Lawler, K and Taylor, NF and Shields, N, Family-assisted therapy empowered families of older people transitioning from hospital to the community: A qualitative study, Journal of Physiotherapy ISSN 1836-9553 (2019) [Refereed Article]
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Question: What is the experience of patients and families participating in a family-assisted therapy intervention to augment physiotherapy in Transition Care?
Design: Qualitative study using an interpretive description framework.
Participants: Thirteen patients and 18 family members of patients in a Transition Care Program, who had participated in a family-assisted therapy intervention.
Intervention: A 4-week family-assisted therapy program to augment usual physiotherapy care. Families were trained and supported by a physiotherapist to assist with safe and simple activities tailored to the patientís goals.
Data collection and analysis: Semi-structured interviews were audio-recorded and transcribed verbatim. Researchers independently coded transcripts line by line, and themes and subthemes were derived inductively. Qualitative results were triangulated with quantitative outcomes from a concurrent randomised controlled trial.
Results: The unifying theme was that family-assisted therapy empowered families in a healthcare setting. There were four subthemes: families made a complementary contribution to rehabilitation; family-assisted therapy brought physical and psychosocial benefits; simplicity, boundaries, training and support were important elements of the family-assisted therapy program; and implementation of family-assisted therapy requires a supportive policy and environment. Findings largely converged with quantitative outcomes from the randomised controlled trial.
Conclusion: Family-assisted therapy to augment usual physiotherapy care was a positive and empowering experience for patients and families in Transition Care. This study indicates that family-assisted therapy may increase opportunities for physical activity and, importantly, engage family in a meaningful activity that gives them a genuine role in the healthcare team.
|Item Type:||Refereed Article|
|Keywords:||aged, caregivers, patient participation, physical therapy modalities, qualitative research|
|Research Division:||Medical and Health Sciences|
|Research Group:||Clinical Sciences|
|Objective Group:||Health and Support Services|
|Objective Field:||Allied Health Therapies (excl. Mental Health Services)|
|UTAS Author:||Lawler, K (Dr Katherine Lawler)|
|Web of Science® Times Cited:||1|
|Deposited By:||Wicking Dementia Research and Education Centre|
|Downloads:||3 View Download Statistics|
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