health promotion workshops for PLN's members and staff. Implications: The RE PT placement identified future opportunities for physiotherapists at PLN. The experience also influenced one student's decision to apply after graduation for a newly created PT position that included working with PLWHIV.
目的:我们描述了Niagara Positive Living (PLN)(一个基于社区的HIV组织(CBHIVO))为两名来自麦克马斯特大学(McMaster University)的二年级入门级理学硕士(物理治疗)(MSc[PT])学生提供的角色新兴(RE)临床实习的发展、实施和结果。客户描述:一个全国性的非营利组织，实现，进行了外展，以确定有兴趣发展物理治疗(PT)学生实习的cbhivo。干预措施:PLN回应了麦克马斯特的外联活动，并与麦克马斯特的理学硕士(PT)项目和Realize合作，建立了两个兼职RE PT学生实习。实习描述和期望是由PLN、Realize和MSc(PT)项目共同开发的。所有参加第三个为期6周临床实习的PT学生都有资格申请。一名注册职业治疗师和物理治疗师和PLN的项目服务经理参与了一个共享模式，以监督学生的临床和行政活动。措施和结果:2016年11月至12月，加拿大CBHIVO的首批RE PT安置工作完成。对学生的评估和安置包括一份学习合同和加拿大物理治疗临床表现评估。在6周的时间里，学生们与作为PLN成员的艾滋病毒感染者(PLWHIV)合作，确定了PLN物理治疗师的角色，并为PLN的成员和员工举办了两次健康促进讲习班。意义:RE PT安置确定了PLN物理治疗师未来的机会。这段经历也影响了一名学生决定在毕业后申请一个新设立的PT职位，其中包括在PLWHIV工作。
{"title":"Role-Emerging Clinical Placements in a Community-Based HIV Organization - Opportunities for Interprofessional Collaboration: A Case Report.","authors":"S. Wojkowski, Puja Ahluwalia, Katrina Radassao, Caitlin Wharin, Glen Walker, N. Rushford","doi":"10.3138/PTC-2018-57.E","DOIUrl":"https://doi.org/10.3138/PTC-2018-57.E","url":null,"abstract":"Purpose: We describe the development, implementation, and outcomes of role-emerging (RE) clinical placements at Positive Living Niagara (PLN), a community-based HIV organization (CBHIVO), for two second-year, entry-level Master of Science (Physiotherapy) (MSc[PT]) students from McMaster University. Client Description: A national, not-for-profit organization, Realize, conducted outreach to identify CBHIVOs interested in developing physiotherapy (PT) student placements. Intervention: PLN responded to the outreach and worked with McMaster's MSc(PT) programme and Realize to establish two part-time RE PT student placements. The placement description and expectations were developed collaboratively by PLN, Realize, and the MSc(PT) programme. All PT students participating in their third 6-week clinical placement were eligible to apply. A registered occupational therapist and physiotherapist and PLN's programme services manager participated in a shared model to supervise the students' clinical and administrative activities. Measures and Outcome: These first RE PT placements in a Canadian CBHIVO were completed between November and December 2016. The evaluation of the student and placement included a learning contract and the Canadian Physiotherapy Assessment of Clinical Performance. Over 6 weeks, the students collaborated with people living with HIV (PLWHIV) who were members of PLN to identify a role for physiotherapists at PLN and led two health promotion workshops for PLN's members and staff. Implications: The RE PT placement identified future opportunities for physiotherapists at PLN. The experience also influenced one student's decision to apply after graduation for a newly created PT position that included working with PLWHIV.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"11-12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127865140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: We examined physiotherapists' use of functional outcome measures in their practice to compare the frequency of use of functional outcome measures and impairment-based measures and to explore policies and practices related to the use of functional outcome measures in Colombia. Method: Eligible participants were licensed physiotherapists actively practising in Colombia. They were recruited by means of a survey link sent via email by a continuing education organization to all the physiotherapists in its database and through snowball sampling. The survey was adapted from questionnaires previously used in similar research in other countries. We used descriptive statistics to describe the use of 14 functional outcome measures and 4 impairment-based measures that have been translated into Spanish and to compare the demographics of the participants who used and did not use the listed functional outcome measures. Results: Of the 606 respondents, 87% used 1-14 of the listed functional outcome measures regularly or sometimes in their practice. The most commonly used functional outcome measures were the Borg Rating of Perceived Exertion (59%), the Barthel Index (56%), and the Berg Balance Scale (53%). In addition, 60% of respondents reported their workplace does charting electronically, 66% stated that their practice mandates or regularly uses functional outcome measures, and 59% indicated that they can independently select which outcome measures to use. Conclusions: The majority of Colombian physiotherapists surveyed are using outcome measures in their practice, which indicates that they are engaged in evidence-based practice. Study findings may stimulate more sharing of information on patient outcomes among Colombian physiotherapists, promote further research, and contribute to advancing practice in Colombia.
{"title":"Colombian Physiotherapists' Use of Functional Outcome Measures in Their Practice.","authors":"Cristian Renteria, K. Berg","doi":"10.3138/PTC.2018-31","DOIUrl":"https://doi.org/10.3138/PTC.2018-31","url":null,"abstract":"Purpose: We examined physiotherapists' use of functional outcome measures in their practice to compare the frequency of use of functional outcome measures and impairment-based measures and to explore policies and practices related to the use of functional outcome measures in Colombia. Method: Eligible participants were licensed physiotherapists actively practising in Colombia. They were recruited by means of a survey link sent via email by a continuing education organization to all the physiotherapists in its database and through snowball sampling. The survey was adapted from questionnaires previously used in similar research in other countries. We used descriptive statistics to describe the use of 14 functional outcome measures and 4 impairment-based measures that have been translated into Spanish and to compare the demographics of the participants who used and did not use the listed functional outcome measures. Results: Of the 606 respondents, 87% used 1-14 of the listed functional outcome measures regularly or sometimes in their practice. The most commonly used functional outcome measures were the Borg Rating of Perceived Exertion (59%), the Barthel Index (56%), and the Berg Balance Scale (53%). In addition, 60% of respondents reported their workplace does charting electronically, 66% stated that their practice mandates or regularly uses functional outcome measures, and 59% indicated that they can independently select which outcome measures to use. Conclusions: The majority of Colombian physiotherapists surveyed are using outcome measures in their practice, which indicates that they are engaged in evidence-based practice. Study findings may stimulate more sharing of information on patient outcomes among Colombian physiotherapists, promote further research, and contribute to advancing practice in Colombia.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133684213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: In this cross-sectional study, we examined the distribution of physiotherapists at the health region level across Canada in relation to self-reported physiotherapy use across the provinces and territories. Method: We drew on two data sources: the physiotherapy use question from the 2014 Canadian Community Health Survey and physiotherapists' primary employment information, obtained from the Canadian Institute of Health Information's 2015 Physiotherapist Database. We then applied geospatial mapping and Pearson's correlation analysis to the resulting variables. Results: Physiotherapy use is moderately associated with the distribution of physiotherapists (Pearson's r 92 = 0.581, p < 0.001). The use and distribution variables were converted into three categories using SDs of 0.5 from national means as cut-off values. Cross-classification between the variables revealed that 15.2% of health regions have a high use-high distribution ratio; 18.5% have a low use-low distribution ratio; 4.3% have a high use-low distribution ratio; 2.2% have a low use-high distribution ratio; and 60.0% have medium use-medium distribution ratio. Conclusions: The distribution of physiotherapists and self-reported physiotherapy use varies across health regions, indicating a potential inequality in geographical access. Given that most provinces have a regionalized approach to health human resources and health service delivery, these findings may be helpful to managers and policy-makers and may allow them to make a more granular comparison of intra- and inter-provincial differences and potential gaps.
目的:在这项横断面研究中，我们研究了加拿大卫生地区物理治疗师的分布与各省和地区自我报告的物理治疗使用情况的关系。方法:我们利用两个数据来源:2014年加拿大社区卫生调查中的物理治疗使用问题和加拿大卫生信息研究所2015年物理治疗师数据库中物理治疗师的主要就业信息。然后，我们将地理空间映射和Pearson相关分析应用于结果变量。结果:物理治疗的使用与物理治疗师的分布有中度相关性(Pearson’s r 92 = 0.581, p < 0.001)。使用和分布变量以国家平均值的标准差0.5作为临界值，将其转换为三类。变量间的交叉分类表明，15.2%的卫生区域具有高使用率-高分布比;使用-分配比低的占18.5%;4.3%具有高使用-低分配比;使用-高分配比低的占2.2%;60.0%为中等使用-中等分配比例。结论:物理治疗师的分布和自我报告的物理治疗使用情况在不同的卫生区域有所不同，表明地理上可能存在不平等。鉴于大多数省份在卫生人力资源和卫生服务提供方面采取了区域化的方法，这些发现可能对管理者和决策者有所帮助，并可能使他们能够对省内和省间差异和潜在差距进行更细致的比较。
{"title":"Mapping Physiotherapy Use in Canada in Relation to Physiotherapist Distribution.","authors":"T. Shah, S. Milosavljevic, C. Trask, B. Bath","doi":"10.3138/PTC-2018-0023","DOIUrl":"https://doi.org/10.3138/PTC-2018-0023","url":null,"abstract":"Purpose: In this cross-sectional study, we examined the distribution of physiotherapists at the health region level across Canada in relation to self-reported physiotherapy use across the provinces and territories. Method: We drew on two data sources: the physiotherapy use question from the 2014 Canadian Community Health Survey and physiotherapists' primary employment information, obtained from the Canadian Institute of Health Information's 2015 Physiotherapist Database. We then applied geospatial mapping and Pearson's correlation analysis to the resulting variables. Results: Physiotherapy use is moderately associated with the distribution of physiotherapists (Pearson's r 92 = 0.581, p < 0.001). The use and distribution variables were converted into three categories using SDs of 0.5 from national means as cut-off values. Cross-classification between the variables revealed that 15.2% of health regions have a high use-high distribution ratio; 18.5% have a low use-low distribution ratio; 4.3% have a high use-low distribution ratio; 2.2% have a low use-high distribution ratio; and 60.0% have medium use-medium distribution ratio. Conclusions: The distribution of physiotherapists and self-reported physiotherapy use varies across health regions, indicating a potential inequality in geographical access. Given that most provinces have a regionalized approach to health human resources and health service delivery, these findings may be helpful to managers and policy-makers and may allow them to make a more granular comparison of intra- and inter-provincial differences and potential gaps.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114067637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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