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A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings

Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when...

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Autores principales: Barth, Cornelia Anne, Donovan-Hall, Maggie, Blake, Catherine, Jahan Akhtar, Noor, Capo-Chichi, Joseph Martial, O’Sullivan, Cliona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620760/
https://www.ncbi.nlm.nih.gov/pubmed/34831772
http://dx.doi.org/10.3390/ijerph182212020
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author Barth, Cornelia Anne
Donovan-Hall, Maggie
Blake, Catherine
Jahan Akhtar, Noor
Capo-Chichi, Joseph Martial
O’Sullivan, Cliona
author_facet Barth, Cornelia Anne
Donovan-Hall, Maggie
Blake, Catherine
Jahan Akhtar, Noor
Capo-Chichi, Joseph Martial
O’Sullivan, Cliona
author_sort Barth, Cornelia Anne
collection PubMed
description Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when applied to the fragile health systems of LR-CC. It is important to engage rehabilitation experts living and working in LR-CC to guide service development. This study aims to understand physiotherapists’ views and perspectives of current rehabilitation services, of how these services can be strengthened over the next 10 years and of the role of physiotherapy within this development. Focus group discussions (FGDs) were conducted with 31 physiotherapists from 18 LR-CC using English as a common language. Audio recordings were transcribed verbatim. Data analysis was guided by thematic analysis. Participants provided deep insights into the complexity of developing rehabilitation services within fragile health systems. Participants agreed that physiotherapy lacked recognition and resources to be utilised effectively. Interacting themes as crucial prerequisites for strengthening the sector included (1) significance of context, (2) professional identity, and (3) professionalisation supported by workforce development and advocacy. These results are an important evidence base for informing the development of rehabilitation programmes in LR-CC and for future research.
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spelling pubmed-86207602021-11-27 A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings Barth, Cornelia Anne Donovan-Hall, Maggie Blake, Catherine Jahan Akhtar, Noor Capo-Chichi, Joseph Martial O’Sullivan, Cliona Int J Environ Res Public Health Article Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when applied to the fragile health systems of LR-CC. It is important to engage rehabilitation experts living and working in LR-CC to guide service development. This study aims to understand physiotherapists’ views and perspectives of current rehabilitation services, of how these services can be strengthened over the next 10 years and of the role of physiotherapy within this development. Focus group discussions (FGDs) were conducted with 31 physiotherapists from 18 LR-CC using English as a common language. Audio recordings were transcribed verbatim. Data analysis was guided by thematic analysis. Participants provided deep insights into the complexity of developing rehabilitation services within fragile health systems. Participants agreed that physiotherapy lacked recognition and resources to be utilised effectively. Interacting themes as crucial prerequisites for strengthening the sector included (1) significance of context, (2) professional identity, and (3) professionalisation supported by workforce development and advocacy. These results are an important evidence base for informing the development of rehabilitation programmes in LR-CC and for future research. MDPI 2021-11-16 /pmc/articles/PMC8620760/ /pubmed/34831772 http://dx.doi.org/10.3390/ijerph182212020 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Barth, Cornelia Anne
Donovan-Hall, Maggie
Blake, Catherine
Jahan Akhtar, Noor
Capo-Chichi, Joseph Martial
O’Sullivan, Cliona
A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_full A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_fullStr A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_full_unstemmed A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_short A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_sort focus group study to understand the perspectives of physiotherapists on barriers and facilitators to advancing rehabilitation in low-resource and conflict settings
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620760/
https://www.ncbi.nlm.nih.gov/pubmed/34831772
http://dx.doi.org/10.3390/ijerph182212020
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