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Clinician's Commentary on Coleman et al.1. 临床医生对科尔曼等人的评论1。
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2024-03-06 eCollection Date: 2024-02-01 DOI: 10.3138/ptc-2021-0100-cc
Caitlin McArthur
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引用次数: 0
Mental Health First Aid Training for Allied Health Clinical Educators: A Pre- and Post-Evaluation. 专职医疗临床教育者的心理健康急救培训:前后评价
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2024-03-06 eCollection Date: 2024-02-01 DOI: 10.3138/ptc-2021-0099
Kristin Lo, Geoffrey Ahern, Alyssia Rossetto, Melanie K Farlie

Purpose: Health profession students may experience mental health issues during training, and clinical educators report that they don't feel confident in supporting students with these issues. This study explored whether a customized Mental Health First Aid (MHFA) training programme changed the knowledge, perceptions, intentions, and confidence of clinical educators in supporting students with mental health issues in the workplace.

Method: Twenty-four allied health clinical educators from a tertiary health service attended a two-day customized MHFA course. The educators completed assessments before (n = 21) and after (n = 23) the course. Quantitative data was analyzed using independent t-tests. Qualitative data was thematically analyzed using content analysis.

Results: Knowledge improved significantly (p = <0.001). The confidence to manage students with mental health issues increased significantly (p < 0.001). A significant change in perception was only found with respect to a character in a scenario being dangerous or unpredictable. Intentions to assist co-workers and students with mental health issues improved for all items but not necessarily significantly.

Conclusions: This programme improved educators' knowledge of mental health, perceptions of people with mental health issues, intentions of providing help, and confidence to support people with mental health issues.

健康专业的学生在培训期间可能会遇到心理健康问题,临床教育工作者报告说,他们对支持这些问题的学生没有信心。本研究探讨了定制的心理健康急救(MHFA)培训计划是否改变了临床教育工作者在工作场所支持有心理健康问题的学生的知识、观念、意图和信心。来自三级医疗服务机构的24名专职医疗临床教育工作者参加了为期两天的定制MHFA课程。教育工作者在课程开始前(n = 21)和结束后(n = 23)分别完成了评估。定量资料采用独立t检验进行分析。采用内容分析法对定性数据进行主题分析。知识水平显著提高(p = <0.001)。管理学生心理健康问题的信心显著增加(p < 0.001)。只有当角色处于危险或不可预测的情境中时,人们的认知才会发生显著变化。帮助同事和学生解决心理健康问题的意愿在所有项目上都有所提高,但不一定是显著的。该方案提高了教育工作者对心理健康的认识、对有心理健康问题的人的看法、提供帮助的意图以及支持有心理健康问题的人的信心。
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引用次数: 0
Clinician's Commentary on Mori et al.1. 临床医生对 Mori 等人的评论1。
IF 0.9 4区 医学 Q4 REHABILITATION Pub Date : 2024-03-06 eCollection Date: 2024-02-01 DOI: 10.3138/ptc-2021-0077-cc
Corlia Brandt
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引用次数: 0
What Does Cochrane Say About Assessment and Management of Frailty Among Older Adults? 科克伦对老年人体弱的评估和管理有何看法?
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2024-03-06 eCollection Date: 2024-02-01 DOI: 10.3138/ptc-76.1-cochrane
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引用次数: 0
Clinician's Commentary on Moncion et al.3. 临床医生对 Moncion 等人的评论3。
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2024-03-06 eCollection Date: 2024-02-01 DOI: 10.3138/ptc-2021-0118-cc
Susan Marzolini
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引用次数: 0
Patient, Family, Caregiver, and Community Engagement in Research: A Sensibility Evaluation of a Novel Infographic and Planning Guide. 患者、家属、护理人员和社区参与研究:新颖信息图表和规划指南的感性评估。
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2024-03-06 eCollection Date: 2024-02-01 DOI: 10.3138/ptc-2021-0057
Andrew Theodore Giannini, Megan Leong, Kelvin Chan, Arman Ghaltaei, Eden Graham, Craig Robinson, Malvina N Skorska, Andrea Cross, Sharon Gabison

Background: Engaging patients, families, caregivers, and the community (PFCCs) throughout the research cycle ensures that research is meaningful for the target population. Although tools have been developed to promote PFCC engagement, many are lengthy, complex, and lack recommended behaviours. This study evaluated the sensibility of an infographic and accompanying planning guide for facilitating engagement of PFCCs in research.

Methods: Thirteen rehabilitation researchers reviewed the PFCC engagement tool and planning guide, participated in a semi-structured interview, and completed a 10-item sensibility questionnaire. Interviews were transcribed, imported into NVivo, and analyzed using direct content analysis. Median scores and proportions of responses for each of the 10 items in the questionnaire were calculated.

Results: Median scores for all questionnaire items were ≥ 4 on a 7-point Likert Scale. Participants reported the tool was easy to navigate, contained relevant items to promote PFCC engagement, and followed a logical sequence. Suggested modifications of the tool related to formatting, design, and changing the title.

Conclusions: The tool was deemed sensible for overt format, purpose and framework, face and content validity, and ease of usage and provides guidance to engage PFCCs across the research cycle. Further studies are recommended to assess the effectiveness of the tool to engage PFCCs in research.

背景:让患者、家属、护理人员和社区(PFCC)参与整个研究周期可确保研究对目标人群有意义。虽然已经开发了一些工具来促进患者、家属、护理人员和社区(PFCC)的参与,但其中许多工具冗长、复杂,而且缺乏推荐行为。本研究评估了信息图表和配套规划指南在促进 PFCC 参与研究方面的合理性:方法:13 名康复研究人员审查了 PFCC 参与工具和规划指南,参加了半结构化访谈,并填写了一份包含 10 个项目的感性问卷。访谈内容经誊写后导入 NVivo,并采用直接内容分析法进行分析。对问卷中 10 个项目的中位数分数和回答比例进行了计算:在 7 点李克特量表中,所有问卷项目的中位数得分均≥ 4 分。参与者表示,该工具易于浏览,包含促进 PFCC 参与的相关项目,并遵循逻辑顺序。建议对工具的格式、设计和标题进行修改:该工具在公开格式、目的和框架、表面和内容效度以及易用性方面被认为是合理的,并为 PFCC 参与整个研究周期提供了指导。建议开展进一步研究,以评估该工具在吸引家佣参与研究方面的有效性。
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引用次数: 0
L’avenir, c’est maintenant pour la pratique avancée de la physiothérapie au Canada. 加拿大高级物理治疗实践的未来就在眼前。
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2024-03-06 eCollection Date: 2024-02-01 DOI: 10.3138/ptc-2023-0085.fr
Julie Herrington, Francois Desmeules, Chandra Farrer, Katie Lundon, Anne MacLeod, Alison Rushton, Leslie Soever, Laura Passalent
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引用次数: 0
Entry-To-Practice Competency Expectations for Health Justice in Physiotherapy Curricula: A Scoping Review 物理治疗课程中对健康正义的入职能力要求:范围审查
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2024-01-02 DOI: 10.3138/ptc-2023-0039
Kimberly Aranas, Lina Al-Habyan, Narmeen Akhtar, Isabel Ng, Haleema Noor, Mae Poirier, Tracy Blake, Jasdeep Dhir, S. Wojkowski
Canadian physiotherapists are expected to demonstrate essential competencies upon entry-to-practice including health justice competencies. However, as an emerging topic among Canadian physiotherapy programs, physiotherapy curricula may lack explicit content to develop skills related to health justice. This scoping review examined existing entry-level physiotherapy competencies related to health justice in Canada and countries other than Canada, the existing entry-level competencies for physiotherapy related to health justice in countries other than Canada; and evaluated how entry-level competencies related to health justice in Canadian physiotherapy practice compared to those of other countries. Four databases (MEDLINE, Emcare, Embase, and CINHL) and the grey literature were searched. Four thousand three hundred seventy-seven relevant abstracts and 71 grey literature sources were identified respectively. One hundred seven sources underwent full text review with 12 database articles and 13 grey literature sources selected for data extraction. None of the included articles specifically articulated one or more competencies for health justice; instead competencies in content areas relevant to health justice were identified. During the data extraction phase four themes were identified: (1) Lack of specificity, clarity, and consistency which was further separated into two subthemes (a) lack of consistency and clarity of definitions and concepts (b) lack of an assessment tool; (2) Author identification; (3) Curriculum development; (4) Experiential learning. Limitations include restricting the search to English language only, and grey literature limited to specific PDFs and websites. The data collected in this scoping review demonstrates gaps in the integration of health justice in Canadian and international entry-level physiotherapy curricula.
加拿大物理治疗师在入职时应具备基本能力,包括健康公正能力。然而,作为加拿大物理治疗课程中的一个新兴课题,物理治疗课程可能缺乏明确的内容来培养与健康正义相关的技能。本次范围界定审查研究了加拿大和加拿大以外其他国家现有的与健康公正相关的物理治疗入门能力、加拿大以外其他国家现有的与健康公正相关的物理治疗入门能力,并评估了加拿大物理治疗实践中与健康公正相关的入门能力与其他国家的入门能力的比较情况。对四个数据库(MEDLINE、Emcare、Embase 和 CINHL)和灰色文献进行了检索。分别找到了四千三百七十七篇相关摘要和七十一篇灰色文献。对其中的 17 篇资料进行了全文检索,并选择了 12 篇数据库文章和 13 篇灰色文献资料进行数据提取。所收录的文章中没有一篇具体阐述了一种或多种卫生司法能力,而是确定了与卫生司法相关的内容领域的能力。在数据提取阶段,确定了四个主题:(1) 缺乏具体性、清晰性和一致性,进一步分为两个次主题(a)定义和概念缺乏一致性和清晰性(b)缺乏评估工具;(2) 作者鉴定;(3) 课程开发;(4) 体验式学习。局限性包括搜索仅限于英语,灰色文献仅限于特定的 PDF 文件和网站。本次范围审查收集的数据表明,加拿大和国际入门级物理治疗课程在整合健康正义方面存在差距。
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引用次数: 0
“I Had to Know About It, I Had to Find It, I Had to Know How to Access it”: Experiences of Access to Rehabilitation Services Among People Living with Long COVID "我必须知道它,我必须找到它,我必须知道如何获得它":长期慢性病患者获得康复服务的经历
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2023-12-20 DOI: 10.3138/ptc-2023-0021
Pam Hung, Katelyn Brehon, M. Miciak, Darren A. Brown, Geoffrey Bostick, Cary A. Brown, Katie Churchill, Mark Hall, Lance Hoddinott, Anne Hudon, Simone Hunter, Kadija Perreault, Marguerite Wieler, Kate Skolnik, Grace Y. Lam, Jason Weatherald, Douglas P. Gross
The aim of this qualitative study is to understand the need for, access to, and quality of rehabilitation services for people living with Long COVID. Little is known about the experiences of people living with Long COVID accessing rehabilitation services. Therefore, we explored health concerns leading people living with Long COVID to seek help to address functional concerns and their experiences with accessing and participating in rehabilitation. Interpretive description guided exploration of participants’ experiences with Long COVID rehabilitation in Alberta, Canada. Semi-structured interviews were completed with 56 participants recruited from: three publicly funded Long COVID clinics, a specialized private physiotherapy clinic, a telephone-based rehabilitation advice line, and a Workers’ Compensation Board-funded Long COVID rehabilitation program. Recruitment through mass media coverage allowed us to include people who did not access rehabilitation services. Data analysis was informed by Braun and Clarke's reflexive thematic analysis. Four themes were identified: (1) the burden of searching for guidance to address challenges with functioning and disability; (2) supportive relationships promote engagement in rehabilitation; (3) conditions for participation in safe rehabilitation; and (4) looking forward – provision of appropriate interventions at the right time. Our findings highlight the experiences of accessing rehabilitation services for people living with Long COVID. Results suggest approaches to Long COVID rehabilitation should be accessible, multi-disciplinary, flexible, and person-centred.
这项定性研究旨在了解长COVID患者对康复服务的需求、获得康复服务的途径以及康复服务的质量。人们对于长COVID患者获得康复服务的经历知之甚少。因此,我们探讨了导致长COVID患者寻求帮助以解决功能问题的健康问题,以及他们获得和参与康复服务的经历。在解释性描述的指导下,我们探究了参与者在加拿大艾伯塔省的长COVID康复经历。我们对 56 名参与者进行了半结构化访谈,这些参与者分别来自三家由政府资助的 Long COVID 诊所、一家专业的私人物理治疗诊所、一条康复咨询热线,以及一个由工人赔偿委员会资助的 Long COVID 康复项目。通过大众媒体报道进行的招募使我们得以将未获得康复服务的人群纳入其中。数据分析参考了 Braun 和 Clarke 的反思性主题分析法。我们确定了四个主题(1) 寻求指导以应对功能和残疾挑战的负担;(2) 促进参与康复的支持性关系;(3) 参与安全康复的条件;以及 (4) 展望未来--在适当的时候提供适当的干预。我们的研究结果强调了长期慢性阻塞性肺病患者获得康复服务的经历。研究结果表明,长COVID康复服务的方法应该是方便、多学科、灵活和以人为本的。
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引用次数: 0
A Virtual Versus In-Person Comparison of the Senior Fitness Test: A Randomized Crossover Trial 老年体能测试的虚拟与亲身体验比较:随机交叉试验
IF 1 4区 医学 Q4 REHABILITATION Pub Date : 2023-12-20 DOI: 10.3138/ptc-2023-0026
Giulia Coletta, Claire M. Tuckey, Angelica M. McQuarrie, Michelle Ogrodnik, Emma Nicholson, Stuart M Phillips, Colleen Cupido
The Senior Fitness Test (SFT) is a validated tool for examining older adults’ mobility, strength, and flexibility. During the COVID-19 pandemic, when in-person training facilities were closed, there was a need for effective virtual options for assessments, including the SFT. The purpose of this study was to compare the validated SFT conducted in person versus an online virtual setting. A virtual modified version of the SFT was compared to the modified in-person validated SFT. Community-dwelling older adults were randomized, using a random number generator, to start in either the in-person or virtual modified SFT mode of delivery. After completion of the first mode of delivery (i.e., either in-person or virtual), participants completed the second mode of delivery. Forty participants (50% women; 72 ± 4 years) showed no differences between the in-person and virtual delivery measurements in the 2-minute step (mean [ M] ± standard deviation in person = 87.9 ± 18.5; M virtual = 87.2 ± 20.7; p = 0.65), 30-second arm curl ( M in person = 16.9 ± 4; M virtual = 16.5±4; p = 0.43), 30-second chair stand ( M in person = 15.6 ± 5; M virtual = 15.2 ± 4; p = 0.36), and chair sit and reach ( M in person = 1.2 ± 15; M virtual = 4.2 ± 11; p = 0.06). Performing the modified SFT in a virtual setting may be a useful delivery mode for seniors and healthcare professionals if in-person testing is not viable.
老年人体能测试 (SFT) 是一种经过验证的工具,用于检查老年人的活动能力、力量和柔韧性。在 COVID-19 大流行期间,由于现场培训设施关闭,因此需要有效的虚拟评估方案,包括 SFT。本研究的目的是对经过验证的 SFT 进行比较。将经过修改的虚拟版 SFT 与经过修改的面对面验证版 SFT 进行比较。通过随机数字生成器将居住在社区的老年人随机分配到面对面或虚拟修改版 SFT 体验模式中。在完成第一种授课模式(即面对面授课或虚拟授课)后,参与者完成第二种授课模式。40 名参与者(50% 为女性;72 ± 4 岁)的 2 分钟台阶测量结果显示,亲自递送和虚拟递送之间没有差异(亲自递送的平均值[M] ± 标准差 = 87.9 ± 18.5;虚拟递送的平均值 = 87.2 ± 20.7;P = 0.65)、30 秒卷臂(本人 = 16.9 ± 4;虚拟人 = 16.5±4;P = 0.43)、30 秒椅上站立(本人 = 15.6 ± 5;虚拟人 = 15.2 ± 4;P = 0.36)和椅上坐伸(本人 = 1.2 ± 15;虚拟人 = 4.2 ± 11;P = 0.06)。如果无法进行面对面测试,在虚拟环境中进行修改后的 SFT 可能是一种对老年人和医疗保健专业人员有用的测试模式。
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引用次数: 0
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Physiotherapy Canada
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