[Show abstract][Hide abstract] ABSTRACT: Abstract Based on indicators that emerged from The First Physical Therapy Summit on Global Health (2007), the Second Summit (2011) identified themes to inform a global physical therapy action plan to integrate health promotion into practice across the World Confederation for Physical Therapy (WCPT) regions. Working questions were: (1) how well is health promotion implemented within physical therapy practice; and (2) how might this be improved across five target audiences (i.e. physical therapist practitioners, educators, researchers, professional body representatives, and government liaisons/consultants). In structured facilitated sessions, Summit representatives (n = 32) discussed: (1) within WCPT regions, what is working and the challenges; and (2) across WCPT regions, what are potential directions using World Café(TM) methodology. Commonalities outweighed differences with respect to strategies to advance health-focused physical therapy as a clinical competency across regions and within target audiences. Participants agreed that health-focused practice is a professional priority, and a strategic action plan was needed to develop it as a clinical competency. The action plan and recommendations largely paralleled the principles and objectives of the World Health Organization's non-communicable diseases action plan. A third Summit planned for 2015 will provide a mechanism for follow-up to evaluate progress in integrating health-focused physical therapy within the profession.
Physiotherapy Theory and Practice 11/2013; 30(4). DOI:10.3109/09593985.2013.856977
[Show abstract][Hide abstract] ABSTRACT: Purpose:
To identify the characteristics of peer-reviewed literature on community-based rehabilitation (CBR) in low- and middle-income countries published in English from 2003 to 2012.
This scoping review involved a systematic search of electronic databases using specific keyword/subject heading combinations. Journal articles were included if they were published in English, used "CBR" as related to rehabilitation with persons with disabilities and not limited to high-income countries (HICs). Data were charted according to both pre-determined and emergent categories. A subset of articles was charted by two reviewers to ensure reliability of variables.
A total of 114 articles were included. Fifty-two articles presented empirical research and 49 were published in one of two journals. The articles represented CBR activity in 26 specific countries, although only two of these were in Europe and only one was in the Americas. Authors were predominantly affiliated at universities and in HICs.
This scoping review identified and characterized a large pool of literature on CBR, facilitating its incorporation into research and practice. Future research should examine the engagement of persons with disabilities in creating CBR literature, and analysis of literature in languages other than English. Implications for Rehabilitation Community-based rehabilitation (CBR) has been promoted as a rehabilitation strategy of choice in low- and middle-income countries (LMICs), but it has been critiqued for lack of an evidence base. A large number (114) of peer-reviewed articles were published on CBR between 2003 and 2012. Just under half of these articles (45%) presented empirical research, indicating that the evidence base for CBR is growing but will benefit from continued, rigorous inquiry. Furthermore, researchers from LMICs appear to be largely under-represented in published CBR research, flagging the need to support LMIC partners to share their CBR research in peer-reviewed journals.
Disability and Rehabilitation 10/2013; 36(17). DOI:10.3109/09638288.2013.845257 · 1.99 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: To assess the attitudes of upper-year undergraduate medical students (ie, clerks) toward the philosophy of community inclusion of persons with intellectual disabilities (ID) according to demographic, personal contact, and training variables.
Cross-sectional self-administered survey.
Clerkship rotations at Queen's University in Kingston, Ont, and the University of Toronto in Ontario in 2006.
A total of 258 clerks.
Scores on the Community Living Attitudes Scale-Short Form.
There were no differences in the Community Living Attitudes Scale-Short Form subscale scores across categories of demographic characteristics, personal contact, or having received didactic training about ID. Clerks who had seen patients with ID during their medical school training had higher mean sheltering subscale scores than those who had not (3.27 vs 3.07, P = .02). Additional analysis revealed that 88.5% of clerks who had seen patients with ID reported seeing 5 or fewer such patients, and that those who rated the quality of their supervision more positively had higher mean scores on the empowerment subscale and lower mean scores on the sheltering subscale.
Although specific training has the potential to promote more socially progressive attitudes regarding persons with ID, lower-quality supervision is associated with higher endorsement of items expressing the need to shelter individuals with ID from harm and lower endorsement of items promoting empowerment.
Canadian family physician Medecin de famille canadien 05/2012; 58(5):e282-8. · 1.34 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Background The population of older adults with intellectual disabilities is growing, creating new challenges for individuals, families and service providers. Although there has been increased research into the ageing process for adults with intellectual disabilities, there is little focused research investigating physical mobility.
Materials and Methods A proxy-response telephone survey was conducted to establish the prevalence and severity of mobility limitations among adults with intellectual disabilities, aged 45 years and over, using validated instruments to quantify mobility in a representative population-based sample.
Results Surveys were completed for 128 people. Mobility limitations were common, but the prevalence varied depending on the definition of mobility limitation. The prevalence of limitations was greater among females than males, but no clear age trend was seen.
Conclusions The common nature of mobility limitations among the growing population of older adults with intellectual disabilities has implications for service providers and policy-makers.
Journal of Applied Research in Intellectual Disabilities 06/2009; 22(5):477 - 486. DOI:10.1111/j.1468-3148.2009.00499.x · 1.38 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: As the population ages, mobility limitations are associated with increased mortality and negative health-related states both in the general population and among people with intellectual disabilities. The influence of mobility limitations upon the lives and lifestyles of people with intellectual disabilities remains poorly understood. Specifically, the extent to which mobility limitations might limit residential options for individuals and families has not been evaluated. To determine the relationship between mobility limitations and place of residence for adults with intellectual disabilities, age 45 and older, a proxy-response telephone survey was completed for 128 adults with intellectual disabilities in Southeastern Ontario. A participant's place of residence was categorized as being “high support” (group homes and nursing homes) or “low support” (living alone, with family, roommates, or host family). People with a score of 12 or less on the Rivermead Mobility Index were considered to have a mobility limitation. The relationship between mobility limitations and high-support residential settings was analyzed using a multivariate logistic regression model. After adjusting for age, sex, and presence of cerebral palsy, communication problems and behavior problems, people with mobility problems had 3.6 times greater odds of living in high-support settings. Authors concluded that mobility limitations are associated with residence in “high-support” settings and that further investigation is needed to determine the direction of causality and to create programs and services that equalize opportunities.
Journal of Policy and Practice in Intellectual Disabilities 11/2008; 5(4):253 - 258. DOI:10.1111/j.1741-1130.2008.00186.x · 0.97 Impact Factor