Physiotherapists’ Experiences with and Perspectives on Implementing an Evidence-Based, Chronic Pain Self-Management Programme in Primary Health Care: A Qualitative Study

Brewer, E. Cobham; Carnevale, Nicole; Ducsharm, Melissa; Ellis, Nicole; Khan, Mohammed M.; Vader, Kyle; Miller, Jordan

doi:10.3138/ptc-2019-0062

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…Authors of a qualitative descriptive study who investigated community healthcare workers’ experiences during the COVID-19 pandemic (49) had a similar sample size (n=15) and were able to address their study objectives. Similarly, authors of two qualitative descriptive interview-based studies with comparable sample sizes (n=11, n=15) achieved their objectives, which were to understand the experiences of physiotherapists who had implemented a chronic pain self-management programme in primary health care (50) and to identify factors to consider for developing and implementing a community-based exercise program for people living with HIV from the perspectives of people living with HIV, rehabilitation professionals, and recreation providers (51).…”

Section: Methodsmentioning

confidence: 99%

Experiences of physiotherapists working with adults living with Long COVID in Canada: a qualitative study

Kim,

Lin,

Wong

et al. 2024

Preprint

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Objectives:To explore experiences of physiotherapists working with adults living with Long COVID in Canada.Design:Cross-sectional descriptive qualitative study involving online semi-structured interviews.Participants:We recruited physiotherapists in Canada who self-identified as having clinically treated one or more adults living with Long COVID in the past year.Data collection:Using an interview guide, we inquired about physiotherapists knowledge of Long COVID, assessment and treatment experiences, perspectives on physiotherapists roles, contextual and implementation factors influencing rehabilitative outcomes, and their recommendations for Long COVID rehabilitation. Interviews were audio-recorded, transcribed verbatim, and analyzed using a group-based thematic analytical approach. We administered a demographic questionnaire to describe sample characteristics.Results:Thirteen physiotherapists from five provinces participated; most were women (n=8;62%) and practised in urban settings (n=11;85%). Participants reported variable amounts of knowledge of existing guidelines and experiences working with adults living with Long COVID in the past year. Physiotherapists characterized their experiences working with adults living with Long COVID as a dynamic process involving: 1) a disruption to the profession (encountering a new patient population and pivoting to new models of care delivery), followed by 2) a cyclical process of learning curves and evolving roles of physiotherapists working with persons living with Long COVID (navigating uncertainty, keeping up with rapidly-emerging evidence, trial and error, adapting mindset and rehabilitative approaches, and growing prominence of roles as advocate and collaborator). Participants recommended the need for education and training, active and open-minded listening with patients, interdisciplinary models of care, and organizational- and system-level improvements to foster access to care.Conclusions:Physiotherapists experiences involved a disruption to the profession followed by a dynamic process of learning curves and evolving roles in Long COVID rehabilitation. Not all participants demonstrated an in-depth understanding of existing Long COVID rehabilitation guidelines. Results may help inform physiotherapy education in Long COVID rehabilitation.

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Section: Methodsmentioning

confidence: 99%

Experiences of physiotherapists working with adults living with Long COVID in Canada: a qualitative study

Kim,

Lin,

Wong

et al. 2024

Preprint

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Barriers and Facilitators to the Adoption of Evidence-Based Interventions for Adults Within Occupational and Physical Therapy Practice Settings: A Systematic Review

Kinney¹,

Stearns‐Yoder²,

Hoffberg³

et al. 2023

Archives of Physical Medicine and Rehabilitation

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Physiotherapy Practice in Primary Health Care: A Survey of Physiotherapists in Team-Based Primary Care Organizations in Ontario

Vader

Ashcroft

Bath

et al. 2022

Physiotherapy Canada

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Purpose: This study describes (1) the current state of physiotherapy practice in team-based primary care organizations in Ontario, (2) the perceived barriers to and facilitators of providing physiotherapy services, and (3) recommendations for improving how these services are provided. Method: This was a cross-sectional, web-based survey. We analyzed the responses using descriptive statistics and summative content analysis. Results: A total of 66 responses were received, and 61 were included in the final analysis. The respondents reported that most of their practice was directed toward musculoskeletal care, followed by multi-system, neurological, and cardiorespiratory conditions, and that most of their direct patient care was focused on in-person, one-to-one assessment or follow-up. Frequently identified barriers to providing physiotherapy services included a lack of space, resources, time, and equipment. The most common facilitators were support from management, recognition and support from other health care providers about the value and role of physiotherapists, and appropriate referrals from other health care providers. The most common recommendation was to increase the physiotherapist-to-patient ratio at primary care sites. Conclusions: Physiotherapists provide care to diverse populations in team-based primary care, which is influenced by specific barriers and facilitators. Our results highlight opportunities for physiotherapists in this context, such as increasing the provision of first-contact care and group-based interventions.

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Physiotherapists’ Experiences with and Perspectives on Implementing an Evidence-Based, Chronic Pain Self-Management Programme in Primary Health Care: A Qualitative Study

Cited by 3 publications

References 47 publications

Experiences of physiotherapists working with adults living with Long COVID in Canada: a qualitative study

Experiences of physiotherapists working with adults living with Long COVID in Canada: a qualitative study

Barriers and Facilitators to the Adoption of Evidence-Based Interventions for Adults Within Occupational and Physical Therapy Practice Settings: A Systematic Review

Physiotherapy Practice in Primary Health Care: A Survey of Physiotherapists in Team-Based Primary Care Organizations in Ontario

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