Why do some people with stroke not receive the recommended 45 minutes of Occupational Therapy and Physiotherapy after stroke? A qualitative study using focus groups
Why do some people with stroke not receive the recommended 45 minutes of Occupational Therapy and Physiotherapy after stroke? A qualitative study using focus groups
Objectives: to generate qualitative data on the views of Occupational Therapists and Physiotherapists about why people do not receive the Royal College of Physicians’ recommended minimum of 45 minutes of daily therapy after stroke, in order to inform a Delphi Study.
Design: focus Group study
Setting: stroke services in the South of England
Participants: a total of nine participants, in two groups, including therapists covering inpatient and Early Supported Discharge (ESD) services with awareness of the 45 minute guideline.
Results: thematic analysis of focus group data identified five factors that influence the amount of therapy a person receives: The Person (with stroke), Individual Therapist, Stroke MDT, the Organisation, and the Guideline. Study findings suggest that the reasons why a person does not receive the therapy recommendation in inpatient and ESD services relate to either the suitability of the guideline for the person with stroke, or the ability of the service to deliver the guideline.
Conclusion: this study provides evidence for possible reasons why some people do not receive a minimum of 45 minutes of therapy, five days per week, related to 1) the suitability of the guideline for people with stroke and 2) services’ ability to deliver this amount of intervention. These two factors are related; therapists decide who should receive therapy and how much in the context of a) resource availability and b) people’s need and the benefit they will experience. The study findings, combined with the findings from other studies, will be used to initiate a Delphi study, which will establish consensus amongst therapists regarding the reasons why some people don’t receive the guideline amount of therapy.
Clark, Beth
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Burridge, Jane
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Whitall, Jill
9ad11814-bec4-4eab-a31f-e5f499403164
Turk, Ruth
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Hughes, Ann-Marie
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Truman, Juliette
f0d129f3-f2f1-43d3-a9bd-7c0cfc3b2589
Clark, Beth
bc71de33-092b-467e-806a-df2ff4e1175c
Burridge, Jane
0110e9ea-0884-4982-a003-cb6307f38f64
Whitall, Jill
9ad11814-bec4-4eab-a31f-e5f499403164
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Truman, Juliette
f0d129f3-f2f1-43d3-a9bd-7c0cfc3b2589
Clark, Beth, Burridge, Jane, Whitall, Jill, Turk, Ruth, Hughes, Ann-Marie and Truman, Juliette
(2023)
Why do some people with stroke not receive the recommended 45 minutes of Occupational Therapy and Physiotherapy after stroke? A qualitative study using focus groups.
BMJ Open.
(In Press)
Abstract
Objectives: to generate qualitative data on the views of Occupational Therapists and Physiotherapists about why people do not receive the Royal College of Physicians’ recommended minimum of 45 minutes of daily therapy after stroke, in order to inform a Delphi Study.
Design: focus Group study
Setting: stroke services in the South of England
Participants: a total of nine participants, in two groups, including therapists covering inpatient and Early Supported Discharge (ESD) services with awareness of the 45 minute guideline.
Results: thematic analysis of focus group data identified five factors that influence the amount of therapy a person receives: The Person (with stroke), Individual Therapist, Stroke MDT, the Organisation, and the Guideline. Study findings suggest that the reasons why a person does not receive the therapy recommendation in inpatient and ESD services relate to either the suitability of the guideline for the person with stroke, or the ability of the service to deliver the guideline.
Conclusion: this study provides evidence for possible reasons why some people do not receive a minimum of 45 minutes of therapy, five days per week, related to 1) the suitability of the guideline for people with stroke and 2) services’ ability to deliver this amount of intervention. These two factors are related; therapists decide who should receive therapy and how much in the context of a) resource availability and b) people’s need and the benefit they will experience. The study findings, combined with the findings from other studies, will be used to initiate a Delphi study, which will establish consensus amongst therapists regarding the reasons why some people don’t receive the guideline amount of therapy.
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Focus Group Paper - Clean Copy
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Figure 1
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More information
Accepted/In Press date: 1 September 2023
Identifiers
Local EPrints ID: 482712
URI: http://eprints.soton.ac.uk/id/eprint/482712
ISSN: 2044-6055
PURE UUID: 4a69a47d-e544-484b-a031-20d66033ad28
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Date deposited: 11 Oct 2023 16:56
Last modified: 18 Mar 2024 03:55
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Contributors
Author:
Beth Clark
Author:
Jill Whitall
Author:
Juliette Truman
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