Translating Policy into Practice for Community-Based Management of Rheumatoid Arthritis: Targeting Professional Development Needs among Physiotherapists
- PMID: 23209474
- PMCID: PMC3502858
- DOI: 10.1155/2012/240689
Translating Policy into Practice for Community-Based Management of Rheumatoid Arthritis: Targeting Professional Development Needs among Physiotherapists
Abstract
Introduction. Contemporary health policy promotes delivery of community-based health services to people with musculoskeletal conditions, including rheumatoid arthritis (RA). This emphasis requires a skilled workforce to deliver safe, effective care. We aimed to explore physiotherapy workforce readiness to co-manage consumers with RA by determining the RA-specific professional development (PD) needs in relation to work and educational characteristics of physiotherapists in Western Australia (WA). Methods. An e-survey was sent to physiotherapists regarding their confidence in co-managing people with RA and their PD needs. Data including years of clinical experience, current RA clinical caseload, professional qualifications, and primary clinical area of practice were collected. Results. 273 physiotherapists completed the survey. Overall confidence in managing people with RA was low (22.7-58.2%) and need for PD was high (45.1-95.2%). Physiotherapists with greater years of clinical experience, a caseload of consumers with RA, postgraduate qualifications in musculoskeletal physiotherapy, or who worked in the musculoskeletal area were more confident in managing people with RA and less likely to need PD. Online and face-to-face formats were preferred modes of PD delivery. Discussion. To enable community-based RA service delivery to be effectively established, subgroups within the current physiotherapy workforce require upskilling in the evidence-based management of consumers with RA.
Similar articles
-
Disease-specific knowledge and clinical skills required by community-based physiotherapists to co-manage patients with rheumatoid arthritis.Arthritis Care Res (Hoboken). 2012 Oct;64(10):1514-26. doi: 10.1002/acr.21727. Arthritis Care Res (Hoboken). 2012. PMID: 22556156
-
Building capacity in the rural physiotherapy workforce: a paediatric training partnership.Rural Remote Health. 2014;14:2475. Epub 2014 Mar 23. Rural Remote Health. 2014. PMID: 24655347
-
A survey of physiotherapists' current management and the promotion of physical activity, in people with rheumatoid arthritis.Disabil Rehabil. 2019 Sep;41(18):2183-2191. doi: 10.1080/09638288.2018.1461258. Epub 2018 Apr 12. Disabil Rehabil. 2019. PMID: 29644891
-
Australian physiotherapy workforce at a glance: a narrative review.Aust Health Rev. 2016 Sep;40(4):438-442. doi: 10.1071/AH15114. Aust Health Rev. 2016. PMID: 26536297 Review.
-
Physiotherapy co-management of rheumatoid arthritis: identification of red flags, significance to clinical practice and management pathways.Man Ther. 2013 Dec;18(6):583-7. doi: 10.1016/j.math.2013.01.006. Epub 2013 Feb 12. Man Ther. 2013. PMID: 23414962 Review.
Cited by
-
Applying a Health Network approach to translate evidence-informed policy into practice: a review and case study on musculoskeletal health.BMC Health Serv Res. 2012 Nov 14;12:394. doi: 10.1186/1472-6963-12-394. BMC Health Serv Res. 2012. PMID: 23151082 Free PMC article. Review.
-
Translating evidence for low back pain management into a consumer-focussed resource for use in community pharmacies: a cluster-randomised controlled trial.PLoS One. 2013 Aug 20;8(8):e71918. doi: 10.1371/journal.pone.0071918. eCollection 2013. PLoS One. 2013. PMID: 23977178 Free PMC article. Clinical Trial.
-
Attitudes toward Master's and Clinical Doctorate Degrees in Physical Therapy.Physiother Can. 2014 Fall;66(4):392-401. doi: 10.3138/ptc.2013-40. Physiother Can. 2014. PMID: 25922561 Free PMC article.
-
Physiotherapy students' perspectives of online e-learning for interdisciplinary management of chronic health conditions: a qualitative study.BMC Med Educ. 2016 Feb 16;16:62. doi: 10.1186/s12909-016-0593-5. BMC Med Educ. 2016. PMID: 26879982 Free PMC article.
-
To Be or Not to Be a Cardiorespiratory Physiotherapist: Factors That Influence Career Choice in a Sample of Canadian Physiotherapists.Physiother Can. 2017;69(3):226-232. doi: 10.3138/ptc.2016-22. Physiother Can. 2017. PMID: 30275639 Free PMC article.
References
-
- Kvien TK. Epidemiology and burden of illness of rheumatoid arthritis. Pharmacoeconomics. 2004;22(2):1–12. - PubMed
-
- Bell MJ, Lineker SC, Wilkins AL, Goldsmith CH, Badley EM. A randomized controlled trial to evaluate the efficacy of community based physical therapy in the treatment of people with rheumatoid arthritis. Journal of Rheumatology. 1998;25(2):231–237. - PubMed
-
- Li LC, Davis AM, Lineker SC, Coyte PC, Bombardier C. Effectiveness of the primary therapist model for rheumatoid arthritis rehabilitation: a randomized controlled trial. Arthritis Care & Research. 2006;55(1):42–52. - PubMed
-
- Briggs AM, Fary RE, Slater H, et al. Disease-specific knowledge and clinical skills required by community-based physiotherapists to co-manage patients with rheumatoid arthritis. Arthritis Care & Research. 2012;64(10):1514–1526. - PubMed
-
- Forestier R, André-Vert J, Guillez P, et al. Non-drug treatment (excluding surgery) in rheumatoid arthritis: clinical practice guidelines. Joint Bone Spine. 2009;76(6):691–698. - PubMed
LinkOut - more resources
Full Text Sources