From continuing education to personal digital assistants: what do physical therapists need to support evidence‐based practice in stroke management?

Salbach, Nancy M.; Veinot, Paula; Jaglal, Susan; Bayley, Mark; Rolfe, Danielle

doi:10.1111/j.1365-2753.2010.01456.x

Cited by 31 publications

(36 citation statements)

References 44 publications

(65 reference statements)

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“…Participants suggested that CPGs might be more readily related to practice with interactive, expert-facilitated sessions for clinicians to review guidelines and brainstorm implementation. This preference for in-person sessions has also been identified in qualitative studies with occupational therapists and physiotherapists [51,52], and personal contact between researchers and decision makers is one of the most frequently advocated facilitators in the KTE literature [53,54]. Therefore a potential challenge for KTE is finding a balance between the distancing that occurs when research users are represented by associations, and the feasibility of consulting with individual clinicians.…”

Section: Discussionmentioning

confidence: 93%

Factors affecting speech pathologists’ implementation of stroke management guidelines: a thematic analysis

Miao

Power

O’Halloran

2014

Disability and Rehabilitation

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In most Western nations, stroke remains the single greatest cause of disability, including communication and swallowing disabilities. Although adherence to stroke clinical practice guidelines improves stroke patient outcomes, guidelines continue to be underutilised, and the reasons for this are not well understood. This is the first in-depth qualitative study identifying the complex barriers and facilitators to guideline implementation as experienced by speech pathologists in stroke care. Suggested implementation strategies include local monitoring of guideline implementation (e.g. team meetings, audits), increasing collaboration on implementation projects (e.g. managerial involvement, networking), and seeking speech pathologist input into guideline development.

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Section: Discussionmentioning

confidence: 93%

Factors affecting speech pathologists’ implementation of stroke management guidelines: a thematic analysis

Miao

Power

O’Halloran

2014

Disability and Rehabilitation

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“…23 Salbach 20 notes that study therapists were most engaged in inter-active discussions and watching a patient care video demonstration. In our study, the sharing of practical experience and real world implementation discussions were highly rated by the PTs completing training evaluations.…”

Section: Discussionmentioning

confidence: 99%

Implementing a Cognitive-Behavioral Pain Self-Management Program in Home Health Care, Part 2

Bach

Beissner²,

Murtaugh

et al. 2013

Journal of Geriatric Physical Therapy

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Purpose The prevalence of pain in older adults receiving home health care is high, yet safety concerns for analgesic therapy point to a need for non-pharmacologic approaches to pain management in this population. The purpose of this study was to determine the feasibility and acceptability to physical therapists (PTs) and patients of a cognitive–behavioral pain self-management (CBPSM) program. Methods Thirty-one PTs volunteered to participate, completed two 4-hour training sessions, and recruited twenty-one patients with activity-limited pain who consented to participate in the study. PTs completed pre- and post-test assessments of CBPSM knowledge at the first training session, provided structured survey feedback after the second training session, and responded to a phone survey three months after training. Patients provided feedback during weekly phone interviews while receiving the CBPSM program. Treatment sessions were audiotaped during delivery of the self-management pain protocol. Audiotapes were evaluated by independent raters for program fidelity. Results Participating PTs were experienced in physical therapy (average 16.5 years) and in home health care (average 11.0 years). Analysis of pre- and post-test data showed that PTs’ CBPSM knowledge increased from a pre-test mean of 60.9% to a post-test mean of 85.9%. Audiotape analysis indicated 77.7% therapist adherence to the protocol. At three-month follow-up, 24.0% of therapists continued to use the entire protocol with their patients presenting with activity-limiting pain. Patient data show high rates of patient recall of being taught protocol components, trying components at least once (ranging from 84.4 % to 100.0%), and daily use of protocol components (ranging from 47.3% to 68.4%). The percent of patients finding a technique helpful for pain management ranged from 71.4% to 81.2%. Conclusion This study offers preliminary data on use of non-pharmacologic pain self-management strategies by PTs in home health setting. Positive feedback from PTs and patients suggests that the translated protocol is both feasible and acceptable.

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“…The interventions are described in Multimedia Appendices 8 and 9. Interventions using mobile communication technologies in both developed countries (Italy [205], US [1,92,206-228], UK [229-232], France [233], Canada [234-237], Japan [238], Australia [239], New Zealand [240], South Korea [241-245], and Denmark [246]), and developing ones (Thailand [247], Peru [248], Kenya [57,249,250], Taiwan [251,252], Israel [253-255], Uganda [256,257], Thailand [258], Singapore [259], Turkey [260], India [261], and South Africa [262]) have investigated the use of mobile phone-based apps, mobile phone voice call, SMS, and PDAs.…”

Section: Resultsmentioning

confidence: 99%

Mobile Technologies and Geographic Information Systems to Improve Health Care Systems: A Literature Review

Nhavoto¹,

Grönlund²

2014

JMIR mHealth uHealth

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BackgroundA growing body of research has employed mobile technologies and geographic information systems (GIS) for enhancing health care and health information systems, but there is yet a lack of studies of how these two types of systems are integrated together into the information infrastructure of an organization so as to provide a basis for data analysis and decision support. Integration of data and technical systems across the organization is necessary for efficient large-scale implementation.ObjectiveThe aim of this paper is to identify how mobile technologies and GIS applications have been used, independently as well as in combination, for improving health care.MethodsThe electronic databases PubMed, BioMed Central, Wiley Online Library, Scopus, Science Direct, and Web of Science were searched to retrieve English language articles published in international academic journals after 2005. Only articles addressing the use of mobile or GIS technologies and that met a prespecified keyword strategy were selected for review.ResultsA total of 271 articles were selected, among which 220 concerned mobile technologies and 51 GIS. Most articles concern developed countries (198/271, 73.1%), and in particular the United States (81/271, 29.9%), United Kingdom (31/271, 11.4%), and Canada (14/271, 5.2%). Applications of mobile technologies can be categorized by six themes: treatment and disease management, data collection and disease surveillance, health support systems, health promotion and disease prevention, communication between patients and health care providers or among providers, and medical education. GIS applications can be categorized by four themes: disease surveillance, health support systems, health promotion and disease prevention, and communication to or between health care providers. Mobile applications typically focus on using text messaging (short message service, SMS) for communication between patients and health care providers, most prominently reminders and advice to patients. These applications generally have modest benefits and may be appropriate for implementation. Integration of health data using GIS technology also exhibit modest benefits such as improved understanding of the interplay of psychological, social, environmental, area-level, and sociodemographic influences on physical activity. The studies evaluated showed promising results in helping patients treating different illnesses and managing their condition effectively. However, most studies use small sample sizes and short intervention periods, which means limited clinical or statistical significance.ConclusionsA vast majority of the papers report positive results, including retention rate, benefits for patients, and economic gains for the health care provider. However, implementation issues are little discussed, which means the reasons for the scarcity of large-scale implementations, which might be expected given the overwhelmingly positive results, are yet unclear. There is also little combination between GIS and mobile technologies. In or...

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From continuing education to personal digital assistants: what do physical therapists need to support evidence‐based practice in stroke management?

Cited by 31 publications

References 44 publications

Factors affecting speech pathologists’ implementation of stroke management guidelines: a thematic analysis

Factors affecting speech pathologists’ implementation of stroke management guidelines: a thematic analysis

Implementing a Cognitive-Behavioral Pain Self-Management Program in Home Health Care, Part 2

Mobile Technologies and Geographic Information Systems to Improve Health Care Systems: A Literature Review

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