1
|
Beamish N, Footer C, Lowe R, Cunningham S. Rehabilitation professions' core competencies for entry-level professionals: a thematic analysis. J Interprof Care 2024; 38:32-41. [PMID: 37551889 DOI: 10.1080/13561820.2023.2241519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Accepted: 06/26/2023] [Indexed: 08/09/2023]
Abstract
Rehabilitation services are essential interventions designed to optimize functioning and reduce disability in individuals with health conditions. Eight core professions offer rehabilitation services: audiology, occupational therapy, physical and rehabilitation medicine, physiotherapy, psychology, prosthetics and orthotics, rehabilitation nursing, and speech-language pathology. These professions often work together to provide patient-centered care. Each rehabilitation profession has developed its own international or national document to describe entry-level competencies. However, it is not evident in the literature whether rehabilitation professions share the same core competencies. Therefore, we explored the international standards for rehabilitation professions to identify commonalities and differences in entry-level professionals' required core competencies. A thematic analysis of current, published, international, or national entry-level competencies documents was conducted to determine commonalities and differences in the core competence requirements for the eight rehabilitation professions. The following four themes were evident across all professions: (a) evidence-based clinical practice knowledge and skills; (b) culturally competent communication and collaboration; (c) professional reasoning and behaviors; and (d) interprofessional collaboration. This thematic analysis highlighted the commonalities among rehabilitation professionals and may be used to provide a greater understanding of how rehabilitation professionals can support and work together on interprofessional teams.
Collapse
Affiliation(s)
- Nicole Beamish
- School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada
| | | | | | - Shala Cunningham
- Physiopedia, London, UK
- Department of Physical Therapy, Radford University, Radford, Virginia, USA
| |
Collapse
|
2
|
Chiaravalloti N, Alexander A. Strengthening the connection between clinical research and clinical practice of cognitive rehabilitation. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1084071. [PMID: 37476474 PMCID: PMC10354336 DOI: 10.3389/fresc.2023.1084071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 06/05/2023] [Indexed: 07/22/2023]
Affiliation(s)
- Nancy Chiaravalloti
- Center for Neuropsychology and Neuroscience Research, Kessler Foundation, East Hanover, NJ, United States
- Department of Physical Medicine and Rehabilitation, Rutgers–New Jersey Medical School, Newark, NJ, United States
| | - Aubree Alexander
- Center for Neuropsychology and Neuroscience Research, Kessler Foundation, East Hanover, NJ, United States
- Department of Physical Medicine and Rehabilitation, Rutgers–New Jersey Medical School, Newark, NJ, United States
| |
Collapse
|
3
|
Thibaut A, Beaudart C, Martens G, Bornheim S, Kaux JF. Common Bias and Challenges in Physical and Rehabilitation Medicine Research: How to Tackle Them. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:873241. [PMID: 36189055 PMCID: PMC9397780 DOI: 10.3389/fresc.2022.873241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 05/19/2022] [Indexed: 11/13/2022]
Abstract
The importance of evidence-based medicine is crucial, especially in physical and rehabilitation medicine (PRM), where there is a need to conduct rigorous experimental protocols, as in any medical field. Currently, in clinical practice, therapeutic approaches are often based on empirical data rather than evidence-based medicine. However, the field of PRM faces several challenges that may complicate scientific research. In addition, there is often a lack of appropriate research training in educational programs. In this context, we aim to review the methodological challenges in PRM and provide clear examples for each of them as well as potential solutions when possible. This article will cover the following themes: (1) Choosing the right study design and conducting randomized and benchmarking controlled trials; (2). Selecting the appropriate controlled, placebo or sham condition and the issue of blinding in non-pharmacological trials; (3) The impact of populations' heterogeneity and multi-comorbidities; (4). The challenge of recruitment and adherence; (5). The importance of homogeneity and proper quantification of rehabilitative strategies; and (6). Ethical issues. We are convinced that teaching the basics of scientific research in PRM could help physicians and therapists to choose a treatment based on (novel) scientific evidence. It may also promote scientific research in PRM to develop novel and personalized rehabilitation strategies using rigorous methodologies and randomized or benchmarking controlled trials in order to improve patients' management.
Collapse
Affiliation(s)
- Aurore Thibaut
- Coma Science Group, GIGA Consciousness, University of Liège, Liège, Belgium
- Center du Cerveau 2, University Hospital of Liège, Liège, Belgium
- *Correspondence: Aurore Thibaut
| | - Charlotte Beaudart
- Department of Rehabilitation and Sports Sciences, University of Liège, Liège, Belgium
- World Health Organization Collaborating Center for Public Health Aspects of Musculoskeletal Health and Aging, Department of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium
| | - Géraldine Martens
- Department of Rehabilitation and Sports Sciences, University of Liège, Liège, Belgium
- Réseau Francophone Olympique de la Recherche en Médecine du Sport (ReFORM) International Olympic Committee (IOC) Research Center for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
| | - Stephen Bornheim
- Department of Rehabilitation and Sports Sciences, University of Liège, Liège, Belgium
- Department of Physical Medicine and Sports Traumatology, Sports, FIFA Medical Center of Excellence, FIMS Collaborative Center of Sports Medicine, University and University Hospital of Liège, Liège, Belgium
| | - Jean-François Kaux
- Department of Rehabilitation and Sports Sciences, University of Liège, Liège, Belgium
- Réseau Francophone Olympique de la Recherche en Médecine du Sport (ReFORM) International Olympic Committee (IOC) Research Center for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Department of Physical Medicine and Sports Traumatology, Sports, FIFA Medical Center of Excellence, FIMS Collaborative Center of Sports Medicine, University and University Hospital of Liège, Liège, Belgium
| |
Collapse
|
4
|
Roth EJ, Hornby TG. The Value of Rehabilitation Interventions --Integrating Evidence, Clinical Expertise, Critical Assessment, and , Patient Needs: A Conference Report. Arch Phys Med Rehabil 2021; 103:S169-S171. [PMID: 33561437 DOI: 10.1016/j.apmr.2021.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 01/21/2021] [Accepted: 02/01/2021] [Indexed: 11/02/2022]
Abstract
In order to understand issues related to value, outcomes, and cost-effectiveness of rehabilitation interventions, and to explore how scientific evidence, clinical expertise, and patient needs can be integrated, the Rehabilitation Research and Training Center on Developing Optimal Strategies in Exercise and Survival Skills to Increase Health and Function held a State of the Science (SOS) Symposium on "The Value of Rehabilitation Interventions" at Shirley Ryan AbilityLab in Chicago in 2017. In this conference, the perspectives of 35 invited experts, including people with disabilities, professionals, and consumers, explored the topic of "value" of rehabilitation interventions and discussed their perspectives on the means to integrate best scientific evidence with clinical expertise and patient preferences. This Symposium also resulted in the production of several multifaceted manuscripts providing perspectives on the topic of value and how to use evidence to best determine and demonstrate it. These papers comprise this Supplement. The present paper introduces the key concepts of value, evidence, and knowledge translation, in an effort to provide a context for the papers of the Supplement.
Collapse
Affiliation(s)
- Elliot J Roth
- Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL; Shirley Ryan AbilityLab, Chicago, IL.
| | - T George Hornby
- Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN; Rehabilitation Hospital of Indiana, Indianapolis, IN
| |
Collapse
|