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Published versionALI, Nancy and MAY, Stephen (2015). A qualitative study into Egyptian patients' satisfaction with physiotherapy management of low back pain. ABSTRACT Background and purpose: There is strong evidence suggesting that patient satisfaction may improve therapy outcomes independent of the treatment given.Thus the aim of this study is to explore Egyptian patients' expectations and satisfaction with physical therapy management of low back pain. Methods: A qualitative study design involving 2 focus groups and 10 semi-structured interviews; all discussions were audio recorded, transcribed verbatim and analysed using a Framework analysis approach. Results: The five final themes were about outcome of the treatment episode, the therapist characteristics, their ability to provide patient education, the service provision, and involvement in the decision-making process. Conclusion: The therapeutic encounter between patients and therapists in an episode of back care is complex and reflects the multidimensional nature of patient satisfaction. Participants had several criteria according to which they evaluated the quality of care and were able to determine when these criteria were met or not during physiotherapy.
Statistical evaluation of results obtained from SEM analysis revealed that human scalp hair index show morphological variation with respect to age, gender, hair pigmentation, chemical and physical treatments. Individuals opting for cosmetic treatments could clearly visualize the extent of hair damage these may cause in long run.
Aim: This systematic review aimed at appraising the methodological rigor of grounded theory research published in the field of physiotherapy to assess how the methodology is understood and applied. A secondary aim was to provide research implications drawn from the findings to guide future grounded theory methodology research. Methods: A systematic search was conducted in MEDLINE, CINHAL, SPORT Discus, Science Direct, PubMed, Scopus and Web of Science to identify studies in the field of physiotherapy that reported using grounded theory methodology and/or methods in the study title and/or abstract. The descriptive characteristics and methodological quality of eligible studies were examined using the assessment guidelines developed by Hutchison, Johnston and Breckon (2011). Findings: The review included sixty-eight studies conducted between 1998 and 2017. The findings showed that grounded theory methodology is becoming increasingly used by physiotherapy researchers. Thirty-six studies (53%) demonstrated a good understanding and appropriate application of grounded theory methodology. Thirty-two studies (47%) presented descriptive findings and were considered to be of poor methodological quality. Conclusions: There are several key tenets of grounded theory methodology that are integral to the iterative process of qualitative theorizing and need to be applied throughout all research practices including sampling, data collection and analysis.
Background: Tuberculosis (TB) represents a major health problem with a considerable proportion of patients subject to catastrophic health expenditure. This necessitates a valid tool for measuring TB-related expenditure for patients and their households so that appropriate measures can be enacted to lessen the financial burden. Aims: To translate and culturally validate the generic World Health Organization (WHO) tuberculosis patient cost survey in the Egyptian context. Methods: The instrument was translated and culturally adapted using forward translation, back translation, expert panel assessment, pretesting, cognitive interviewing, and appraisal by the developer. Results: A final Arabic version with modifications to 35 descriptors of the original tool was produced based on the results of expert committee meetings and cognitive interviews with patients. Twelve questions were modified, 13 response options were changed, 6 questions were added and 4 questions were removed. The pretesting of the tool demonstrated that the final version was a culturally sensitive tool to assess the costs incurred by TB patients in an Egyptian context. Conclusion: Policy-makers are encouraged to use this tool to assess the expenditure encountered by TB patients to set appropriate policies to reduce the patients’ financial burden.
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