scholarly journals “Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Shane Derbyshire ◽  
Jonathan Field ◽  
Jane Vennik ◽  
Marc Sanders ◽  
Dave Newell
Keyword(s):  
Online Survey ◽  
Chiropractic Care ◽  
Working Environment ◽  
Perceived Barriers ◽  
Healthcare Provision ◽  
Face To Face ◽  
Treatment Clinic ◽  
Remote Care ◽  
The Uk ◽  
Remote Consultations

Abstract Background Remote consultations (RCs) enable clinicians to continue to support patients when face-to-face appointments are not possible. Restrictions to face-to-face care during the COVID-19 pandemic has accelerated a pre-existing trend for their adoption. This is true for many health professionals including some chiropractors. Whilst most chiropractors in the UK have used RCs in some form during the pandemic, others have not. This study seeks to understand the views of chiropractors not using RCs and to explore perceived potential barriers. Methods A national online survey was completed by 534 registered practicing UK chiropractors on the use of RCs. Respondents had the opportunity of providing open-ended responses concerning lack of engagement in RCs during the COVID-19 pandemic. Textual responses obtained from 137 respondents were coded and analysed using thematic analysis. Results The use of RCs provided an opportunity for chiropractors to deliver ongoing care during the COVID-19 pandemic. However, many chiropractors expressed concern that RCs misaligned with their strong professional identity of providing ‘hands-on’ care. Some chiropractors also perceived that patients expected physical interventions during chiropractic care and thus considered a lack of demand when direct contact is not possible. In the absence of a physical examination, some chiropractors had concerns about potential misdiagnosis, and perceived lack of diagnostic information with which to guide treatment. Clinic closures and change in working environment led to practical difficulties of providing remote care for a few chiropractors. Conclusions The COVID-19 pandemic may have accelerated changes in the way healthcare is provided with RCs becoming more commonplace in primary healthcare provision. This paper highlights perceived barriers which may lead to reduced utilisation of RCs by chiropractors, some of which appear fundamental to their perceived identity, whilst others are likely amenable to change with training and experience.

scholarly journals Expectant parents' perceptions of healthcare and support during COVID-19 in the UK: A thematic analysis.

2021 ◽  
Author(s):  
Ezra Aydin ◽  
Kevin A Glasgow ◽  
Staci Weiss ◽  
Topun Austin ◽  
Mark Johnson ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Thematic Analysis ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Services ◽  
Healthcare Provision ◽  
Face To Face ◽  
Social And Emotional ◽  
Using Data ◽  
The Uk

Background: In response to the COVID-19 pandemic, expectant parents experienced changes in the availability and uptake of both NHS community and hospital-based healthcare. Objective: To examine how COVID-19 and its societal related restrictions have impacted the provision of healthcare support for pregnant women during the COVID-19 pandemic. Method: A thematic analysis using an inductive approach was undertaken of data from open-ended responses using data from the national COVID in Context of Pregnancy, Infancy and Parenting (CoCoPIP) Study online survey (N = 507 families). Results: The overarching theme identified was the way in which the changes to healthcare provision increased parents' anxiety levels, and feelings of not being supported. Five sub-themes, associated with the first wave of the pandemic, were identified: (1) rushed and/or fewer antenatal appointments, (2) lack of sympathy from healthcare workers, (3) lack of face-to-face appointments, (4) requirement to attend appointments without a partner, and (5) requirement to use PPE. A sentiment analysis, that used quantitative techniques, revealed participant responses to be predominantly negative (50.1%), with a smaller proportion of positive (21.8%) and neutral (28.1%) responses found. Conclusion: This study provides evidence indicating that the changes to healthcare services for pregnant women during the pandemic increased feelings of anxiety and have left women feeling inadequately supported. Our findings highlight the need for compensatory social and emotional support for new and expectant parents while COVID-19 related restrictions continue to impact on family life and society.

scholarly journals Impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases in the UK: a mixed-methods study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e048772
Author(s):  
Toby O Smith ◽  
Pippa Belderson ◽  
Jack R Dainty ◽  
Linda Birt ◽  
Karen Durrant ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Qualitative Study ◽  
Online Survey ◽  
Musculoskeletal Diseases ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Healthcare Provision ◽  
Social Restriction ◽  
The Uk ◽  
The Impact

ObjectivesTo determine the impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases (RMDs) and to explore how people adapted to these measures over time.DesignMixed-methods investigation comprising a national online longitudinal survey and embedded qualitative study.SettingUK online survey and interviews with community-dwelling individuals in the East of England.ParticipantsPeople in the UK with RMDs were invited to participate in an online survey. A subsection of respondents were invited to participate in the embedded qualitative study.Primary and secondary outcome measuresThe online survey, completed fortnightly over 10 weeks from April 2020 to August 2020, investigated changes in symptoms, social isolation and loneliness, resilience and optimism. Qualitative interviews were undertaken assessing participant’s perspectives on changes in symptoms, exercising, managing instrumental tasks such a shopping, medication and treatment regimens and how they experienced changes in their social networks.Results703 people with RMDs completed the online survey. These people frequently reported a deterioration in symptoms as a result of COVID-19 pandemic social restrictions (52% reported increase vs 6% reported a decrease). This was significantly worse for those aged 18–60 years compared with older participants (p=0.017). The qualitative findings from 26 individuals with RMDs suggest that the greatest change in daily life was experienced by those in employment. Although some retired people reported reduced opportunity for exercise outside their homes, they did not face the many competing demands experienced by employed people and people with children at home.ConclusionsPeople with RMDs reported a deterioration in symptoms when COVID-19 pandemic social restriction measures were enforced. This was worse for working-aged people. Consideration of this at-risk group, specifically for the promotion of physical activity, changing home-working practices and awareness of healthcare provision is important, as social restrictions continue in the UK.

scholarly journals 885 Telephone Consultations During the Covid-19 Pandemic; from the Perspective of One Oral and Maxillofacial Unit

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
H Chaudhry ◽  
J Abiola
Keyword(s):  
Emergency Treatment ◽  
Electronic Patient Record ◽  
Ad Hoc ◽  
Healthcare Provision ◽  
Face To Face ◽  
Global Impact ◽  
The Uk ◽  
Benign Biopsy

Abstract Introduction The Covid-19 pandemic has had a global impact on healthcare. As a result, changes have been made to healthcare provision. In the UK, the focus was changed to urgent and emergency treatment only, and therefore a shift from face-to-face consultations to video and telephone consultations was implemented. Our aim was to look at the telephone consultations in our oral and maxillofacial (OMF) department to identify their effectiveness. Method A search was carried out using the electronic patient record for patients booked for consultations in the OMF clinics from the 23rd of March to the 1st of May 2020. Trauma clinics and ad-hoc clinics were excluded. Results 21 clinic codes were found as suitable for inclusion. 185 consultations were booked during the 6-week period. Of these, 165 were via telephone and 20 face-to-face. A total of 75 consultations resulted in discharge and 110 required further follow up or further investigation. Of the 75 patients discharged, 73 of these were via telephone. The main reason for discharge was delivery of benign biopsy results. Conclusions Covid-19 will have long term impacts on healthcare provision. If implemented correctly, virtual consultations carry the potential in making healthcare more accessible.

scholarly journals Professional education among haemophilia nurses: a survey of current practices

2020 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Simon Fletcher ◽  
Steve Chaplin ◽  
Cathy Harrison ◽  
Kristian Juusola ◽  
Norma Collins
Keyword(s):  
New Media ◽  
Professional Education ◽  
Western Europe ◽  
Online Survey ◽  
The Philippines ◽  
Hard Copy ◽  
Traditional Use ◽  
Face To Face ◽  
The Uk ◽  
Almost All

AbstractBackground:Guidance from the European Association for Haemophilia and Allied Disorders (EAHAD) sets out the educational milestones haemophilia nurses should aim to achieve. However, little is known about the resources nurses use for education and current awareness.Aims:To assess the current educational level of haemophilia nurses, how and where they access ongoing education, where they feel they need extra support, and how best this teaching could be delivered.Methods:Haemophilia nurses in the Haemnet Horizons group devised and piloted a questionnaire. This was distributed in hard copy to nurses attending the 2019 EAHAD Congress and promoted as an online survey hosted by Survey Monkey.Results:Seventy-five replies were received from nurses in Europe (46 in the UK), and two from nurses in Chile and the Philippines. Most described their role as ‘specialist nurse’, with the majority having worked in haemophilia care for up to ten years. Half had a nursing degree and one quarter had a nursing diploma. Three quarters had attended at least one course specifically related to haemophilia nursing. Almost all used academic sources, study days and the websites of health profession organisations as information sources. Most also used Google or Wikipedia, but fewer used Twitter. Patient association websites were more popular among non-UK nurses. About half attended sponsored professional meetings and three quarters reported that educational meetings were available in their workplace. A clear majority preferred interactive and face-to-face activities using patient-focused content.Conclusions:The study shows that nurses, predominantly in Western Europe, access a range of educational resources, most of which are ‘traditional’. Use of online sources is high, but social media are less popular than Google or Wikipedia. Further research is needed to explore the potential of new media for haemophilia nurse education, and whether the current educational levels and needs highlighted in the survey remains the same across the whole of Europe.

Face-to-Face or Distance Training?

2001 ◽  
Vol 15 (2) ◽  
pp. 135-141
Author(s):  
John Allan ◽  
Michele O'Dwyer ◽  
Naomi Lawless ◽  
Eamon Ryan
Keyword(s):  
Small Businesses ◽  
Working Environment ◽  
Learning Support ◽  
Distance Training ◽  
Face To Face ◽  
The Past ◽  
Mode Of Operation ◽  
Face To Face Learning ◽  
The Uk ◽  
Micro Enterprises

In the past, too many government-sponsored initiatives have presented learning resources that have been wasted because the target small business audience has failed to make use of them. This paper explores the issue of offering learning materials to small and medium-sized enterprises (SMEs) in a manner that recognizes their working environment, mode of operation and preferred learning methods. It then outlines methods currently being tested in the UK and Ireland, and indicates preliminary findings. The two methodologies are different in that the UK (LSSB – Learning Support for Small Businesses) programme is aimed at distance learning in primarily small businesses, whilst the Irish (University of Limerick and Limerick City Enterprise Board) programme is aimed at face-to-face learning primarily in micro-enterprises. Preliminary findings are presented.

scholarly journals The role of Qatar Community Pharmacists in Depression care: A Survey of Attitudes, Practices and Perceived Barriers

2020 ◽  
Author(s):  
Rula Sham ◽  
Mohammed Fasihul Alam ◽  
Maguy El Hajj
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Community Pharmacists ◽  
Perceived Barriers ◽  
Depression Care ◽  
Healthcare Provision ◽  
Access To Treatment ◽  
Attitudes And Practices ◽  
And Training ◽  
Current Practices

Background: Negative attitudes and stigma to mental health constitute major barriers to healthcare provision and access to treatment for patients with depression across the globe. Community pharmacists are among the most accessible healthcare providers who may play a significant role in depression care. This study aims to describe current practices, attitudes and perceived barriers of community pharmacists towards the provision of depression care, and investigates how pharmacists’ attitudes, along with several sociodemographic and professional characteristics, are associated with these practices. Methods: A crosssectional online survey targeting all practicing community pharmacists in Qatar using an adapted survey instrument. Responses were measured on a 5-point-Likert scale. Study outcomes were scores of attitudes towards depression, scores of self-reported depression care practices and perceived barriers for depression care. Descriptive univariate and bivariate analyses of study outcomes were conducted, along with a multivariate regression to investigate how pharmacists’ characteristics and attitudes affect their practice. Results: Three hundred fifty-eight pharmacists answered the survey, making a response rate of 39%. Pharmacists’ attitudes to depression were moderately positive (mean score=3.41, SD= 0.26). However, the extent of pharmacists’ involvement in depression care was very low (mean score=2.64, SD= 0.94). Three major barriers were the lack of access to patients' medical records (83.21%), lack of patients’ insight on major depression and the importance of treatment (81.85%) and the lack of needed knowledge and training on mental health (79.63%). Female pharmacists were significantly less involved in depression care compared to male pharmacists (p= 0.006). Depression practice score increased with an increasing score of attitudes (p =0.001) and decreased with the number of years since the last pharmacy degree graduation (p=0.02). The presence of a private area for counselling patients was associated with higher scores of practice (p=0.03). Conclusion: Pharmacists’ moderately positive attitudes towards depression and its care were not reflected in their current practices. Findings from the study imply the need for actions and training programs for pharmacists to improve their attitudes and practices towards depression care.

scholarly journals Living with a vestibular disorder during the Covid-19 pandemic

2021 ◽  
Author(s):  
Laura Jennie Smith ◽  
Miriam Tresh ◽  
David Wilkinson ◽  
Suren S Surenthiran
Keyword(s):  
Online Survey ◽  
Short Form ◽  
Neuropsychiatric Symptoms ◽  
Social Contact ◽  
Daily Activities ◽  
Vestibular Disorder ◽  
Symptom Scale ◽  
Remote Care ◽  
The Uk ◽  
The Impact

BACKGROUND: People with vestibular disorders experience symptoms which put them at risk of reduced wellbeing during the Covid-19 pandemic.OBJECTIVE: To assess the impact of the Covid-19 pandemic on vestibular symptoms, access to healthcare and daily activities amongst people living with a vestibular disorder.METHODS: An online survey was completed by 124 people in the UK with a vestibular disorder. The survey incorporated the Vertigo Symptom Scale-Short Form and questions regarding health status, healthcare received, daily activities and employment during Covid-19.RESULTS: The Covid-19 pandemic affected perceptions of wellbeing. 54.1% rated their health as worse now than before the pandemic. Vertigo, unsteadiness, dizziness, tinnitus, loss of concentration/memory, and headaches were the most exacerbated symptoms. Respondents reported changes to their daily activities including reduced social contact (83%) and exercise (54.3%). Some experienced healthcare delays or received a remote appointment. Remote care was perceived as convenient, but barriers included difficulty communicating, trouble concentrating and perceived unsuitability for initial appointments. Unintended benefits of the pandemic included less social pressure, avoiding busy environments, and engaging in self-care. CONCLUSION: The effects of the Covid-19 pandemic are diverse. Clinical services should be mindful that Covid-19 can exacerbate vestibular and allied neuropsychiatric symptoms that require acute, multi-disciplinary intervention, but not lose sight of the potential benefit and cost saving associated with promoting self-management and delivering remote care, especially post-diagnosis.

scholarly journals P062 How do our patients feel about face-to-face review in rheumatology clinics since COVID-19? A single tertiary care centre experience

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Raj Amarnani ◽  
Bethan Goulden ◽  
Jessica Manson ◽  
Vanessa Morris
Keyword(s):  
Online Survey ◽  
Tertiary Care ◽  
Immunosuppressive Drug ◽  
Hospital Environment ◽  
Older Individuals ◽  
Tertiary Care Centre ◽  
Face To Face ◽  
Ensure Patient Safety ◽  
Hospital Policies ◽  
The Uk

Abstract Background/Aims  The COVID-19 pandemic has had a significant impact on the management of outpatients. During the first wave of the pandemic, and in common with other departments, almost all our patient consultations happened over the phone. As the rate of infection fell, we felt it was crucial that the patient voice was heard as we re-organised clinical areas and re-opened services. In view of this, we conducted an online survey to better understand patient concerns around visiting our hospital for appointments and how we can adapt the way we work to ensure patient safety and satisfaction. Methods  Using our electronic patient record, we identified patients from the clinic lists of 2 adult rheumatology consultants over a 6-week period between June and August 2020. This timeframe was selected as it was towards the end of the UK nationwide shielding period and our department was returning to deliver an increasing proportion of outpatient care face-to-face. Included patients had to have been treated with an immunosuppressive drug and only those on monotherapy hydroxychloroquine, sulfasalazine or prednisolone under 5mg were excluded. We consented each patient via telephone before sending them an email link to an online anonymised survey. This included a combination of 9 multiple choice and white space questions. Results  65 patients were identified of which 16 were excluded as we were unable to contact them or they declined consent. 49 patients were sent the survey of which 31 responses were received. 21/31 (67%) of patients had been shielding. The survey revealed six themes of concern. These include: lack of social distancing in common hospital areas, lack of personal protective equipment compliance amongst staff, prolonged time spent in waiting rooms, lack of knowledge on new hospital policies, logistics of using public transport to come to the hospital, and the importance of retaining virtual consultations going forward. 55% of patients stated they would feel safe in returning to the hospital for face-to-face appointments over the next few months. Conclusion  Important themes have emerged from this project that we have presented to our rheumatology multi-disciplinary team, Director of Innovation and Head of Patient Experience. This has reinforced adaptations in our hospital environment such as installing safe distance seating in waiting rooms and scheduled phlebotomy slots. Further, where possible we call patients before face-to-face appointments to inform them of our safety measures and try to schedule these patients for outside peak travel hours. We acknowledge that using an online survey may limit responses from older individuals or those with English as a second language. Despite this, our project has shown the importance of recognising the unique concerns of rheumatology patients and the value in using their opinions to create a “new normal” for our outpatient environment. Disclosure  R. Amarnani: None. B. Goulden: None. J. Manson: None. V. Morris: None.

scholarly journals 0527 The Uptake of a Free Digital CBTi Programme in a Large Commercial Organisation

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A201-A202
Author(s):  
A Gardiner ◽  
N Stanley
Keyword(s):  
Success Rate ◽  
Perceived Barriers ◽  
Line Treatment ◽  
Success Rates ◽  
First Line ◽  
Face To Face ◽  
The Uk ◽  
Human Support ◽  
Large Organisation ◽  
First Line Treatment

Abstract Introduction CBTi is effective in the treatment of insomnia and is now recommended as the first-line treatment. However, despite the desirability of CBTi, access to therapy is restricted due to the lack of sufficient appropriately trained and experienced therapists. Because of the lack of therapists and the financial and time costs associated with face to face therapy a number of programmes that offer CBTi digitally have been developed, which have been shown to have similar success rates to receiving therapy in person. Methods The uptake of Sleepstation www.sleepstation.org.uk, a clinically proven CBTi platform with additional human support, was investigated when it was offered free to the members of a large organisation in the UK. The availability of the programme was promoted via the organisation’s website for 3 months. Results 1173 people registered an interest in the programme of which 880 were assessed for suitability (73% female, median age 45yrs). 411 where offered treatment due to symptoms indicative of insomnia. 188 initiated treatment. 137 complete the programme or reached recovery. 112 showed an improvement in their sleep. Conclusion Simply reporting the success rate of CBTi only tells part of the story. Simply improving access to CBTi, whether face to face or digitally, does not necessarily improve the initiation, retention, and completion of CBTi therapy. Further research is needed to fully understand the real and perceived barriers to the use of CBTi. Support This study was facilitated by Sleepstation

Recruitment through migrant social networks from Latvia to the United Kingdom: Motivations, processes and developments

2015 ◽  
Vol 12 (1) ◽  
pp. 50-66 ◽  
Author(s):  
David McCollum ◽  
Elina Apsite-Berina
Keyword(s):  
Social Networks ◽  
Migrant Workers ◽  
Online Survey ◽  
Original Material ◽  
Face To Face ◽  
The United Kingdom ◽  
Wage Employment ◽  
The Uk ◽  
The Relationship

A burgeoning body of literature exists in relation to the role of social networks in connecting migrant workers with employment opportunities, particularly in lower wage jobs. This evidence points to social networks being an attractive recruitment channel from the perspective of both migrants seeking employment and employers seeking employees. This analysis presents a wide breadth of original material, which examines recruitment through social networks from the perspective of both migrants and employers. This includes data drawn from an extensive mixed methods approach involving a novel online survey of Latvian migrants in the UK and face-to-face interviews with British low-wage employers. This study seeks to offer important and timely contributions to debates about the relationship between migrant social networks and low-wage employment and the implications of these recruitment mechanisms.

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