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Patients', physiotherapists' and other stakeholders' experiences and perceptions about supported home physiotherapy for people with musculoskeletal conditions: a qualitative study.
Withers, Hannah G; Liu, Hueiming; Glinsky, Joanne V; Chu, Jackie; Jennings, Matthew D; Hayes, Alison J; Starkey, Ian; Palmer, Blake A; Szymanek, Lukas; Cruwys, Jackson J; Wong, David; Duong, Kitty; Barnett, Anne; Tindall, Matthew; Lucas, Barbara; Lambert, Tara E; Taylor, Deborah; Sherrington, Catherine; Ferreira, Manuela; Maher, Christopher; Zadro, Joshua; Hart, Kerry; Hodge, Wendy; Harvey, Lisa A.
Afiliação
  • Withers HG; John Walsh Centre for Rehabilitation Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, C/O Royal North Shore Hospital, Pacific Highway, St Leonards, NSW 2065, Australia. Electronic address: hannah.withers@sydney.edu.au.
  • Liu H; The George Institute for Global Health, University of New South Wales, Level 5, 1 King St, Newtown, NSW 2042, Australia. Electronic address: hliu@georgeinstitute.org.au.
  • Glinsky JV; John Walsh Centre for Rehabilitation Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, C/O Royal North Shore Hospital, Pacific Highway, St Leonards, NSW 2065, Australia. Electronic address: joanne.glinsky@sydney.edu.au.
  • Chu J; John Walsh Centre for Rehabilitation Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, C/O Royal North Shore Hospital, Pacific Highway, St Leonards, NSW 2065, Australia. Electronic address: Jackie.chu@sydney.edu.au.
  • Jennings MD; Allied Health Services, Liverpool Hospital, Locked Bag 7103, Liverpool, NSW 1871, Australia. Electronic address: Matthew.Jennings@health.nsw.gov.au.
  • Hayes AJ; School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW 2006, Australia. Electronic address: alison.hayes@sydney.edu.au.
  • Starkey I; Blacktown and Mt Druitt Hospitals, PO Box 792, Seven Hills, NSW 1730, Australia. Electronic address: Ian.Starkey@health.nsw.gov.au.
  • Palmer BA; Blacktown and Mt Druitt Hospitals, PO Box 792, Seven Hills, NSW 1730, Australia. Electronic address: Blake.Palmer@health.nsw.gov.au.
  • Szymanek L; Camden and Campbelltown Hospital, Campbelltown Hospital, Therry Road, Campbelltown, NSW 2560, Australia. Electronic address: lukas.szymanek@health.nsw.gov.au.
  • Cruwys JJ; Camden and Campbelltown Hospital, Campbelltown Hospital, Therry Road, Campbelltown, NSW 2560, Australia. Electronic address: Jackson.Cruwys@health.nsw.gov.au.
  • Wong D; Liverpool Hospital, Level 2 Health Services Building, Corner Campbell and Goulbourn Street, Liverpool, NSW 2170, Australia. Electronic address: David.Wong4@health.nsw.gov.au.
  • Duong K; Liverpool Hospital, Level 2 Health Services Building, Corner Campbell and Goulbourn Street, Liverpool, NSW 2170, Australia. Electronic address: Kitty.Duong@health.nsw.gov.au.
  • Barnett A; Bankstown-Lidcombe Hospital, Locked Mail Bag 1600, Bankstown, NSW 2200, Australia. Electronic address: Anne.Barnett@health.nsw.gov.au.
  • Tindall M; Bankstown-Lidcombe Hospital, Locked Mail Bag 1600, Bankstown, NSW 2200, Australia. Electronic address: Matthew.Tindall@health.nsw.gov.au.
  • Lucas B; Royal North Shore Hospital, Building 30, Level 2, Pacific Highway, St Leonards, NSW 2065, Australia. Electronic address: barbara.lucas@health.nsw.gov.au.
  • Lambert TE; Royal North Shore Hospital, Building 30, Level 2, Pacific Highway, St Leonards, NSW 2065, Australia. Electronic address: tara.lambert@health.nsw.gov.au.
  • Taylor D; Physiotherapy Department RNSH, Building 30, Level 2, Pacific Highway, St Leonards, NSW 2065, Australia. Electronic address: Deborah.Taylor2@health.nsw.gov.au.
  • Sherrington C; The University of Sydney, Institute for Musculoskeletal Health, King George V Building, Level 10 Missenden Road, Camperdown NSW 2050, Australia. Electronic address: cathie.sherrington@sydney.edu.au.
  • Ferreira M; The University of Sydney, Sydney Musculoskeletal Health, School of Health Sciences, Royal North Shore Hospital, Level 10 The Kolling Building, St Leonards, NSW 2065, Australia. Electronic address: manuela.ferreira@sydney.edu.au.
  • Maher C; The University of Sydney, Institute for Musculoskeletal Health, King George V Building, Level 10 Missenden Road, Camperdown NSW 2050, Australia. Electronic address: Christopher.maher@sydney.edu.au.
  • Zadro J; The University of Sydney, Institute for Musculoskeletal Health, King George V Building, Level 10 Missenden Road, Camperdown NSW 2050, Australia. Electronic address: joshua.zadro@sydney.edu.au.
  • Hart K; ARTD Consultants, Level 4, 352 Kent St, Sydney, NSW 2000, Australia. Electronic address: kerry.hart@artd.com.au.
  • Hodge W; ARTD Consultants, Level 4, 352 Kent St, Sydney, NSW 2000, Australia. Electronic address: wendy.hodge@artd.com.au.
  • Harvey LA; John Walsh Centre for Rehabilitation Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, C/O Royal North Shore Hospital, Pacific Highway, St Leonards, NSW 2065, Australia. Electronic address: l.harvey@usyd.edu.au.
Physiotherapy ; 124: 143-153, 2024 Sep.
Article em En | MEDLINE | ID: mdl-38901217
ABSTRACT

OBJECTIVES:

Exercise, support and advice are the key treatment strategies of musculoskeletal problems. The aims of this study were to determine patients', physiotherapists', and other stakeholders' perspectives about supported home physiotherapy for the management of musculoskeletal problems and to identify the barriers and facilitators to rolling out this model of physiotherapy service delivery.

METHODS:

This study was conducted as part of a process evaluation run alongside a large trial designed to determine whether supported home physiotherapy is as good or better than a course of in-person physiotherapy. Forty interviews were conducted with 20 trial participants, 15 physiotherapists, and 5 other stakeholders. The interviews were semi-structured and based on interview guides. Each interview was transcribed and a three-tiered coding tree was developed.

RESULTS:

Six key themes were identified. Supported home physiotherapy (i) is convenient for some patients, (ii) does not always align with patients' and therapists' expectations about treatment (iii) is suitable for some but not all, (iv) can reduce personal connection and accountability, (v) has implications for physiotherapists' workloads, and (vi) has barriers and facilitators to future implementation.

CONCLUSIONS:

Findings suggest that patients are far more accepting of supported home physiotherapy than physiotherapists assume. This model of service delivery could be rolled out to improve access to physiotherapy and to provide a convenient and effective way of delivering physiotherapy to some patients with musculoskeletal conditions if our trial results indicate that supported home physiotherapy is as good or better than in-person physiotherapy. CLINICAL TRIAL REGISTRY NUMBER ACTRN12619000065190 CONTRIBUTIONS OF THIS PAPER.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Modalidades de Fisioterapia / Doenças Musculoesqueléticas / Pesquisa Qualitativa / Fisioterapeutas / Serviços de Assistência Domiciliar Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Modalidades de Fisioterapia / Doenças Musculoesqueléticas / Pesquisa Qualitativa / Fisioterapeutas / Serviços de Assistência Domiciliar Idioma: En Ano de publicação: 2024 Tipo de documento: Article