A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings

Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when...

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Autores principales:	Cornelia Anne Barth, Maggie Donovan-Hall, Catherine Blake, Noor Jahan Akhtar, Joseph Martial Capo-Chichi, Cliona O’Sullivan
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	rehabilitation physiotherapy health system low resources conflict qualitative research Medicine R
Acceso en línea:	https://doaj.org/article/359bd7cc27d548dd96976fe5d7bbd4a8
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spelling	oai:doaj.org-article:359bd7cc27d548dd96976fe5d7bbd4a82021-11-25T17:50:22ZA Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings10.3390/ijerph1822120201660-46011661-7827https://doaj.org/article/359bd7cc27d548dd96976fe5d7bbd4a82021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12020https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when applied to the fragile health systems of LR-CC. It is important to engage rehabilitation experts living and working in LR-CC to guide service development. This study aims to understand physiotherapists’ views and perspectives of current rehabilitation services, of how these services can be strengthened over the next 10 years and of the role of physiotherapy within this development. Focus group discussions (FGDs) were conducted with 31 physiotherapists from 18 LR-CC using English as a common language. Audio recordings were transcribed verbatim. Data analysis was guided by thematic analysis. Participants provided deep insights into the complexity of developing rehabilitation services within fragile health systems. Participants agreed that physiotherapy lacked recognition and resources to be utilised effectively. Interacting themes as crucial prerequisites for strengthening the sector included (1) significance of context, (2) professional identity, and (3) professionalisation supported by workforce development and advocacy. These results are an important evidence base for informing the development of rehabilitation programmes in LR-CC and for future research.Cornelia Anne BarthMaggie Donovan-HallCatherine BlakeNoor Jahan AkhtarJoseph Martial Capo-ChichiCliona O’SullivanMDPI AGarticlerehabilitationphysiotherapyhealth systemlow resourcesconflictqualitative researchMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12020, p 12020 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	rehabilitation physiotherapy health system low resources conflict qualitative research Medicine R
spellingShingle	rehabilitation physiotherapy health system low resources conflict qualitative research Medicine R Cornelia Anne Barth Maggie Donovan-Hall Catherine Blake Noor Jahan Akhtar Joseph Martial Capo-Chichi Cliona O’Sullivan A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
description	Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when applied to the fragile health systems of LR-CC. It is important to engage rehabilitation experts living and working in LR-CC to guide service development. This study aims to understand physiotherapists’ views and perspectives of current rehabilitation services, of how these services can be strengthened over the next 10 years and of the role of physiotherapy within this development. Focus group discussions (FGDs) were conducted with 31 physiotherapists from 18 LR-CC using English as a common language. Audio recordings were transcribed verbatim. Data analysis was guided by thematic analysis. Participants provided deep insights into the complexity of developing rehabilitation services within fragile health systems. Participants agreed that physiotherapy lacked recognition and resources to be utilised effectively. Interacting themes as crucial prerequisites for strengthening the sector included (1) significance of context, (2) professional identity, and (3) professionalisation supported by workforce development and advocacy. These results are an important evidence base for informing the development of rehabilitation programmes in LR-CC and for future research.
format	article
author	Cornelia Anne Barth Maggie Donovan-Hall Catherine Blake Noor Jahan Akhtar Joseph Martial Capo-Chichi Cliona O’Sullivan
author_facet	Cornelia Anne Barth Maggie Donovan-Hall Catherine Blake Noor Jahan Akhtar Joseph Martial Capo-Chichi Cliona O’Sullivan
author_sort	Cornelia Anne Barth
title	A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_short	A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_full	A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_fullStr	A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_full_unstemmed	A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
title_sort	focus group study to understand the perspectives of physiotherapists on barriers and facilitators to advancing rehabilitation in low-resource and conflict settings
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/359bd7cc27d548dd96976fe5d7bbd4a8
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A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings

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