Management of Early- and Late-Stage Rheumatoid Arthritis: Are Physiotherapy Students' Intended Behaviours Consistent with Canadian Best Practice Guidelines?
Purpose: This study examined whether physiotherapy students in a problem-based learning (PBL) curriculum intend to implement best practices for management of clients with rheumatoid arthritis (RA). Method: Physiotherapy students (n ¼ 49) completed a subsection of the ACREU Primary Care Survey to eva...
| Publicado en: | Physiotherapy Canada Vol. 64; no. 3; pp. 262 - 271 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
University of Toronto Press
2012
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104479248&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104479248 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03000508 R42 jtl: Physiotherapy Canada issn: 03000508 maglogo: N pubinfo: dt: 2012 vid: 64 iid: 3 pid: 678 pub: University of Toronto Press place: North York, Ontario artinfo: ui: 104479248 77727356 2011617451 10.3138/ptc.2010-44 NLM23729962 104479248 ppf: 262 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Management of Early- and Late-Stage Rheumatoid Arthritis: Are Physiotherapy Students' Intended Behaviours Consistent with Canadian Best Practice Guidelines? aug: au: MacIntyre, Norma J. Lineker, Sydney C. Hallett, Christina Tumber, Jake Fernando, Nalin Hul, Magdalena affil: A1 sug: subj: Arthritis, Rheumatoid Rehabilitation Physical Therapy Practice, Evidence-Based Evaluation Problem-Based Learning Students, Physical Therapy Evaluation Arthritis, Rheumatoid Drug Therapy Data Analysis Software Data Analysis, Statistical Descriptive Statistics Funding Source Human McNemar's Test P-Value Patient Education Pretest-Posttest Design Prospective Studies Questionnaires Referral and Consultation Surveys ab: Purpose: This study examined whether physiotherapy students in a problem-based learning (PBL) curriculum intend to implement best practices for management of clients with rheumatoid arthritis (RA). Method: Physiotherapy students (n ¼ 49) completed a subsection of the ACREU Primary Care Survey to evaluate the concordance between intended behaviours and Canadian best practices for early- and late-stage RA, before and after completing the relevant PBL content. Changes in scores were assessed using McNemar's test for dependent proportions. Results: Most students indicated that they would recommend treatments or referrals for physiotherapy/exercise, education, and occupational therapy or joint protection pre- and post-PBL (>83% and >95%, respectively). Post-PBL, more students recommended referral to a rheumatologist and disease-modifying anti-rheumatic drugs (DMARDs) for both early and late RA; however, the increase was significant only for early RA (p ¼ 0.013 and 0.031 for referral to rheumatologist and DMARDs, respectively). More students recommended psychosocial support at both stages of RA post-PBL (early RA: p < 0.001; late RA: p ¼ 0.031). Although more students recommended DMARDs post-PBL, only 8 students in total made this recommendation (16%), and fewer students considered use of non-steroidal antiinflammatory drugs. Most students (94%) did not recommend referral to a surgeon for early or late RA. Conclusion: Intended behaviour of physiotherapy students was more consistent with Canadian best practice guidelines for managing clients with early- and late-stage RA following the PBL curriculum. Further study is required to determine whether the students were less aware of best practices related to pharmacologic interventions and timely referral to appropriate specialists, or whether they considered these issues to be outside their scope of practice. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|