Development, validation, and testing of a physiotherapist initiated checklist of items for implementing pulmonary rehabilitation in Nigeria

2021 ◽  
Vol 2 ◽  
pp. 140-147
Author(s):  
Jibril Mohammed ◽  
Judith Thornton
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Pulmonary Rehabilitation ◽  
Respiratory Health ◽  
British Thoracic Society ◽  
Supporting Evidence ◽  
Chronic Respiratory Diseases ◽  
Resource Limited ◽  
Item Checklist ◽  
Strongly Agree

Objectives: Pulmonary rehabilitation (PR) program is beneficial to patients with chronic respiratory diseases. However, PR services are limited or non-existent in many resource limited settings of the world, including Nigeria. Equally important, is lack of local guidelines or checklists to support the implementation of these programs. This study was aimed at developing, validating, and testing a physiotherapist initiated checklist of items for implementing of PR in Nigeria. Materials and Methods: A panel of experienced cardiopulmonary physiotherapists was constituted to draw-up and agree on a list of items that they consider necessary for implementing of PR. The resulting items were collated as a checklist of items. The checklist was then locally validated by presenting it to a wider group of respiratory health-care professionals including chest physicians, nurses, occupational therapists, dieticians, and clinical psychologists, practicing within the study area. Each item was rated from strongly agree to strongly disagree on 5-point Likert scale. Thereafter, the performance of the items of the checklist was subjected to testing by assessing whether each item was addressed in the British Thoracic Society (BTS) PR guideline. This was done by rating each item with either a “yes,” “no,” or “not fully” to whether our checklists are included and described in the BTS guideline. Supporting evidence profile was also stated for some items, if applicable. Results: A consensus was reached by the panel of physiotherapists to arrive at a 16-item checklist. Each item was further provided with specific details and/or examples that are relevant for instituting PR in a Nigerian setting. All items on the checklist were considered valid by other respiratory health-care professionals, with a rating consensus agreement of between 80% and 100%. Furthermore, the testing of checklists based on inclusion and description in the BTS guideline showed that six items were addressed fully in the BTS guideline (rated “yes”), six were partially addressed (rated “not fully”), while four were not addressed (rated “no”). Conclusion: A checklist of items for the implementation of PR in Nigeria was successfully developed, validated, and tested. Nevertheless, there may be a need to develop a full guideline before instituting PR in view of the potential disparities with existing/established guidelines.

scholarly journals Keeping people with epilepsy safe during the COVID-19 pandemic

Neurology ◽  
2020 ◽  
Vol 94 (23) ◽  
pp. 1032-1037 ◽  
Author(s):  
Jacqueline A. French ◽  
Martin J. Brodie ◽  
Roberto Caraballo ◽  
Orrin Devinsky ◽  
Ding Ding ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Care Pathway ◽  
Clinical Care ◽  
Health Care Facilities ◽  
Urgent Care ◽  
Consensus Recommendations ◽  
Consensus Statements ◽  
Care Facilities ◽  
Strongly Agree

ObjectivesTo provide information on the effect of the coronavirus disease of 2019 (COVID-19) pandemic on people with epilepsy and provide consensus recommendations on how to provide the best possible care for people with epilepsy while avoiding visits to urgent care facilities and hospitalizations during the novel coronavirus pandemic.MethodsThe authors developed consensus statements in 2 sections. The first was “How should we/clinicians modify our clinical care pathway for people with epilepsy during the COVID-19 pandemic?” The second was “What general advice should we give to people with epilepsy during this crisis? The authors individually scored statements on a scale of −10 (strongly disagree) to +10 (strongly agree). Five of 11 recommendations for physicians and 3/5 recommendations for individuals/families were rated by all the authors as 7 or above (strongly agree) on the first round of rating. Subsequently, a teleconference was held where statements for which there was a lack of strong consensus were revised.ResultsAfter revision, all consensus recommendations received a score of 7 or above. The recommendations focus on administration of as much care as possible at home to keep people with epilepsy out of health care facilities, where they are likely to encounter COVID-19 (including strategies for rescue therapy), as well as minimization of risk of seizure exacerbation through adherence, and through ensuring a regular supply of medication. We also provide helpful links to additional helpful information for people with epilepsy and health providers.ConclusionThese recommendations may help health care professionals provide optimal care to people with epilepsy during the coronavirus pandemic.

scholarly journals Pulmonary rehabilitation in Lebanon “What do we have”? A national survey among chest physicians

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254419
Author(s):  
Rebecca Farah ◽  
Wim Groot ◽  
Milena Pavlova
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Pulmonary Rehabilitation ◽  
Healthcare Providers ◽  
Rehabilitation Program ◽  
Cost Of Care ◽  
Attitudes And Practices ◽  
Positive Effects ◽  
Awareness Campaigns ◽  
Pulmonary Rehabilitation Program

Background Pulmonary rehabilitation (PR) is not very often used by physicians in Lebanon despite evidence on its positive effects on health-related quality of life. Aim This study assesses the knowledge, attitudes and practices of PR among physicians in Lebanon. In addition, the study identifies the main barriers to access to PR according to chest physicians. Insight into these issues will help to increase awareness about the need for PR programs and can contribute to designing such programs in the country. Methods A survey was conducted during the regional conference of the Lebanese Pulmonary Society. One week after the initial survey, the survey questionnaire was sent by email to all chest physicians who were registered with the Lebanese Pulmonary Society but did not attend the conference. A 25-item questionnaire was used to collect information on PR. Results Responses were analyzed using descriptive statistics. The response rate was 40%. Results show that only one-third of Lebanese chest physicians have good knowledge about the nature and multidisciplinary content of PR. Physicians generally support the current “Pulmonary Rehabilitation Program” in Beirut. Key barriers found are the lack of referral, lack of motivation by patients due to their health, cost of care and lack of qualified health care specialists in Lebanon. Conclusion Absence of awareness and education about PR among healthcare providers plays an important role in increasing access to the “Pulmonary Rehabilitation Program”. Awareness campaigns and education for physicians, health care professionals and patients should be considered to increase PR in the country.

scholarly journals Pulmonary Rehabilitation in Canada: A Report from the Canadian Thoracic Society COPD Clinical Assembly

2015 ◽  
Vol 22 (3) ◽  
pp. 147-152 ◽  
Author(s):  
Pat G Camp ◽  
Paul Hernandez ◽  
Jean Bourbeau ◽  
Ashley Kirkham ◽  
Richard Debigare ◽  
...  
Keyword(s):  
Health Care ◽  
Lung Disease ◽  
Present Article ◽  
Health Care Professionals ◽  
Pulmonary Rehabilitation ◽  
Online Survey ◽  
Program Improvement ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Number Of Patients

BACKGROUND: Pulmonary rehabilitation (PR) is a recommended intervention in the management of individuals with chronic lung disease. It is important to study the characteristics and capacity of programs in Canada to confirm best practices and identify future areas of program improvement and research.OBJECTIVE: To identify all Canadian PR programs, regardless of setting, and to comprehensively describe all aspects of PR program delivery. The present article reports the results of the survey related to type of program, capacity and program characteristics.METHODS: All hospitals in Canada were contacted to identify PR programs. A representative from each program completed a 175-item online survey encompassing 16 domains, 10 of which are reported in the present article.RESULTS: A total of 155 facilities in Canada offered PR, of which 129 returned surveys (83% response rate). PR programs were located in all provinces, but none in the three territories. Most (60%) programs were located in hospital settings, 24% were in public health units and 8% in recreation centres. The national capacity of programs was estimated to be 10,280 patients per year, resulting in 0.4% of all Canadians with chronic obstructive pulmonary disease (COPD) and 0.8% of Canadians with moderate to severe COPD having access to PR. COPD, interstitial lung disease, and asthma were the most common diagnoses of patients. The majority of programs had at least four health care professionals involved; 9% had only one health care professional involved.CONCLUSION: The present comprehensive survey of PR in Canada reports an increase in the number of programs and the total number of patients enrolled since the previous survey in 2005. However, PR capacity has not kept pace with demand, with only 0.4% of Canadians with COPD having access.

scholarly journals Health Care Practitioners’ Determinants of Telerehabilitation Acceptance

2020 ◽  
Vol 12 (1) ◽  
pp. 43-50
Author(s):  
Abdullah A. Almojaibel ◽  
Niki Munk ◽  
Lynda T. Goodfellow ◽  
Thomas F. Fisher ◽  
Kristine K. Miller ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Pulmonary Rehabilitation ◽  
Perceived Usefulness ◽  
Care Providers ◽  
Chronic Respiratory Diseases ◽  
Rehabilitation Programs ◽  
Health Care Practitioners ◽  
Intent To Use ◽  
Survey Results

Background: Pulmonary rehabilitation is a multidisciplinary patient-tailored intervention that aims to improve the physical and psychological condition of people with chronic respiratory diseases. Providing pulmonary rehabilitation (PR) services to the growing population of patients is challenging due to shortages in health care practitioners and pulmonary rehabilitation programs. Telerehabilitation has the potential to address this shortage in practitioners and PR programs as well as improve patients’ participation and adherence. This study’s purpose was to identify and evaluate the influences of intention of health care practitioners to use telerehabilitation. Methods: Data were collected through a self-administered Internet-based survey. Results: Surveys were completed by 222 health care practitioners working in pulmonary rehabilitation with 79% having a positive intention to use telerehabilitation. Specifically, perceived usefulness was a significant individual predictor of positive intentions to use telerehabilitation. Conclusion: Perceived usefulness may be an important factor associated with health care providers’ intent to use telerehabilitation for pulmonary rehabilitation.

scholarly journals The Need for Expanding Pulmonary Rehabilitation Services

Life ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 1236
Author(s):  
Aroub Lahham ◽  
Anne E. Holland
Keyword(s):  
Health Care ◽  
Lung Disease ◽  
Chronic Lung Disease ◽  
Low Income ◽  
Health Care Professionals ◽  
Pulmonary Rehabilitation ◽  
Health Care Systems ◽  
Low Income Countries ◽  
Related Factors ◽  
Care Systems

Pulmonary rehabilitation is a strongly recommended and effective treatment for people with chronic lung disease. However, access to pulmonary rehabilitation is poor. Globally, pulmonary rehabilitation is accessed by less than 3% of people with chronic lung disease. Barriers to referral, uptake and completion of pulmonary rehabilitation are well documented and linked with organizational, practitioner and patient-related factors. Enhancing the knowledge of health care professionals, family carers, and people with chronic lung disease about the program and its benefits produces modest increases in referral and uptake rates, but evidence of the sustainability of such approaches is limited. Additionally, initiatives focusing on addressing organizational barriers to access, such as expanding services and implementing alternative models to the conventional center-based setting, are not yet widely used in clinical practice. The COVID-19 pandemic has highlighted the urgent need for health care systems to deliver pulmonary rehabilitation programs remotely, safely, and efficiently. This paper will discuss the pressing need to address the issue of the low accessibility of pulmonary rehabilitation. It will also highlight the distinctive challenges to pulmonary rehabilitation delivery in rural and remote regions, as well as low-income countries.

scholarly journals KNOWLEDGE AND PERCEPTION TOWARDS PULMONARY REHABILITATION BY HEALTH CARE PROFESSIONALS AND BARRIERS

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A2458
Author(s):  
Akhilesh Kunoor ◽  
Divya Surendran ◽  
Arvind Perathur ◽  
Vishnu Krishnan ◽  
Arun Raj ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Pulmonary Rehabilitation

scholarly journals At home with pulmonary rehabilitation

2016 ◽  
Vol 5 ◽  
Author(s):  
Richard ZuWallack
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Utilization ◽  
Exercise Capacity ◽  
Pulmonary Rehabilitation ◽  
Respiratory Diseases ◽  
Care Utilization ◽  
Chronic Respiratory Diseases ◽  
At Home

Pulmonary rehabilitation results in substantial and clinically meaningful improvements in dyspnea, exercise capacity and quality of life for patients with chronic respiratory diseases such as COPD.  There is also evidence indicating that pulmonary re- habilitation reduces subsequent health care utilization and – perhaps – mortality, if the intervention is given in the post-exacerbation period.

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