Changes in Disability, Physical/Mental Health States and Quality of Life during an 8-Week Multimodal Physiotherapy Programme in Patients with Chronic Non-Specific Neck Pain: A Prospective Cohort Study

Cuesta‐Vargas, Antonio; Gónzalez-Sánchez, Manuel

doi:10.1371/journal.pone.0118395

Cited by 6 publications

(5 citation statements)

References 37 publications

(67 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, the competition for quality rehabilitation services has been increasing, as a key element of the healthcare system (9)(10)(11).Overall, the quality of medical services reflects two components: technical and functional. Sincethe evaluation of the technical component (diagnostic and therapeutic processes) is difficult for patients, they are more likely to assess the functional services (services processes) (12).…”

Section: Introductionmentioning

confidence: 99%

Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

Torabipour

Sayaf

Salehi

et al. 2016

Jundishapur J Helath Sci

View full text Add to dashboard Cite

Background: The SERVQUAL (service quality) technique is one of the best techniques to evaluate customers' expectations and perceptions of the quality of the services they have received.Objectives: This study aimed to assess the quality gap in the services provided by rehabilitation centers in Iran using the SERVQUAL technique. Patients and Methods: This was a cross-sectional study conducted in Ahvaz, Iran. The study sample was composed of 255 patients randomly selected from 5 rehabilitation centers. The research data was collected using a valid questionnaire, consisting of 22 items and 5 dimensions of service quality. Results: Most of the patients included in this study were female (72.9%), and the mean age of the patients was 40 ± 13.2 years. The total mean scores of the patients' expectations and perceptions were 3.73 (SD = 0.3) and 3.56 (SD = 0.5), respectively. According to the gap analysis, there was a negative quality gap in each of the five SERVQUAL dimensions, but in the assurance dimension, this gap was very low, and not found to be significant. The quality gap was more negative in the tangiblesfactor (-0.33) and reliability (-0.30) than in the other factors. Conclusions: There was a negative gap between the patients' expectations and what they actually perceived in the studied rehabilitation centers (with the exception of one public clinic); therefore, improvements are needed across all five dimensions.

show abstract

Section: Introductionmentioning

confidence: 99%

Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

Torabipour

Sayaf

Salehi

et al. 2016

Jundishapur J Helath Sci

View full text Add to dashboard Cite

show abstract

“…The improvement of overall health status through rehabilitation intervention may also improve mental health. Several studies have found positive mental health outcomes through rehabilitation interventions [37][38][39]. Incorporating a mental health screen and referral, when appropriate, into the process of care could be considered in an effort to provide multidisciplinary comprehensive care for complex patient needs.…”

Section: Discussionmentioning

confidence: 99%

The use of EQ-5D-5L as a patient-reported outcome measure in evaluating community rehabilitation services in Alberta, Canada

Short,

Al Sayah,

Churchill

et al. 2023

Health Qual Life Outcomes

View full text Add to dashboard Cite

Background The purpose of this study was to describe the characteristics and health-related quality of life (HRQL) of patients accessing community rehabilitation services in Alberta, Canada, using routinely collected EQ-5D-5L data, and explore factors associated with the impact of these services. Methods A retrospective, longitudinal, observational design was used. Patients completed the EQ-5D-5L and demographic questions at intake and end of rehabilitation care. Change in EQ-5D-5L dimensions from intake until end of rehabilitation was examined using the Pareto Classification of Health Change. Change scores were calculated for the EQ-5D-5L index, VAS, and total sum scores. Change groups in the EQ-5D-5L index and VAS scores, were defined by minimally important differences of 0.04 and 7.0, respectively. One level change was considered important for the total sum score. Effect size of the change in index, VAS, and total sum scores was also examined. Chi-squared tests were conducted to examine whether change in EQ-5D-5L varied by age, gender, region, and having anxiety/depression at intake. Results Three service programs were examined; pulmonary rehabilitation (n = 542), group-based community exercise (n = 463), and physiotherapy for bone and joint care (n = 391). At intake, HRQL in all programs was lower than that of the general Alberta population norms and improved by end of rehabilitation. The mean (SD) change in index, VAS, and total sum scores were 0.02 (0.13), 6.0 (18.3), and − 0.5 (2.4) in pulmonary rehabilitation, 0.06 (0.13), 6.6 (18.7), − 1.2 (2.4) in community exercise, and 0.13 (0.16), 1.2 (0.9), and − 2.8 (2.8) in physiotherapy, respectively. Based on change of the index score, 24% deteriorated, 38% improved, and 38% had no change in pulmonary rehabilitation; 17% deteriorated, 51% improved, and 32% had no change in community exercise; 5% deteriorated, 72% improved, and 23% had no change in physiotherapy. Similar trends were seen in the VAS and total sum scores. Older age, urban region, and having anxiety/depression at intake were associated with positive change in EQ-5D-5L. Conclusions The results of this study are intended to inform program/service level decisions by describing the characteristics and HRQL of patients accessing community rehabilitation, as well as the predictors of change in health status, which will help direct future program growth and service changes.

show abstract

“…Several studies have found positive mental health outcomes through rehabilitation interventions. [29][30][31] Incorporating a mental health screen and referral, when appropriate, into the process of care could be considered in an effort to provide multidisciplinary comprehensive care for complex patient needs.…”

Section: Discussionmentioning

confidence: 99%

The use of EQ-5D-5L as a patient-reported outcome measure in evaluating community rehabilitation services in Alberta, Canada

Short

Sayah

Churchill

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: The purpose of this study was to evaluate the impact of community rehabilitation services on health-related quality of life (HRQL) in Alberta, Canada, using routinely collected EQ-5D-5L data, and explore factors associated with the impact of these services. Methods: A retrospective, longitudinal, observational design was used. Patients completed the EQ-5D-5L and demographic questions at intake and end of rehabilitation care. Change in EQ-5D-5L dimensions from intake until end of rehabilitation was examined using the Pareto Classification of Health Change. Change scores were calculated for the EQ-5D-5L index, VAS, and total sum scores. Change groups in the EQ-5D-5L index and VAS scores, were defined by minimally important differences of 0.04 and 7.0, respectively. One level change was considered important for the total sum score. Effect size of the change in index, VAS, and total sum scores was also examined. Chi-squared tests were conducted to examine whether change in EQ-5D-5L varied by age, gender, region, and having anxiety/depression at intake. Results: Three service programs were examined; pulmonary rehabilitation (n=542), group-based community exercise (n=463), and physiotherapy for bone and joint care (n=391). At intake, HRQL in all programs was lower than that of the general Alberta population norms and improved by end of rehabilitation. The mean (SD) change in index, VAS, and total sum scores were 0.02 (0.13), 6.0 (18.3), and -0.5 (2.4) in pulmonary rehabilitation, 0.06 (0.13), 6.6 (18.7), -1.2 (2.4) in community exercise, and 0.13 (0.16), 1.2 (0.9), and -2.8 (2.8) in physiotherapy, respectively. Based on change of the index score, 24% deteriorated, 38% improved, and 38% had no change in pulmonary rehabilitation; 17% deteriorated, 51% improved, and 32% had no change in community exercise; 5% deteriorated, 72% improved, and 23% had no change in physiotherapy. Similar trends were seen in the VAS and total sum scores. Age, region, and having anxiety/depression at intake were associated with change in EQ-5D-5L. Conclusions: The results of this study are intended to inform program/service level decisions by describing the characteristics and HRQL of patients accessing community rehabilitation, as well as the predictors of change in health status, which will help direct future program growth and service changes.

show abstract

Changes in Disability, Physical/Mental Health States and Quality of Life during an 8-Week Multimodal Physiotherapy Programme in Patients with Chronic Non-Specific Neck Pain: A Prospective Cohort Study

Cited by 6 publications

References 37 publications

Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

The use of EQ-5D-5L as a patient-reported outcome measure in evaluating community rehabilitation services in Alberta, Canada

The use of EQ-5D-5L as a patient-reported outcome measure in evaluating community rehabilitation services in Alberta, Canada

Contact Info

Product

Resources

About