The clinical experiences of Nigerian physiotherapists in managing environmental and socioeconomic determinants of mobility for older adults.
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 [th...
| Published in: | Physiotherapy Theory & Practice Vol. 37; no. 12; pp. 1391 - 1404 |
|---|---|
| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Dec 2021
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153686426&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153686426 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Dec 2021 vid: 37 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 153686426 153686426 153686426 10.1080/09593985.2019.1700579 153686426 ppf: 1391 ppct: 13 formats: fmt: @attributes: type: P tig: atl: The clinical experiences of Nigerian physiotherapists in managing environmental and socioeconomic determinants of mobility for older adults. aug: au: Nwankwo, Henrietha C Akinrolie, Olayinka Adandom, Isreal Obi, Perpetua C. Ojembe, Blessing U. Kalu, Michael E affil: MacKenzie Physiotherapy Clinic, Alliance Hospital Area 11, Garki Abuja, Nigeria sug: subj: Physical Mobility In Old Age Socioeconomic Factors Environment Social Determinants of Health Physical Therapist Attitudes Evaluation Human Nigeria Aged Qualitative Studies Descriptive Research Purposive Sample Content Analysis Documentation Nonprobability Sample Semi-Structured Interview Data Analysis Software Male Female Adult Built Environment Patient Education Scales Aged: 65+ years Adult: 19-44 years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
|---|