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Zogo Y, Hoshino K, Serizawa K, Iwase A, Tsuji T. Psychometric Properties of the Japanese Version of the Edmonton Functional Assessment Tool 2. J Pain Symptom Manage 2024; 67:157-166. [PMID: 37944624 DOI: 10.1016/j.jpainsymman.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 09/09/2023] [Accepted: 11/02/2023] [Indexed: 11/12/2023]
Abstract
CONTEXT Physical symptoms such as pain and cancer-related fatigue limit physical function and activities of daily living among patients with terminal cancer, which can lead to a decline in quality of life. Therefore, comprehensive functional impairments should be evaluated to determine the progression of the disease and the effectiveness of palliative treatment. OBJECTIVE To validate the psychometric properties of the Japanese version of the Edmonton Functional Assessment Tool 2 (EFAT2-J). METHODS We developed a Japanese version of the EFAT-2 in accordance with international guidelines. To verify the reliability and validity of the EFAT2-J, patients were evaluated by a physiotherapist and a nurse separately, and correlations with existing evaluation scales for physical function, physical symptoms, and quality of life were analyzed, respectively. The significance level was set at 5%. RESULTS Twenty patients participated in the reliability measurement. The average EFAT2-J scores were 7.95 ± 4.12 for physical therapists and 7.20 ± 4.23 for nurses, and the intraclass correlation coefficient was 0.95. The weighted kappa coefficient (κ) for each item was 0.57-1.00. Fifty-five patients participated in the validity measurement. The EFAT2-J showed significant correlations with Eastern Cooperative Oncology Group Performance Status and the Karnofsky Performance Scale, Barthel Index, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative Care sub-item "physical function." CONCLUSION These results indicate that the EFAT2-J has robust psychometric properties and is useful for evaluating physical function in patients with terminal cancer, and thus may be an acceptable clinical instrument in research and practice.
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Affiliation(s)
- Yuto Zogo
- Department of Rehabilitation Medicine/ Palliative Care Team (Y.Z., K.S., A.I.), Yokohama City Minato Red Cross Hospital, Kanagawa, Japan
| | - Keita Hoshino
- Department of Palliative Care Nursing/ Palliative Care Team (K.H.), Yokohama City Minato Red Cross Hospital, Kanagawa, Japan
| | - Kensuke Serizawa
- Department of Rehabilitation Medicine/ Palliative Care Team (Y.Z., K.S., A.I.), Yokohama City Minato Red Cross Hospital, Kanagawa, Japan
| | - Akira Iwase
- Department of Rehabilitation Medicine/ Palliative Care Team (Y.Z., K.S., A.I.), Yokohama City Minato Red Cross Hospital, Kanagawa, Japan
| | - Tetsuya Tsuji
- Department of Rehabilitation Medicine (T.T.) Keio University School of Medicine, Tokyo, Japan.
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Woldman A, Goldblatt H, Elboim-Gabyzon M. Palliative physiotherapy in community settings for people with terminal illness. BMJ Support Palliat Care 2023:spcare-2023-004179. [PMID: 37169518 DOI: 10.1136/spcare-2023-004179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Accepted: 04/18/2023] [Indexed: 05/13/2023]
Abstract
OBJECTIVES The need for palliative care is constantly growing worldwide. Palliative care is typically provided by a multidisciplinary team in community-based facilities. As part of this team, physiotherapists can effectively address prevalent symptoms, such as pain, breathing difficulties and reduced functional capacity. A few studies reported low physiotherapy services' utilisation by people who require palliative care. Israel was rated among countries having the highest level of palliative care integration in the array of basic medical services in a global survey. This study's purpose was to explore, for the first time, the scope of palliative physiotherapy treatments that home dwelling people receive in Israel. METHODS A retrospective chart review of people who had been referred to home hospice care during the year 2019. RESULTS A total of 1587 people were included in this study, of which only 34.7% received community-based physiotherapy treatments during the last 6 months of their lives. People treated by palliative physiotherapy usually received a short intervention of 1-3 treatments, with an average of 5.37 treatments. No differences were found regarding age, gender and geographical location in relation to metropolitan area between people who had received such treatments and people who had not. A high socioeconomic place of residence rating and the presence of chronic life-limiting illness or progressive neurological disorder significantly predicted the possibility of receiving physiotherapy treatments. CONCLUSIONS Future studies should explore the inhibiting and promoting factors for receiving palliative physiotherapy treatments, focusing on persons' comorbidities and their sociodemographic characteristics.
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Affiliation(s)
- Anat Woldman
- Physiotherapy, Maccabi Healthcare Services, Bat Yam, Israel
| | - Hadass Goldblatt
- Department of Nursing (Faculty of Social Welfare & Health Sciences), University of Haifa, Haifa, Israel
| | - Michal Elboim-Gabyzon
- Department of Physical Therapy (Faculty of Social Welfare & Health Sciences), University of Haifa, Haifa, Israel
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Ní Chéileachair FN, Johnston BM, Payne C, Cahill F, Mannion L, McGirr L, Ryan K. Protocol for an exploratory, longitudinal single case study of a novel palliative care rehabilitative service. HRB Open Res 2022; 4:131. [PMID: 35118229 PMCID: PMC8790707 DOI: 10.12688/hrbopenres.13461.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2022] [Indexed: 11/28/2022] Open
Abstract
Background: Early access to rehabilitation can improve quality of life for those with life-limiting illnesses and is highlighted as a core component of the Adult Palliative Care Services Model of Care for Ireland. Despite this, palliative rehabilitation remains under-utilised and under-developed. In 2020, the Sláintecare Integration Fund provided opportunity to pilot a novel rehabilitative palliative care service, “Palliat Rehab”. This protocol proposes a case study, which aims to advance understanding of the form, content, and delivery of the pilot service. Methods: A prospective, longitudinal, mixed-methods, case study design will be used to describe the service and to explore the experiences of patients, informal carers and clinicians. Additionally, data collection instruments will be tested and the utility of outcome measures will be examined. Data will be collected from documentary, survey, and interview sources. Quantitative data will be analysed using descriptive statistics, including chi-square tests for categorical variables, Mann-Whitney U tests for ordinal data, and t-tests/ ANOVA for continuous data. Qualitative data will be analysed using thematic analysis. Conclusions: New pathways are required to advance service provision to ensure that patients receive the ‘right care, in the right place, at the right time’. This protocol outlines a case study which will aim to develop current understanding of the implementation and delivery of a novel rehabilitative palliative care service in Ireland and will consider its potential contribution to the achievement of Sláintecare goals. Investigating the service within its environmental context will lead to a better understanding of ‘how’ and ‘why’ things happen. Findings will be used to inform efforts to further develop and tailor the intervention.
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Affiliation(s)
| | - Bridget M. Johnston
- Centre for Health and Policy Management, Trinity College Dublin, Dublin, Ireland
| | - Cathy Payne
- All Ireland Institute of Hospice and Palliative Care, Dublin, Ireland
| | | | - Lisa Mannion
- Department of Palliative Care, Mater Misericordiae University Hospital, Dublin, Dublin, Ireland
| | | | - Karen Ryan
- Department of Palliative Care, Mater Misericordiae University Hospital, Dublin, Dublin, Ireland
- St. Francis Hospice, Dublin, Ireland
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Ní Chéileachair F, Johnston BM, Payne C, Cahill F, Mannion L, McGirr L, Ryan K. Protocol for an exploratory, longitudinal single case study of a novel palliative care rehabilitative service. HRB Open Res 2021; 4:131. [DOI: 10.12688/hrbopenres.13461.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2021] [Indexed: 11/20/2022] Open
Abstract
Background: Early access to rehabilitation can improve quality of life for those with life-limiting illnesses and is highlighted as a core component of the Adult Palliative Care Services Model of Care for Ireland. Despite this, palliative rehabilitation remains under-utilised and under-developed. In 2020, the Sláintecare Integration Fund provided opportunity to pilot a novel rehabilitative palliative care service, “Palliat Rehab”. This protocol proposes a case study, which aims to advance understanding of the form, content, and delivery of the pilot service. Methods: A prospective, longitudinal, mixed-methods, case study design will be used to describe the service and to explore the experiences of patients, informal carers and clinicians. Additionally, data collection instruments will be tested and the utility of outcome measures will be examined. Data will be collected from documentary, survey, and interview sources. Quantitative data will be analysed using descriptive statistics, including chi-square tests for categorical variables, Mann-Whitney U tests for ordinal data, and t-tests/ ANOVA for continuous data. Qualitative data will be analysed using thematic analysis. Conclusions: New pathways are required to advance service provision to ensure that patients receive the ‘right care, in the right place, at the right time’. The development of ‘‘Palliat Rehab’’ offers opportunity to study an innovative service and consider its potential contribution to the achievement of Sláintecare goals. Investigating the service within its environmental context will lead to a better understanding of ‘how’ and ‘why’ things happen. Findings will be of value in assessing whether there is evidence that supports the service, and will be used to inform efforts to further develop and tailor the intervention.
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Looney F, Cobbe S, Ryan A, Barriscale I, McMahon A, Real S. The Search for a Functional Outcome Measure for Physical Therapy in Specialist Palliative Care: An Ongoing Journey. REHABILITATION ONCOLOGY 2020. [DOI: 10.1097/01.reo.0000000000000194] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Morrow BM, Barnard C, Luhlaza Z, Naidoo K, Pitt S. Knowledge, attitudes, beliefs and experience of palliative care amongst South African physiotherapists. SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY 2018; 73:384. [PMID: 30135908 PMCID: PMC6093105 DOI: 10.4102/sajp.v73i1.384] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 03/28/2017] [Indexed: 12/03/2022] Open
Abstract
Background Palliative care encompasses holistic management of patients and families facing life-threatening and life-limiting conditions. There is currently little known about South African physiotherapists’ palliative care knowledge, attitudes, beliefs, experience and training needs. Objectives To describe the amount and adequacy of palliative care training received by South African physiotherapists, and their interest, knowledge, attitudes, beliefs and experiences of palliative care. Methods This was a cross-sectional descriptive survey study of a convenience sample of physiotherapists, using an adapted Physical Therapy in Palliative Care-Knowledge, Attitudes, Beliefs and Experiences Scale (PTiPC-KABE Scale). Likert scale scores were converted to continuous data for analysis, presented as median (IQR). Seven universities were contacted to determine undergraduate palliative care curriculum content. Results A total of 303 participants (8.4% response rate) completed the questionnaire, and 289 responses were included (5.35% margin of error with 95% CI). Participants had 16 (6–27) years of experience, with 85.5% in private practice. About 66.7% and 79% of participants reported not receiving any training at undergraduate and postgraduate levels, respectively, with more than 80% expressing that training was inadequate at both levels. Universities (n = 4/7; 57.1%) reported a maximum 3 hours undergraduate palliative care training. Seventy-nine percent of respondents had clinical experience in providing palliative care; however ‘knowledge’ was the lowest scoring domain (56.3% (43.8%–62.5%). The ‘beliefs’ domain scored highest at 82.6% (69.6%–91.3%). Conclusion Many South African physiotherapists manage patients requiring palliative care, despite inadequate training and limited knowledge in this field. More under- and postgraduate learning opportunities should be made available for physiotherapists in the area of palliative care.
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Affiliation(s)
- Brenda M Morrow
- Paediatrics and Child Health, University of Cape Town, South Africa
| | - Charlotte Barnard
- Department of Health and Rehabilitation Sciences, University of Cape Town, South Africa
| | - Zimkhitha Luhlaza
- Department of Health and Rehabilitation Sciences, University of Cape Town, South Africa
| | - Kelisha Naidoo
- Department of Health and Rehabilitation Sciences, University of Cape Town, South Africa
| | - Sarah Pitt
- Department of Health and Rehabilitation Sciences, University of Cape Town, South Africa
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Olsson Möller U, Stigmar K, Beck I, Malmström M, Rasmussen BH. Bridging gaps in everyday life - a free-listing approach to explore the variety of activities performed by physiotherapists in specialized palliative care. BMC Palliat Care 2018; 17:20. [PMID: 29378566 PMCID: PMC5789614 DOI: 10.1186/s12904-018-0272-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Accepted: 01/16/2018] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND A growing body of studies indicate benefits of physiotherapy for patients in palliative care, for symptom relief and wellbeing. Though physiotherapists are increasingly acknowledged as important members of palliative care teams, they are still an underutilized source and not fully recognized. The aim of this study was to explore the variety of activities described by physiotherapists in addressing the needs and problems of patients and their families in specialized palliative care settings. METHODS Using a free-listing approach, ten physiotherapists working in eight specialized palliative care settings in Sweden described as precisely and in as much detail as possible different activities in which patients and their families were included (directly or indirectly) during 10 days. The statements were entered into NVivo and analysed using qualitative content analysis. Statements containing more than one activity were categorized per activity. RESULTS In total, 264 statements, containing 504 varied activities, were coded into seven categories: Counteracting a declining physical function; Informing, guiding and educating; Observing, assessing and evaluating; Attending to signs and symptoms; Listening, talking with and understanding; Caring for basic needs; and Organizing, planning and coordinating. In practice, however, the activities were intrinsically interwoven. The activities showed how physiotherapists aimed, through care for the body, to address patients' physical, psychological, social and existential needs, counteracting the decline in a patient's physical function and wellbeing. The activities also revealed a great variation, in relation not only to what they did, but also to their holistic and inseparable nature with regard to why, how, when, where, with whom and for whom the activities were carried out, which points towards a well-adopted person-centred palliative care approach. CONCLUSIONS The study provides hands-on descriptions of how person-centred palliative care is integrated in physiotherapists' everyday activities. Physiotherapists in specialized palliative care help patients and families to bridge the gap between their real and ideal everyday life with the aim to maximize security, autonomy and wellbeing. The concrete examples included can be used in understanding the contribution of physiotherapists to the palliative care team and inform future research interventions and outcomes.
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Affiliation(s)
- U Olsson Möller
- Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden. .,Faculty of Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
| | - K Stigmar
- Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden
| | - I Beck
- Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.,Faculty of Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.,Faculty of Health Science, The Research Platform for Collaboration for Health, Kristianstad University, Kristianstad, Sweden
| | - M Malmström
- Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.,Department of Clinical Sciences Lund, Surgery, Lund University, Skåne University Hospital, Lund, Sweden
| | - B H Rasmussen
- Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.,Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden
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Real S, Cobbe S, Slattery S. Palliative Care Edema: Patient Population, Causal Factors, and Types of Edema Referred to a Specialist Palliative Care Edema Service. J Palliat Med 2016; 19:771-7. [DOI: 10.1089/jpm.2015.0337] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Shirley Real
- Healthcare Management, Milford Care Centre, Limerick, Ireland
| | - Sinead Cobbe
- Clinical Therapies, Milford Care Centre, Limerick, Ireland
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Mueller K, Hamilton G, Rodden B, DeHeer HD. Functional Assessment and Intervention by Nursing Assistants in Hospice and Palliative Care Inpatient Care Settings. Am J Hosp Palliat Care 2014; 33:136-43. [DOI: 10.1177/1049909114555397] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study assessed the impact of a nursing assistant-led functional intervention in an urban hospice. Thirty-three patients participated. A physical therapist trained 4 nursing assistants to assess 4 basic functional activities at admission and discharge and to provide daily activity training to intervention group participants. Control group participants were assessed at admission and discharge and received the usual standard of care. Both groups improved. The intervention group participants demonstrated significant improvement in the Timed up and Go test as well as their self-reported ability to achieve goals on the Patient-Specific Functional Scale. Control group participants made significant improvements in the ability to move from supine to sit in bed. These findings suggest that nursing assistants can provide activity-based assessment and intervention leading to improved function among patients in hospice.
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Affiliation(s)
- Karen Mueller
- Department of Physical Therapy, Northern Arizona University, Flagstaff, AZ, USA
| | - Gillian Hamilton
- Department of physical therapy and athletic training, Hospice of the Valley, Phoenix, AZ, USA
| | - Betheny Rodden
- Department of physical therapy and athletic training, Hospice of the Valley, Phoenix, AZ, USA
| | - Hendrick D. DeHeer
- Department of Physical Therapy, Northern Arizona University, Flagstaff, AZ, USA
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Chiarelli PE, Johnston C, Osmotherly PG. Introducing Palliative Care into Entry-Level Physical Therapy Education. J Palliat Med 2014; 17:152-8. [DOI: 10.1089/jpm.2013.0158] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Pauline E. Chiarelli
- School of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Catherine Johnston
- School of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Peter G. Osmotherly
- School of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia
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