■康复结果对患者很重要,专业人士和政策制定者。大多数结果衡量标准(OMs)是为“西方”环境开发的,可能不足以应对低资源和冲突环境,展示影响力的能力对于加强该部门至关重要。本研究旨在了解物理治疗师从具有挑战性的环境中对当前实践的看法,值,障碍,以及衡量康复结果的促进者。
■焦点小组讨论以英语与来自18个国家的35名物理治疗师举行。录音被逐字转录,匿名化,并使用反身性主题分析法进行分析。
■出现了四个主题,说明了讨论结果和措施的水平:用户(患者,Families),提供者(物理治疗师,康复工作者),应用程序(OMs),和结构(管理,卫生系统)。与会者讨论了当前实践和患者人群的多样性,OMs的效用和缺乏投资的被忽视的康复部门。进展结果测量的障碍包括缺乏患者健康素养,康复训练提供者,有效的OMs,和领导力。参与者建议改善患者的参与,通过使用,发展,或适应简单,与上下文和利益相关者相关的OMs,和管理层的支持。
■这些见解说明了在各种具有挑战性的背景下,康复结果测量的上下文适应发展的需要并提供了可靠的建议。
康复结果对于显示在低资源和冲突环境中的影响很重要,但是大多数结果衡量标准都来自“西方”的背景。来自低资源和冲突环境的物理治疗师的经验揭示了在工作场所测量康复结果的障碍和促进者。参与者建议使用或开发与标准相关的简单量表,本研究强调了在具有挑战性的背景下改善康复结果测量的必要性,并提供了如何做到这一点的指导。
UNASSIGNED: Rehabilitation outcomes are important for patients, professionals and policy makers. Most outcome measures (OMs) were developed for \"Western\" contexts and may be inadequate for low-resource and conflict settings, where the ability to demonstrate impact would be critical to strengthening the sector. This study aims to understand perspectives of physiotherapists from challenging environments regarding current practices, value, barriers, and facilitators of measuring rehabilitation outcomes.
UNASSIGNED: Focus group discussions were held in English with 35 physiotherapists from 18 countries. Audio recordings were transcribed verbatim, anonymised, and analysed using reflexive thematic analysis.
UNASSIGNED: Four themes emerged illustrating the levels at which outcomes and measures were discussed: User (patients, families), provider (physiotherapists, rehabilitation workers), application (OMs), and structure (management, health system). Participants discussed diversity in current practices and patient populations, utility of OMs and a neglected rehabilitation sector lacking investment. Barriers to progressing outcome measurement included lacking patient health literacy, rehabilitation provider training, valid OMs, and leadership. Participants suggested improved patient involvement, routine outcome measurement by using, developing, or adapting simple, context- and stakeholder-relevant OMs, and support from management.
UNASSIGNED: These insights illustrate the need of and provide robust recommendations for context-adapted development of rehabilitation outcome measurement in various challenging contexts.
Rehabilitation outcomes are important to show impact in low-resource and conflict settings, but most outcome measures originate from “Western” contextsExperience of physiotherapists from low-resource and conflict settings reveals the barriers and facilitators to measuring rehabilitation outcomes in their workplacesParticipants’ suggest to use or develop simple scales that are contextualised and stakeholder-relevant for standard, routine measurementThis study highlights the need to improve the measurement of rehabilitation outcomes in challenging contexts and provides guidance on how to do so.