Why do some people with stroke not receive the recommended 45 min of occupational therapy and physiotherapy after stroke? A qualitative study using focus groups

Authors: Clark, B., Burridge, J., Whitall, J., Turk, R., Hughes, A.M. and Truman, J.

Journal: BMJ Open

Volume: 13

Issue: 11

eISSN: 2044-6055

DOI: 10.1136/bmjopen-2023-072275

Abstract:

Objectives To generate qualitative data on the views of Occupational Therapists and Physiotherapists about why people do not receive the Royal College of Physicians' recommended minimum of 45 minutes (min) of daily therapy after stroke, in order to inform a Delphi study. Design Focus group study. Setting Stroke services in the South of England. Participants A total of nine participants, in two groups, including therapists covering inpatient and Early Supported Discharge (ESD) services with awareness of the 45 min guideline. Results Thematic analysis of focus group data identified five factors that influence the amount of therapy a person receives: The Person (with stroke), Individual Therapist, Stroke Multidisciplinary Team, the Organisation and the Guideline. Study findings suggest that the reasons why a person does not receive the therapy recommendation in inpatient and ESD services relate to either the suitability of the guideline for the person with stroke, or the ability of the service to deliver the guideline. Conclusion This study provides evidence for possible reasons why some people do not receive a minimum of 45 minutes of therapy, 5 days per week, related to (1) the suitability of the guideline for people with stroke and (2) services' ability to deliver this amount of intervention. These two factors are related; therapists decide who should receive therapy and how much in the context of (a) resource availability and (b) people's need and the benefit they will experience. The study findings, combined with the findings from other studies, will be used to initiate a Delphi study, which will establish consensus among therapists regarding the reasons why some people do not receive the guideline amount of therapy.

https://eprints.bournemouth.ac.uk/39190/

Source: Scopus

Why do some people with stroke not receive the recommended 45 min of occupational therapy and physiotherapy after stroke? A qualitative study using focus groups.

Authors: Clark, B., Burridge, J., Whitall, J., Turk, R., Hughes, A.-M. and Truman, J.

Journal: BMJ Open

Volume: 13

Issue: 11

Pages: e072275

eISSN: 2044-6055

DOI: 10.1136/bmjopen-2023-072275

Abstract:

OBJECTIVES: To generate qualitative data on the views of Occupational Therapists and Physiotherapists about why people do not receive the Royal College of Physicians' recommended minimum of 45 minutes (min) of daily therapy after stroke, in order to inform a Delphi study. DESIGN: Focus group study. SETTING: Stroke services in the South of England. PARTICIPANTS: A total of nine participants, in two groups, including therapists covering inpatient and Early Supported Discharge (ESD) services with awareness of the 45 min guideline. RESULTS: Thematic analysis of focus group data identified five factors that influence the amount of therapy a person receives: The Person (with stroke), Individual Therapist, Stroke Multidisciplinary Team, the Organisation and the Guideline. Study findings suggest that the reasons why a person does not receive the therapy recommendation in inpatient and ESD services relate to either the suitability of the guideline for the person with stroke, or the ability of the service to deliver the guideline. CONCLUSION: This study provides evidence for possible reasons why some people do not receive a minimum of 45 minutes of therapy, 5 days per week, related to (1) the suitability of the guideline for people with stroke and (2) services' ability to deliver this amount of intervention. These two factors are related; therapists decide who should receive therapy and how much in the context of (a) resource availability and (b) people's need and the benefit they will experience. The study findings, combined with the findings from other studies, will be used to initiate a Delphi study, which will establish consensus among therapists regarding the reasons why some people do not receive the guideline amount of therapy.

https://eprints.bournemouth.ac.uk/39190/

Source: PubMed

Why do some people with stroke not receive the recommended 45 min of occupational therapy and physiotherapy after stroke? A qualitative study using focus groups

Authors: Clark, B., Burridge, J., Whitall, J., Turk, R., Hughes, A.-M. and Truman, J.

Journal: BMJ OPEN

Volume: 13

Issue: 11

ISSN: 2044-6055

DOI: 10.1136/bmjopen-2023-072275

https://eprints.bournemouth.ac.uk/39190/

Source: Web of Science (Lite)

Why do some people with stroke not receive the recommended 45 min of occupational therapy and physiotherapy after stroke? A qualitative study using focus groups

Authors: Truman, J., Clark, B., Burridge, J., Whitall, J., Turk, R. and Hughes, A.-M.

Journal: BMJ Open

Volume: 13

Issue: 11

Publisher: BMJ Publishing Group

ISSN: 2044-6055

DOI: 10.1136/bmjopen-2023-072275

Abstract:

Objectives To generate qualitative data on the views of Occupational Therapists and Physiotherapists about why people do not receive the Royal College of Physicians’ recommended minimum of 45minutes (min) of daily therapy after stroke, in order to inform a Delphi study.

Design Focus group study.

Setting Stroke services in the South of England.

Participants A total of nine participants, in two groups, including therapists covering inpatient and Early Supported Discharge (ESD) services with awareness of the 45min guideline.

Results Thematic analysis of focus group data identified five factors that influence the amount of therapy a person receives: The Person (with stroke), Individual Therapist, Stroke Multidisciplinary Team, the Organisation and the Guideline. Study findings suggest that the reasons why a person does not receive the therapy recommendation in inpatient and ESD services relate to either the suitability of the guideline for the person with stroke, or the ability of the service to deliver the guideline.

Conclusion This study provides evidence for possible reasons why some people do not receive a minimum of 45minutes of therapy, 5 days per week, related to (1) the suitability of the guideline for people with stroke and (2) services’ ability to deliver this amount of intervention.

These two factors are related; therapists decide who should receive therapy and how much in the context of (a) resource availability and (b) people’s need and the benefit they will experience. The study findings, combined with the findings from other studies, will be used to initiate a Delphi study, which will establish consensus among therapists regarding the reasons why some people do not receive the guideline amount of therapy

https://eprints.bournemouth.ac.uk/39190/

Source: Manual

Why do some people with stroke not receive the recommended 45 min of occupational therapy and physiotherapy after stroke? A qualitative study using focus groups.

Authors: Clark, B., Burridge, J., Whitall, J., Turk, R., Hughes, A.-M. and Truman, J.

Journal: BMJ open

Volume: 13

Issue: 11

Pages: e072275

eISSN: 2044-6055

ISSN: 2044-6055

DOI: 10.1136/bmjopen-2023-072275

Abstract:

Objectives

To generate qualitative data on the views of Occupational Therapists and Physiotherapists about why people do not receive the Royal College of Physicians' recommended minimum of 45 minutes (min) of daily therapy after stroke, in order to inform a Delphi study.

Design

Focus group study.

Setting

Stroke services in the South of England.

Participants

A total of nine participants, in two groups, including therapists covering inpatient and Early Supported Discharge (ESD) services with awareness of the 45 min guideline.

Results

Thematic analysis of focus group data identified five factors that influence the amount of therapy a person receives: The Person (with stroke), Individual Therapist, Stroke Multidisciplinary Team, the Organisation and the Guideline. Study findings suggest that the reasons why a person does not receive the therapy recommendation in inpatient and ESD services relate to either the suitability of the guideline for the person with stroke, or the ability of the service to deliver the guideline.

Conclusion

This study provides evidence for possible reasons why some people do not receive a minimum of 45 minutes of therapy, 5 days per week, related to (1) the suitability of the guideline for people with stroke and (2) services' ability to deliver this amount of intervention. These two factors are related; therapists decide who should receive therapy and how much in the context of (a) resource availability and (b) people's need and the benefit they will experience. The study findings, combined with the findings from other studies, will be used to initiate a Delphi study, which will establish consensus among therapists regarding the reasons why some people do not receive the guideline amount of therapy.

https://eprints.bournemouth.ac.uk/39190/

Source: Europe PubMed Central

Why do some people with stroke not receive the recommended 45 min of occupational therapy and physiotherapy after stroke? A qualitative study using focus groups

Authors: Clark, B.A., Burridge, J., Whitall, J., Turk, R., Hughes, A.-M. and Truman, J.

Journal: BMJ Open

Volume: 13

Issue: 11

Publisher: BMJ Publishing Group

ISSN: 2044-6055

Abstract:

Objectives To generate qualitative data on the views of Occupational Therapists and Physiotherapists about why people do not receive the Royal College of Physicians’ recommended minimum of 45minutes (min) of daily therapy after stroke, in order to inform a Delphi study.

Design Focus group study.

Setting Stroke services in the South of England.

Participants A total of nine participants, in two groups, including therapists covering inpatient and Early Supported Discharge (ESD) services with awareness of the 45min guideline.

Results Thematic analysis of focus group data identified five factors that influence the amount of therapy a person receives: The Person (with stroke), Individual Therapist, Stroke Multidisciplinary Team, the Organisation and the Guideline. Study findings suggest that the reasons why a person does not receive the therapy recommendation in inpatient and ESD services relate to either the suitability of the guideline for the person with stroke, or the ability of the service to deliver the guideline.

Conclusion This study provides evidence for possible reasons why some people do not receive a minimum of 45minutes of therapy, 5 days per week, related to (1) the suitability of the guideline for people with stroke and (2) services’ ability to deliver this amount of intervention. These two factors are related; therapists decide who should receive therapy and how much in the context of (a) resource availability and (b) people’s need and the benefit they will experience. The study findings, combined with the findings from other studies, will be used to initiate a Delphi study, which will establish consensus among therapists regarding the reasons why some people do not receive the guideline amount of therapy

https://eprints.bournemouth.ac.uk/39190/

Source: BURO EPrints