دورية أكاديمية
The clinical experiences of Nigerian physiotherapists in managing environmental and socioeconomic determinants of mobility for older adults.
| العنوان: | The clinical experiences of Nigerian physiotherapists in managing environmental and socioeconomic determinants of mobility for older adults. |
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| المؤلفون: | Nwankwo HC; MacKenzie Physiotherapy Clinic, Alliance Hospital Area 11, Garki Abuja, Nigeria., Akinrolie O; Department of Physical Therapy, Faculty of Graduate Studies, University of Manitoba, MB, Canada., Adandom I; Physiotherapy Department, Cedarcrest Hospitals, Abuja, Nigeria., Obi PC; Physiotherapy Department, Peak Wellness Centre, Abuja, Nigeria., Ojembe BU; Department of Health, Aging and Society, McMaster University, Hamilton, ON, Canada., Kalu ME; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada. |
| المصدر: | Physiotherapy theory and practice [Physiother Theory Pract] 2021 Dec; Vol. 37 (12), pp. 1391-1403. Date of Electronic Publication: 2019 Dec 10. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9015520 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5040 (Electronic) Linking ISSN: 09593985 NLM ISO Abbreviation: Physiother Theory Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: London, UK ; Hillsdale, N.J. : Lawrence Erlbaum Associates, c1990- |
| مواضيع طبية MeSH: | Physical Therapists*, Aged ; Educational Status ; Humans ; Mobility Limitation ; Nigeria ; Qualitative Research ; Socioeconomic Factors |
| مستخلص: | Study Aim : To describe how physiotherapists in northern Nigeria managed the environmental and socioeconomic determinants of mobility for older adults. Methods : We adopted a qualitative description approach, purposely selected and conducted telephone interviews with 20 physiotherapists from Abuja [the Federal Capital Territory], four of the six states in North-central, and one state in the North-west regions of Nigeria. Data were analyzed using qualitative content and constant comparative analyses. Result : The physiotherapists had between 5 and 11 years practice experience in managing older adults with mobility limitations. Three iterative stages of identification, intervention, and documentation emerged as clinical experiences of Nigerian physiotherapists in managing environmental and socioeconomic determinants of mobility for older adults. Identification stages included determining older adults with mobility limitation through patients'/physiotherapists' reports and identifying the environmental (e.g. staircase location, floor types, furniture, and the urban built environment) and socioeconomic (e.g. education, income, and occupation) factors. The clinical decision of the "best" individualized approach to intervention, providing reassurance and education during and after the intervention were sub-stages for the intervention stage. There is a potential gap in the documentation process of these stages as most of the physiotherapists (n = 15; 75%) reported not doing so. Conclusion : This study suggested three iterative stages of identification, intervention, and documentation of the environmental and socioeconomic determinants of mobility for older adults. While there was a potential gap in regard to documentation of these stages in patients' case notes, physiotherapists especially in North-central Nigeria believed that co-developing a pragmatic set of clinical questions focusing on these determinants of mobility could encourage physiotherapists to explicitly document them. As the approach used in our research is purely descriptive, a grounded theory approach would potentially provide more detailed sub-stages that could be a more effective guide for physiotherapists to use during clinical practice. |
| فهرسة مساهمة: | Keywords: Environment; mobility; older adults; physiotherapy; socioeconomic status |
| تواريخ الأحداث: | Date Created: 20191212 Date Completed: 20211123 Latest Revision: 20211123 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1080/09593985.2019.1700579 |
| PMID: | 31822211 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1532-5040 |
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| DOI: | 10.1080/09593985.2019.1700579 |