What makes an ideal pysiotherapy service for people with parkinson's disease.
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Authors
Young, Rachael
Issue Date
2010
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Abstract
Background and Purpose: Physiotherapy within a multidisciplinary team context is recommended for the management of Parkinson's disease (PD); however, the results of a recent survey revealed that access to physiotherapy remained inadequate (PDS, 2008). Research into physiotherapy and PD has largely focussed on the effectiveness of interventions; fewer studies have involved service users' views. This study aimed to explore an ‘ideal’ physiotherapy service, building on the experiences of physiotherapy of people with PD.
Methods: An Appreciative Inquiry (AI) (Reed, 2007) approach was employed with five participants purposively sampled from a regional branch of the PD Society. A focus group was undertaken, with questioning based on the ‘discovery’ and ‘dreaming’ stages of the AI model. Data were digitally recorded, transcribed verbatim and analysed using thematic analysis combining a long table approach and a method of constant comparison. Emergent themes were verified by the participants.
Results: The theme of a patient-centred service, with individualized treatment, involvement in decision making and choice, was central to the ideal model. Service ideals encompassed ongoing support and access, recognition of motivational needs, use of outcome measures and goal setting and team involvement; knowledge and understanding were essential skills; and the setting provided a positive environment, was closely linked to the community and took account of transport issues.
Conclusions: The study findings showed a strong relationship between what service users wanted and what guidelines (both government- and physiotherapy-specific [KNGF, 2004]) recommend for practice. Guideline implementation should provide a service that is more patient-centred and reflects the aspirations of those with PD.
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Citation
Young, R., Jones, D. and Baker, K. (2010) What makes an ideal pysiotherapy service for people with parkinson's disease. Physiotherapy Research International; 15 (4) : 244.
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Physiotherapy Research International
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ISSN
1471-2865