METHODS: In a longitudinal study design, data were collected in November 2021 (baseline), and after three months, six months, and 12 months. Participants were manual therapists who were business owners. A growth curve model was used to analyze differences in clinical activity trajectories. Multinomial logistic regression analysis was used to assess the relationship between perceived disruptions in business and turnover. Qualitative text analysis was used to examine participants\' responses to open-ended questions concerning economic measures taken to sustain their business during the pandemic.
RESULTS: This study of 443 manual therapy business owners found that clinics were initially active with minimal variation, but activity changed following COVID-19 recommendations. Business owners perceived that the disruptions had no significant impact on turnover during the initial stages of the official recommendations. Economic support and the previous decrease in turnover increased the likelihood of experiencing a decreased turnover at 12 months. Business owners implemented cost-cutting measures and diversified income sources to navigate COVID-19 challenges and sustain their businesses.
CONCLUSIONS: The official recommendations in Sweden had an impact on manual therapists\' businesses as the COVID-19 pandemic lingered. Some business owners were concerned at the early stages about lower turnover but showed financial resilience by cutting costs and finding new revenue sources to overcome COVID-19 challenges.
方法:在纵向研究设计中,数据收集于2021年11月(基线),三个月后,六个月,和12个月。参与者是企业主的手动治疗师。生长曲线模型用于分析临床活动轨迹的差异。多项逻辑回归分析用于评估感知的业务中断与营业额之间的关系。定性文本分析用于检查参与者对有关大流行期间为维持其业务而采取的经济措施的开放式问题的回答。
结果:这项对443位手动治疗企业主的研究发现,诊所最初活跃,变化很小,但按照COVID-19的建议,活动发生了变化。企业主认为,在官方建议的初始阶段,中断对营业额没有重大影响。经济支持和先前的营业额下降增加了12个月营业额下降的可能性。企业主实施了削减成本的措施和多样化的收入来源,以应对COVID-19的挑战并维持他们的业务。
结论:随着COVID-19大流行的持续,瑞典的官方建议对手动治疗师的业务产生了影响。一些企业主在早期阶段就担心营业额下降,但通过削减成本和寻找新的收入来源来克服COVID-19挑战,表现出了财务弹性。