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An explorative qualitative study into Egyptian patients’ satisfaction with physiotherapy management of low back pain
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The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
POS002 Skype project: interview with an international peer H. Willemsen Hanze University, Health Care Studies, Groningen, Netherlands Relevance: Innovative motives for learning, teaching and curriculum development for core values and competences. Internationalisation, globalisation as a focal point in the curriculum. Target population are lecturers and students from universities in Europe. To get acquainted with the Skype project, evaluate and discuss points for improvement. Purpose: The aim of the workshop is to discuss the pilot and student evaluation. During the workshop an overview will be given about the pilot; student evaluation will be presented by a 3rd year honours student physiotherapy. Interaction through active participation in performing the oral interview used during the pilot and evaluation to enhance the outcome of the project and define a path for the future. Approach/evaluation: Skype as a social media tool that can be used to enhance proficiency in English, cross cultural communication skills and knowledge of international developments related to health and physiotherapy. Skype pilot conducted with Hanze University and 6 Erasmus partners (JAMK Jyvaskyla, Finland & Instituto Politechnico Setubal, Portugag & UCN, Aalburg, Danmark & FH Campus Wien, Austria & Centro Universitario San Rafael-Nebrija, Madrid, Spain & University of Physical Education, Krakow, Poland). Participation of 286 Hanze students and 144 partner students. The pilot aimed at enhancing students’ intercultural communication skills by conducting a Skype interview with a physiotherapy student from our partner-university. One of the third year honours students conducted a survey to evaluate the outcome of the pilot. A survey was presented to the students who participated in the pilot. Evaluation was done in an online format, with the use of the SurveyMonkeyTM tool. With the information from this evaluation, the name program can be enhanced to its full potential. The survey aims to allow The Hanze University of Applied Sciences, alongside its international peers, to demonstrate the enormous advantages and gains of this innovative program with the hopes of expanding the program to reach additional partner universities and students. Outcomes: A ‘look behind the scenes’ of an interesting pilot project which is a cooperation between several European Universities. Competencies: multicultural awareness, multicultural communication, a way of ‘linking’ universities and students. Discussion and conclusions: Final recommendation: The Assessment with an International Peer Program was a great success and should be expanded and continued to be implemented in the physiotherapy curriculum as a unique, exciting, and first-hand strategy of educating students on the crucial
topic of intercultural communication and internationalization. Impact and implications: Proposed as a workshop, see discussion. http://dx.doi.org/10.1016/j.physio.2016.10.060 POS003 An explorative qualitative study into Egyptian patients’ satisfaction with physiotherapy management of low back pain N. Ali Sheffield Hallam University, Health and Well Being, Sheffield, United Kingdom Relevance: The contemporary dominant paradigm in many healthcare services is patient-centred care. Within this paradigm patient satisfaction has emerged as an important outcome in its own right. Furthermore improved satisfaction is also associated with other important outcomes, such as, greater treatment adherence, better overall outcome, and a higher quality of life (Larsson et al., 2010). Investigations into patient satisfaction are common, with a systematic review from 2011 reporting on 15 such studies (Hush et al., 2011). These studies were conducted predominantly in the UK, Ireland, and North America. Knowledge about satisfaction with health-care provision from non-Western countries is unknown. The objective of this study was to identify the aspects of physiotherapy that Egyptian patients consider important in a satisfactory episode of physiotherapy care for back pain. Purpose: The aim of this study is to explore Egyptian patients’ expectations and satisfaction with physical therapy management of low back pain. Methods/analysis: Ethical approval was obtained from Sheffield Hallam University. Participants were recruited from one of the largest public outpatient clinics, which is the faculty of physical therapy, Cairo University (General Physiotherapy Syndicate GPTS 2012), and two private physiotherapy practices in Cairo. Purposive sampling was used to recruit patients who were receiving physiotherapy for low back pain (LBP) (Robson, 2002). A total of 18 out of 40 invited patients volunteered to participate. The researcher considered all volunteers as eligible and information rich subjects according to flexible eligibility criteria. 2 focus groups and 10 semi-structured interviews were conducted; all discussions were audio recorded, transcribed verbatim and analysed by framework analysis to generate themes that represent patients’ opinions and reflect their experiences. Results: Although outcome was a key component of satisfaction this was not just about recovery, but could include the development of coping strategies. Other components of satisfaction included the characteristics of the therapist,
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
namely their gender, their manner and their professional competence; the provision of information, namely about the problem, the treatment plan, what they could do to help themselves, and prognosis; service provision, and decisionmaking. Most of our participants preferred to be treated by a therapist from the same gender and wanted to delegate all clinical decision making to the therapist. These findings differ from those of western studies which may relate to cultural differences that frown upon opposite gender proximity and value expert opinion more than patient opinions respectively. Discussion and conclusions: 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. Impact and implications: Accordingly, redirecting LBP management to include patient satisfaction outcome measures is recommended to give Egyptian patients the chance to evaluate and improve the quality of back care. Funding acknowledgement: All expense related to the research were covered by the main researcher, Nancy Ali, who also wishes to extend gratitude to her supervisor, Dr. Stephen May, for his valuable feedback and guidance during the research process. http://dx.doi.org/10.1016/j.physio.2016.10.061 POS004 Current knowledge of scoliosis in physiotherapy students training in the UK D.A.J. Black 1,∗ , M. Bradley 1 , D. Shawn 2 , E. Maude 1 , D. Glynn 3 1 Scoliosis
SOS, London, United Kingdom State University, Jonesboro, United States 3 Independant, York, United Kingdom 2 Arkansas
Relevance: This study is designed to analyse and evaluate the knowledge gained by final and penultimate year physiotherapy students regarding the identification and management of scoliosis within universities in the UK. Purpose: It has previously been highlighted in both Poland and the United States that knowledge of Idiopathic Scoliosis (IS) among physiotherapy students is limited with respect to the SOSORT Guidelines. Early detection of scoliosis and correct initial management is essential in effective scoliosis care, and thus physiotherapists should be aware of the basic criteria for diagnosis and indications for treatment. The aim of this study was to evaluate the basic knowledge of Idiopathic Scoliosis in physiotherapy students trained in the UK. Methods/analysis: A previously designed and tested 10question survey, including knowledge of 2011 SOSORT
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Guidelines was transcribed onto an online-survey platform. Questions were designed to analyse knowledge of: definition, cause, development, prevalence, diagnosis, treatment and bracing of scoliosis. All physiotherapy-based UK universities were invited to participate, with the programme lead of each institution asked to distribute the questionnaire among the target population of final and penultimate year physiotherapy students (Master’s and Bachelor’s Degrees). The final number of students who received the study invitation is unknown. The survey link closed after 8 weeks of data collection. Results: A total of 206 students, split over 12 institutions successfully completed the questionnaire. Analysis showed that 79% of students recognised when Idiopathic Scoliosis (IS) is likely to develop, yet only 52% recognised that Idiopathic Scoliosis’ aetiology is unknown. 88% of students incorrectly defined IS as a 2-dimensional deformity, with only 24% of students successful in recognising the prevalence of IS within the scoliosis population. 12% of students could recognise the criteria for diagnosis and 93% were unable to recognise the appropriate treatment approach through therapeutic exercise. Finally 54% students managed to correctly identify when bracing is recommended for IS. In comparison to previous studies within the US, UK students performed worse in relation to all questions except treatment (7% answered correctly vs 3% in the US). Discussion and conclusions: With only 7% of students able to answer >50% of the survey questions correctly, there is a clear lack of knowledge of appropriate Idiopathic Scoliosis diagnosis and care which could directly impact the information these patients are given within first contact primary care in the UK. Impact and implications: A lack of knowledge at firstcontact in primary care within the UK can cause to a delay in diagnosis, referral and correct management of Idiopathic Scoliosis which is a particularly time sensitive and progressive condition. Funding acknowledgement: Unfunded. http://dx.doi.org/10.1016/j.physio.2016.10.062 POS005 Development of critical care rehabilitation guidelines in clinical practice: a quality improvement project S. Elliott Medway NHS Foundation Trust, Physiotherapy Dept, Gillingham, United Kingdom Relevance: Rehabilitation in critical care has the potential to restore lost function and improve quality of life on discharge, but patients are often viewed as too unstable to participate in physical rehabilitation. Following a physiotherapy service evaluation of the provision of critical care rehabil-
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
POS002 Skype project: interview with an international peer H. Willemsen Hanze University, Health Care Studies, Groningen, Netherlands Relevance: Innovative motives for learning, teaching and curriculum development for core values and competences. Internationalisation, globalisation as a focal point in the curriculum. Target population are lecturers and students from universities in Europe. To get acquainted with the Skype project, evaluate and discuss points for improvement. Purpose: The aim of the workshop is to discuss the pilot and student evaluation. During the workshop an overview will be given about the pilot; student evaluation will be presented by a 3rd year honours student physiotherapy. Interaction through active participation in performing the oral interview used during the pilot and evaluation to enhance the outcome of the project and define a path for the future. Approach/evaluation: Skype as a social media tool that can be used to enhance proficiency in English, cross cultural communication skills and knowledge of international developments related to health and physiotherapy. Skype pilot conducted with Hanze University and 6 Erasmus partners (JAMK Jyvaskyla, Finland & Instituto Politechnico Setubal, Portugag & UCN, Aalburg, Danmark & FH Campus Wien, Austria & Centro Universitario San Rafael-Nebrija, Madrid, Spain & University of Physical Education, Krakow, Poland). Participation of 286 Hanze students and 144 partner students. The pilot aimed at enhancing students’ intercultural communication skills by conducting a Skype interview with a physiotherapy student from our partner-university. One of the third year honours students conducted a survey to evaluate the outcome of the pilot. A survey was presented to the students who participated in the pilot. Evaluation was done in an online format, with the use of the SurveyMonkeyTM tool. With the information from this evaluation, the name program can be enhanced to its full potential. The survey aims to allow The Hanze University of Applied Sciences, alongside its international peers, to demonstrate the enormous advantages and gains of this innovative program with the hopes of expanding the program to reach additional partner universities and students. Outcomes: A ‘look behind the scenes’ of an interesting pilot project which is a cooperation between several European Universities. Competencies: multicultural awareness, multicultural communication, a way of ‘linking’ universities and students. Discussion and conclusions: Final recommendation: The Assessment with an International Peer Program was a great success and should be expanded and continued to be implemented in the physiotherapy curriculum as a unique, exciting, and first-hand strategy of educating students on the crucial
topic of intercultural communication and internationalization. Impact and implications: Proposed as a workshop, see discussion. http://dx.doi.org/10.1016/j.physio.2016.10.060 POS003 An explorative qualitative study into Egyptian patients’ satisfaction with physiotherapy management of low back pain N. Ali Sheffield Hallam University, Health and Well Being, Sheffield, United Kingdom Relevance: The contemporary dominant paradigm in many healthcare services is patient-centred care. Within this paradigm patient satisfaction has emerged as an important outcome in its own right. Furthermore improved satisfaction is also associated with other important outcomes, such as, greater treatment adherence, better overall outcome, and a higher quality of life (Larsson et al., 2010). Investigations into patient satisfaction are common, with a systematic review from 2011 reporting on 15 such studies (Hush et al., 2011). These studies were conducted predominantly in the UK, Ireland, and North America. Knowledge about satisfaction with health-care provision from non-Western countries is unknown. The objective of this study was to identify the aspects of physiotherapy that Egyptian patients consider important in a satisfactory episode of physiotherapy care for back pain. Purpose: The aim of this study is to explore Egyptian patients’ expectations and satisfaction with physical therapy management of low back pain. Methods/analysis: Ethical approval was obtained from Sheffield Hallam University. Participants were recruited from one of the largest public outpatient clinics, which is the faculty of physical therapy, Cairo University (General Physiotherapy Syndicate GPTS 2012), and two private physiotherapy practices in Cairo. Purposive sampling was used to recruit patients who were receiving physiotherapy for low back pain (LBP) (Robson, 2002). A total of 18 out of 40 invited patients volunteered to participate. The researcher considered all volunteers as eligible and information rich subjects according to flexible eligibility criteria. 2 focus groups and 10 semi-structured interviews were conducted; all discussions were audio recorded, transcribed verbatim and analysed by framework analysis to generate themes that represent patients’ opinions and reflect their experiences. Results: Although outcome was a key component of satisfaction this was not just about recovery, but could include the development of coping strategies. Other components of satisfaction included the characteristics of the therapist,
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
namely their gender, their manner and their professional competence; the provision of information, namely about the problem, the treatment plan, what they could do to help themselves, and prognosis; service provision, and decisionmaking. Most of our participants preferred to be treated by a therapist from the same gender and wanted to delegate all clinical decision making to the therapist. These findings differ from those of western studies which may relate to cultural differences that frown upon opposite gender proximity and value expert opinion more than patient opinions respectively. Discussion and conclusions: 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. Impact and implications: Accordingly, redirecting LBP management to include patient satisfaction outcome measures is recommended to give Egyptian patients the chance to evaluate and improve the quality of back care. Funding acknowledgement: All expense related to the research were covered by the main researcher, Nancy Ali, who also wishes to extend gratitude to her supervisor, Dr. Stephen May, for his valuable feedback and guidance during the research process. http://dx.doi.org/10.1016/j.physio.2016.10.061 POS004 Current knowledge of scoliosis in physiotherapy students training in the UK D.A.J. Black 1,∗ , M. Bradley 1 , D. Shawn 2 , E. Maude 1 , D. Glynn 3 1 Scoliosis
SOS, London, United Kingdom State University, Jonesboro, United States 3 Independant, York, United Kingdom 2 Arkansas
Relevance: This study is designed to analyse and evaluate the knowledge gained by final and penultimate year physiotherapy students regarding the identification and management of scoliosis within universities in the UK. Purpose: It has previously been highlighted in both Poland and the United States that knowledge of Idiopathic Scoliosis (IS) among physiotherapy students is limited with respect to the SOSORT Guidelines. Early detection of scoliosis and correct initial management is essential in effective scoliosis care, and thus physiotherapists should be aware of the basic criteria for diagnosis and indications for treatment. The aim of this study was to evaluate the basic knowledge of Idiopathic Scoliosis in physiotherapy students trained in the UK. Methods/analysis: A previously designed and tested 10question survey, including knowledge of 2011 SOSORT
eS69
Guidelines was transcribed onto an online-survey platform. Questions were designed to analyse knowledge of: definition, cause, development, prevalence, diagnosis, treatment and bracing of scoliosis. All physiotherapy-based UK universities were invited to participate, with the programme lead of each institution asked to distribute the questionnaire among the target population of final and penultimate year physiotherapy students (Master’s and Bachelor’s Degrees). The final number of students who received the study invitation is unknown. The survey link closed after 8 weeks of data collection. Results: A total of 206 students, split over 12 institutions successfully completed the questionnaire. Analysis showed that 79% of students recognised when Idiopathic Scoliosis (IS) is likely to develop, yet only 52% recognised that Idiopathic Scoliosis’ aetiology is unknown. 88% of students incorrectly defined IS as a 2-dimensional deformity, with only 24% of students successful in recognising the prevalence of IS within the scoliosis population. 12% of students could recognise the criteria for diagnosis and 93% were unable to recognise the appropriate treatment approach through therapeutic exercise. Finally 54% students managed to correctly identify when bracing is recommended for IS. In comparison to previous studies within the US, UK students performed worse in relation to all questions except treatment (7% answered correctly vs 3% in the US). Discussion and conclusions: With only 7% of students able to answer >50% of the survey questions correctly, there is a clear lack of knowledge of appropriate Idiopathic Scoliosis diagnosis and care which could directly impact the information these patients are given within first contact primary care in the UK. Impact and implications: A lack of knowledge at firstcontact in primary care within the UK can cause to a delay in diagnosis, referral and correct management of Idiopathic Scoliosis which is a particularly time sensitive and progressive condition. Funding acknowledgement: Unfunded. http://dx.doi.org/10.1016/j.physio.2016.10.062 POS005 Development of critical care rehabilitation guidelines in clinical practice: a quality improvement project S. Elliott Medway NHS Foundation Trust, Physiotherapy Dept, Gillingham, United Kingdom Relevance: Rehabilitation in critical care has the potential to restore lost function and improve quality of life on discharge, but patients are often viewed as too unstable to participate in physical rehabilitation. Following a physiotherapy service evaluation of the provision of critical care rehabil-