Quality Changes after Implementation of an Episode of Care Model with Strict Criteria for Physical Therapy in Ontario's Long‐Term Care Homes

McArthur, Caitlin; Hirdes, John P.; Chaurasia, Ashok; Berg, Katherine; Giangregorio, Lora

doi:10.1111/1475-6773.13020

Cited by 3 publications

(8 citation statements)

References 30 publications

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“…For Y7, the effect of type of intramural change was assessed under the assumption that changes from Y6 would continue into Y7. This novel modeling method has been utilized in previous research to assess changes in provincial policies on health outcomes [ 38 ], and to assess how changes in the environment affect alcohol use [ 39 ], tobacco and cannabis use [ 40 ] over time.…”

Section: Methodsmentioning

confidence: 99%

Examining If Changes in the Type of School-Based Intramural Programs Affect Youth Physical Activity over Time: A Natural Experiment Evaluation

Burns

Chaurasia

Carson

et al. 2021

IJERPH

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(1) School-based physical activity programs such as intramurals provide youth with inclusive opportunities to be physically active, yet we know little about how types of intramurals (e.g., team and individual sports) may contribute to youth MVPA. This research aims to evaluate how real-world changes in types of intramurals available in schools impact youth physical activity over time. (2) This study used three years of longitudinal school- and student-level data from Ontario schools participating in year 5 (2016–2017), year 6 (2017–2018) and year 7 (2018–2019) of the COMPASS study. Data on types of intramural programs from 55 schools were obtained, baseline demographic characteristics were measured and data on physical activity and sport participation were collected on a sample of 4417 students. Hierarchical linear mixed regression models were used to estimate how changes in the type of intramurals associate with youth MVPA over time. (3) Regardless of participation, adding individual and team intramurals was significantly and positively associated with female MVPA in Y6. (4) The indirect, but positive relationship between adding individual and team intramurals and female MVPA may be explained by other characteristics of the school environment that are conducive to female MVPA.

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Section: Methodsmentioning

confidence: 99%

Examining If Changes in the Type of School-Based Intramural Programs Affect Youth Physical Activity over Time: A Natural Experiment Evaluation

Burns

Chaurasia

Carson

et al. 2021

IJERPH

Self Cite

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show abstract

“…One study investigated the impact of funding on allied health service delivery. Canadian funding changes, in a sample of 589 RACFs, decreased the proportion of residents receiving occupational therapy from 2.5 to 1% and physiotherapy from 84.6% to 56.6%, speech pathology remained consistent at 0.3% [47].…”

Section: System Level Factors Associated With Allied Health Service D...mentioning

confidence: 96%

“…Proportion of residents receiving therapy Overall, six studies measured the proportion of residents receiving therapy in RACFs (Table 2). Globally, the proportion of residents receiving physiotherapy in RACFs ranged from 5.6% to 56.6% [36,41,46,47] in a seven-day period. Both highest [47] and lowest [36] proportions were reported in Canada across different provinces.…”

Section: Allied Health Service Deliverymentioning

confidence: 99%

“…Globally, the proportion of residents receiving physiotherapy in RACFs ranged from 5.6% to 56.6% [36,41,46,47] in a seven-day period. Both highest [47] and lowest [36] proportions were reported in Canada across different provinces. Data on the proportion of residents receiving occupational therapy, speech pathology, recreational therapy, and mental health was only available in Canadian studies and ranged from 1-21.9% [36,47], 0.2-4.4% [36], 9.6-53.1%, and 7.3% respectively [36].…”

Section: Allied Health Service Deliverymentioning

confidence: 99%

“…In South Korea, of those receiving physiotherapy treatment, 5-7 sessions per week was the most common frequency (66.5%; n = 3230) [41]. One Canadian study found that of residents who received physiotherapy, on average they received 49.1 min over 2.9 days (n = 589 RACFs) [47]. Another Canadian study simply reported that occupational therapists saw residents with hip fracture less frequently than physiotherapists, but session times were longer; quantities were not provided [31].…”

Section: Allied Health Service Deliverymentioning

confidence: 99%

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Therapy-based allied health delivery in residential aged care, trends, factors, and outcomes: a systematic review

et al. 2022

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Background Allied health professionals in residential aged care facilities (RACFs) make important contributions to the physical and mental wellbeing of residents. Yet to date, health services research in RACFs has focused almost exclusively on nursing disciplines. This review aims to synthesise the current evidence on allied health services in RACF; specifically, how therapy-based allied health is delivered, what factors impact the quantity delivered, and the impact of services on resident outcomes and care quality. Methods Empirical peer-reviewed and grey literature focusing on allied health service delivery in RACFs from the past decade was identified through systematic searches of four databases and over 200 targeted website searches. Information on how allied health delivered, factors impacting service delivery, and impact on resident outcomes were extracted. The quality of included studies was appraised using the Mixed Methods Appraisal Tool (MMAT) and the AACODS (Authority, Accuracy, Coverage, Objectivity, Date, Significance) checklist. Results Twenty-eight unique studies were included in this review; 26 peer-reviewed and two grey literature studies. Sixteen studies discussed occupational therapy and 15 discussed physiotherapy, less commonly studied professional groups included dieticians (n = 9), allied health assistants (n = 9), and social workers (n = 6). Thirteen studies were assigned a 100% quality rating. Levels of allied health service provision were generally low and varied. Five studies examined the association between system level factors and allied health service provision, and seven studies examined facility level factors and service provision. Higher levels of allied health provision or access to allied health services, specifically physiotherapy, occupational therapy, and nutrition, were associated with reduced falls with injury, improved care quality, activities of daily living scores, nutritional status, and meal satisfaction in five studies. Conclusion Evidence on how allied health is delivered in RACFs, and its impact on resident health outcomes, is lacking globally. While there are some indications of positive associations between allied health staffing and resident outcomes and experiences, health systems and researchers will need commitment to consistent allied health data collection and health services research funding in the future to accurately determine how allied health is delivered in RACFs and its impact on resident wellbeing.

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A quasi-experimental examination of how changes in school-level intramurals are associated with physical activity among a sample of Canadian secondary school students from the COMPASS study

Burns

Chaurasia

Carson

et al. 2021

SSM - Population Health

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Quality Changes after Implementation of an Episode of Care Model with Strict Criteria for Physical Therapy in Ontario's Long‐Term Care Homes

Abstract: While controversial, the policy and subsequent PT service delivery change appears to be associated with improved performance on several ADL QIs, except in homes where a large proportion of residents receive no PT and low time-intensive PT.

Cited by 3 publications

References 30 publications

Examining If Changes in the Type of School-Based Intramural Programs Affect Youth Physical Activity over Time: A Natural Experiment Evaluation

Examining If Changes in the Type of School-Based Intramural Programs Affect Youth Physical Activity over Time: A Natural Experiment Evaluation

Therapy-based allied health delivery in residential aged care, trends, factors, and outcomes: a systematic review

A quasi-experimental examination of how changes in school-level intramurals are associated with physical activity among a sample of Canadian secondary school students from the COMPASS study

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