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Return on investment of international immersion programs: stakeholder perspectives
eS398
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS26–eS426
K. Pooranawatthanakul, A. Foongchomcheay
Implications: A minimal of 3 weeks training of video game based or a home based exercise especially lower limb muscles strengthening have potential to improve balance in elderly. Keywords: Elderly; Video game commercial; Balance Funding acknowledgements: This work was supported by a grant from the Faculty of Allied Health Sciences, Chulalongkorn University, Thailand. Ethics approval: Ethics Review Committee for Research Involving Human Research Subjects, Health Sciences Group, Chulalongkorn University.
Chulalongkorn University, Department of Physical Therapy, Bangkok, Thailand
http://dx.doi.org/10.1016/j.physio.2015.03.625
Research Report Platform Rapid 5 Presentation Number: RR-PLR5-3387 Saturday 2 May 2015 16:00 Room 324–326 EFFECT OF VIDEO GAME COMMERCIAL ON SHORT TERM BALANCE TRAINING IN THAI ELDERLY
Background: Fall is one of the leading causes to incapability of individuals over the age of 65 years old and commonly used as an indicator to reveal the ability to control balance. Consequence of falls can lead to fractures, activity avoidance, health decline, disability, fear of falling and hospitalization. Numbers of research reported that the most effective fall-prevention programs involved a variety of tasks which challenge balance, such as multisensory balance training and a training program done by a game console or video games. Purpose: The objectives of this study were to compare the effect of video game commercial exercise and home based exercise on short-term effect in improving balance in the elderly. Methods: Forty-eight healthy elderly, age 65–80 years were included. Participants were randomized into a video game based exercise (Wii) group (n = 24) and a home based exercise group (n = 24). The Wii group was set at Phra Nung Kloa hospital elderly club and received video game exercise 30-45 minutes per day, 3 days a week, for 4 weeks. The home based group was received self-monitored exercise for 30 minutes, 3 times a week, for 4 weeks. The home based group was reminded about the exercises by the researcher via telephone twice a week and also received a handbook to prevent fall. Berg Balance Scale (BBS), Fullerton Advance Balance Scale (FAB), and Functional Reach Test (FRT) were evaluated at the beginning of training, the end of week 1, 2, 3 and at the completed of the training on week 4. Results: Repeated two way ANOVA showed no significantly different reach distance (FRT) when compared Wii group and home base group at the end of week 4 (p = 0.144). Both groups showed significantly improved reach distance (FRT) started at the end of week 1, score of FAB and BBS at the end of week 2 and 3 respectively (p < 0.05). No significantly different between groups in BBS and FAB was found. Conclusion(s): Video game based exercise and home based exercise improved balance in the elderly demonstrating by increased scores of BBS, FAB and reach distance (FRT) after 4 weeks training, indicating improvement of balance and implied the reduction of risks of fall in the elderly.
Research Report Poster Presentation Number: RR-PO-04-02-Sat Saturday 2 May 2015 13:00 Exhibit halls 401–403 RETURN ON INVESTMENT OF INTERNATIONAL IMMERSION PROGRAMS: STAKEHOLDER PERSPECTIVES C. Footer 1 , H. Eigsti 1 , M. Christenson 1 , M. Schumacher 2 , R. Haight 2 , J. McCurdy 3 , J. Lee 4 1 Regis University, School of Physical Therapy, Denver, United States; 2 Regis University, School of Pharmacy, Denver, United States; 3 Regis University, Health Ethics, Denver, United States; 4 Denver Health, Denver, United States
Background: International global health immersion and service learning experiences have become an integral part of many higher education programs over the past decade. These experiences are often linked to institutional objectives, reinforce the ideals of social responsibility, and civic participation. With this expansion comes a responsibility to assess the investment and unique impact of the programs at multiple stakeholder levels, including students, faculty, community partners, and the institution. It is essential for programs to make evidenced based decisions about the allocation of resources for such programs. Therefore, programs must be able to determine investments and measure outcomes so that they can intentionally develop processes and programs that foster sustainable student, faculty and community growth. Purpose: The aim of this study was to develop an approach to evaluate the return on investment of international immersion programs in higher education. Methods: This study had three phases and used a mixed methods design. Phase I used focus groups to identify common themes related to investments and outcomes of international immersion experiences across four stakeholder groups,
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS26–eS426
(1) (2) (3) (4)
students, community partners, faculty, and institution.
Participants in this phase included 6–8 invited members of each represented group at Regis University (Denver, CO) and its community partners. Each participant completed and anonymous online survey that asked the question, “Describe all factors that influenced your decision to participate or resulted from your participation in the global immersion and or service experience at Regis University.” The results were analyzed and grouped by theme independently by two investigators who were competent in qualitative methodology. Phase II utilized the identified themes to develop a survey through a Delphi process. Participants in Phase II represented all stakeholder groups as identified in Phase I. The implementation of the new survey was the purpose of Phase III. Participants in Phase III included students who had participated in at least one international immersion program at Regis University. The data from Phase III was both quantitative (descriptive analysis) and qualitative in nature. Participants in all phases provided informed consent. Results: Data from Phase I and II was analyzed by two investigators and major themes were identified for the development of the survey tool. Thirteen graduate students representing programs in physical therapy, nursing, and pharmacy participated in the Phase III survey. All participants indicted that they increased their awareness and understanding of concepts related to topics such as social determinants of health, community development, global interdependence, In addition, they identified personal and academic challenges upon return home form the program related to personal beliefs and values, cultural awareness and understanding, and impact of service learning on themselves and others. Conclusion(s): The ability to determine the return on investment provided the opportunity to assess both tangible and qualitative investments and outcomes of international immersion programs, which empowers stakeholders to make informed decisions on future directions for these types of programs. Implications: The evaluation of investments and outcomes is an invaluable process that provides much needed insight on the ultimate value of international immersion programs in higher education. Keywords: Clinical education; Global health; Service learning Funding acknowledgements: None. Ethics approval: Study approved by Regis University Institutional Review Board. http://dx.doi.org/10.1016/j.physio.2015.03.626
eS399
Research Report Poster Presentation Number: RR-PO-99-18-Sat Saturday 2 May 2015 13:00 Exhibit halls 401–403 PLANTAR PRESSURE DISTRIBUTION IN PEOPLE WITH STROKE AND ASSOCIATION WITH FUNCTIONAL CONSEQUENCES S. Forghany 1,2 , C.J. Nester 2 , S.F. Tyson 2,3 , S. Preece 2 , R.K. Jones 2 1 Isfahan University of Medical Sciences, Musculoskeletal Research Centre, Isfahan, Iran; 2 University of Salford, Centre for Health Sciences Research, Manchester, United Kingdom; 3 University of Manchester, Stroke Research Centre, School of Nursing Midwifery and Social Work, Manchester, United Kingdom
Background: People with stroke suffer abnormal foot posture, and structural and movement deficiencies in the intrinsic foot segments on the affected side associated with limitation in functional ability. Purpose: As part of a programme of research examining foot and ankle biomechanics after stroke, we investigated plantar pressure distribution under the hemiparetic foot of people with stroke and the relationship with function. Methods: Plantar pressure distribution was investigated while standing and walking on the affected side of twenty stroke and fifteen healthy sex and age-matched participants. Plantar pressure was measured using a Medilogic platform system at a frequency of 20 Hz. The global functional consequences of abnormal plantar pressure was evaluated using the measure of functional walking ability. Results: while standing, people with stroke bore greater pressure on the affected side through the lateral heel and lesser toes (p < 0.01) and less at the medial (MP1) and central forefoot (MP23) areas (p < 0.05) than healthy controls. During the stance phase of walking, more pressure was taken through the heel area, especially on the medial heel and less through the medial and central forefoot. The results of the logistic regression model revealed that stroke participants with greater pressure on medial heel during walking (odds ratio = 1.11, p < 0.05) were more likely to be household walkers. While standing, none of the standing plantar pressure distribution variables made a significant contribution to the model (p > 0.05). Conclusion(s): The pattern of plantar pressure distribution in the stroke group was significantly different from the control group. Our results showed for the first time that abnormal plantar pressure distribution only during dynamic condition is a significant contributor to limited functional ability post stroke. Implications: These findings will improve in the clinical management of the foot and ankle in stroke survivors, ultimately, quality of life for people with stroke. Keywords: Stroke; Foot plantar pressure; Function
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS26–eS426
K. Pooranawatthanakul, A. Foongchomcheay
Implications: A minimal of 3 weeks training of video game based or a home based exercise especially lower limb muscles strengthening have potential to improve balance in elderly. Keywords: Elderly; Video game commercial; Balance Funding acknowledgements: This work was supported by a grant from the Faculty of Allied Health Sciences, Chulalongkorn University, Thailand. Ethics approval: Ethics Review Committee for Research Involving Human Research Subjects, Health Sciences Group, Chulalongkorn University.
Chulalongkorn University, Department of Physical Therapy, Bangkok, Thailand
http://dx.doi.org/10.1016/j.physio.2015.03.625
Research Report Platform Rapid 5 Presentation Number: RR-PLR5-3387 Saturday 2 May 2015 16:00 Room 324–326 EFFECT OF VIDEO GAME COMMERCIAL ON SHORT TERM BALANCE TRAINING IN THAI ELDERLY
Background: Fall is one of the leading causes to incapability of individuals over the age of 65 years old and commonly used as an indicator to reveal the ability to control balance. Consequence of falls can lead to fractures, activity avoidance, health decline, disability, fear of falling and hospitalization. Numbers of research reported that the most effective fall-prevention programs involved a variety of tasks which challenge balance, such as multisensory balance training and a training program done by a game console or video games. Purpose: The objectives of this study were to compare the effect of video game commercial exercise and home based exercise on short-term effect in improving balance in the elderly. Methods: Forty-eight healthy elderly, age 65–80 years were included. Participants were randomized into a video game based exercise (Wii) group (n = 24) and a home based exercise group (n = 24). The Wii group was set at Phra Nung Kloa hospital elderly club and received video game exercise 30-45 minutes per day, 3 days a week, for 4 weeks. The home based group was received self-monitored exercise for 30 minutes, 3 times a week, for 4 weeks. The home based group was reminded about the exercises by the researcher via telephone twice a week and also received a handbook to prevent fall. Berg Balance Scale (BBS), Fullerton Advance Balance Scale (FAB), and Functional Reach Test (FRT) were evaluated at the beginning of training, the end of week 1, 2, 3 and at the completed of the training on week 4. Results: Repeated two way ANOVA showed no significantly different reach distance (FRT) when compared Wii group and home base group at the end of week 4 (p = 0.144). Both groups showed significantly improved reach distance (FRT) started at the end of week 1, score of FAB and BBS at the end of week 2 and 3 respectively (p < 0.05). No significantly different between groups in BBS and FAB was found. Conclusion(s): Video game based exercise and home based exercise improved balance in the elderly demonstrating by increased scores of BBS, FAB and reach distance (FRT) after 4 weeks training, indicating improvement of balance and implied the reduction of risks of fall in the elderly.
Research Report Poster Presentation Number: RR-PO-04-02-Sat Saturday 2 May 2015 13:00 Exhibit halls 401–403 RETURN ON INVESTMENT OF INTERNATIONAL IMMERSION PROGRAMS: STAKEHOLDER PERSPECTIVES C. Footer 1 , H. Eigsti 1 , M. Christenson 1 , M. Schumacher 2 , R. Haight 2 , J. McCurdy 3 , J. Lee 4 1 Regis University, School of Physical Therapy, Denver, United States; 2 Regis University, School of Pharmacy, Denver, United States; 3 Regis University, Health Ethics, Denver, United States; 4 Denver Health, Denver, United States
Background: International global health immersion and service learning experiences have become an integral part of many higher education programs over the past decade. These experiences are often linked to institutional objectives, reinforce the ideals of social responsibility, and civic participation. With this expansion comes a responsibility to assess the investment and unique impact of the programs at multiple stakeholder levels, including students, faculty, community partners, and the institution. It is essential for programs to make evidenced based decisions about the allocation of resources for such programs. Therefore, programs must be able to determine investments and measure outcomes so that they can intentionally develop processes and programs that foster sustainable student, faculty and community growth. Purpose: The aim of this study was to develop an approach to evaluate the return on investment of international immersion programs in higher education. Methods: This study had three phases and used a mixed methods design. Phase I used focus groups to identify common themes related to investments and outcomes of international immersion experiences across four stakeholder groups,
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS26–eS426
(1) (2) (3) (4)
students, community partners, faculty, and institution.
Participants in this phase included 6–8 invited members of each represented group at Regis University (Denver, CO) and its community partners. Each participant completed and anonymous online survey that asked the question, “Describe all factors that influenced your decision to participate or resulted from your participation in the global immersion and or service experience at Regis University.” The results were analyzed and grouped by theme independently by two investigators who were competent in qualitative methodology. Phase II utilized the identified themes to develop a survey through a Delphi process. Participants in Phase II represented all stakeholder groups as identified in Phase I. The implementation of the new survey was the purpose of Phase III. Participants in Phase III included students who had participated in at least one international immersion program at Regis University. The data from Phase III was both quantitative (descriptive analysis) and qualitative in nature. Participants in all phases provided informed consent. Results: Data from Phase I and II was analyzed by two investigators and major themes were identified for the development of the survey tool. Thirteen graduate students representing programs in physical therapy, nursing, and pharmacy participated in the Phase III survey. All participants indicted that they increased their awareness and understanding of concepts related to topics such as social determinants of health, community development, global interdependence, In addition, they identified personal and academic challenges upon return home form the program related to personal beliefs and values, cultural awareness and understanding, and impact of service learning on themselves and others. Conclusion(s): The ability to determine the return on investment provided the opportunity to assess both tangible and qualitative investments and outcomes of international immersion programs, which empowers stakeholders to make informed decisions on future directions for these types of programs. Implications: The evaluation of investments and outcomes is an invaluable process that provides much needed insight on the ultimate value of international immersion programs in higher education. Keywords: Clinical education; Global health; Service learning Funding acknowledgements: None. Ethics approval: Study approved by Regis University Institutional Review Board. http://dx.doi.org/10.1016/j.physio.2015.03.626
eS399
Research Report Poster Presentation Number: RR-PO-99-18-Sat Saturday 2 May 2015 13:00 Exhibit halls 401–403 PLANTAR PRESSURE DISTRIBUTION IN PEOPLE WITH STROKE AND ASSOCIATION WITH FUNCTIONAL CONSEQUENCES S. Forghany 1,2 , C.J. Nester 2 , S.F. Tyson 2,3 , S. Preece 2 , R.K. Jones 2 1 Isfahan University of Medical Sciences, Musculoskeletal Research Centre, Isfahan, Iran; 2 University of Salford, Centre for Health Sciences Research, Manchester, United Kingdom; 3 University of Manchester, Stroke Research Centre, School of Nursing Midwifery and Social Work, Manchester, United Kingdom
Background: People with stroke suffer abnormal foot posture, and structural and movement deficiencies in the intrinsic foot segments on the affected side associated with limitation in functional ability. Purpose: As part of a programme of research examining foot and ankle biomechanics after stroke, we investigated plantar pressure distribution under the hemiparetic foot of people with stroke and the relationship with function. Methods: Plantar pressure distribution was investigated while standing and walking on the affected side of twenty stroke and fifteen healthy sex and age-matched participants. Plantar pressure was measured using a Medilogic platform system at a frequency of 20 Hz. The global functional consequences of abnormal plantar pressure was evaluated using the measure of functional walking ability. Results: while standing, people with stroke bore greater pressure on the affected side through the lateral heel and lesser toes (p < 0.01) and less at the medial (MP1) and central forefoot (MP23) areas (p < 0.05) than healthy controls. During the stance phase of walking, more pressure was taken through the heel area, especially on the medial heel and less through the medial and central forefoot. The results of the logistic regression model revealed that stroke participants with greater pressure on medial heel during walking (odds ratio = 1.11, p < 0.05) were more likely to be household walkers. While standing, none of the standing plantar pressure distribution variables made a significant contribution to the model (p > 0.05). Conclusion(s): The pattern of plantar pressure distribution in the stroke group was significantly different from the control group. Our results showed for the first time that abnormal plantar pressure distribution only during dynamic condition is a significant contributor to limited functional ability post stroke. Implications: These findings will improve in the clinical management of the foot and ankle in stroke survivors, ultimately, quality of life for people with stroke. Keywords: Stroke; Foot plantar pressure; Function