Why do some people with stroke not receive the recommended 45 minutes of Occupational Therapy and Physiotherapy? A Delphi Study
Why do some people with stroke not receive the recommended 45 minutes of Occupational Therapy and Physiotherapy? A Delphi Study
Objectives: to gain consensus amongst therapists for reasons why a person with stroke may not receive the Royal College of Physicians’ recommended minimum of 45 minutes of daily therapy
Design: three-round remote e-Delphi study.
Setting: national study, based in the UK
Participants: Occupational Therapists and Physiotherapists with experience of delivering therapy after Stroke and awareness of the 45-minute guideline.
Results: forty-five therapists consented to participate in the study. Thirty-five (78%) completed round one, 29/35 (83%) completed round 2 and 26/29 (90%) completed round three. Consensus (75%) was reached for 32 statements. Reasons why a person may not receive 45 minutes were related to the suitability of the guideline for the individual (based on factors like therapy tolerance or medical status) or the capability of the service to provide the intervention. In addition to the statements for which there was consensus, 32 concepts did not reach consensus. Specifically, there was a lack of consensus concerning the suitability of the guideline for people receiving Early Supported Discharge (ESD) services and a lack of agreement about whether people who need more than 45 minutes of therapy actually receive it.
Conclusion: some people do not receive 45 minutes of therapy as they are considered unsuitable for it and some do not receive it due to services’ inability to provide it. It is unclear which reasons for guideline non-achievement are most common. Future research should focus on why the guideline is not achieved in ESD, and why people who require more than 45 minutes may not receive it. This could contribute to practical guidance for therapists to optimise therapy delivery for people after stroke.
Clark, Beth
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Truman, Juliette
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Whitall, Jill
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Hughes, Ann-Marie
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Turk, Ruth
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Burridge, Jane
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Clark, Beth
bc71de33-092b-467e-806a-df2ff4e1175c
Truman, Juliette
f0d129f3-f2f1-43d3-a9bd-7c0cfc3b2589
Whitall, Jill
9ad11814-bec4-4eab-a31f-e5f499403164
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52
Burridge, Jane
0110e9ea-0884-4982-a003-cb6307f38f64
Clark, Beth, Truman, Juliette, Whitall, Jill, Hughes, Ann-Marie, Turk, Ruth and Burridge, Jane
(2023)
Why do some people with stroke not receive the recommended 45 minutes of Occupational Therapy and Physiotherapy? A Delphi Study.
BMJ Open.
(doi:10.1136/bmjopen-2023-072276).
(In Press)
Abstract
Objectives: to gain consensus amongst therapists for reasons why a person with stroke may not receive the Royal College of Physicians’ recommended minimum of 45 minutes of daily therapy
Design: three-round remote e-Delphi study.
Setting: national study, based in the UK
Participants: Occupational Therapists and Physiotherapists with experience of delivering therapy after Stroke and awareness of the 45-minute guideline.
Results: forty-five therapists consented to participate in the study. Thirty-five (78%) completed round one, 29/35 (83%) completed round 2 and 26/29 (90%) completed round three. Consensus (75%) was reached for 32 statements. Reasons why a person may not receive 45 minutes were related to the suitability of the guideline for the individual (based on factors like therapy tolerance or medical status) or the capability of the service to provide the intervention. In addition to the statements for which there was consensus, 32 concepts did not reach consensus. Specifically, there was a lack of consensus concerning the suitability of the guideline for people receiving Early Supported Discharge (ESD) services and a lack of agreement about whether people who need more than 45 minutes of therapy actually receive it.
Conclusion: some people do not receive 45 minutes of therapy as they are considered unsuitable for it and some do not receive it due to services’ inability to provide it. It is unclear which reasons for guideline non-achievement are most common. Future research should focus on why the guideline is not achieved in ESD, and why people who require more than 45 minutes may not receive it. This could contribute to practical guidance for therapists to optimise therapy delivery for people after stroke.
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Delphi Paper - Clean Copy
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Delphi Figure1
- Accepted Manuscript
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Supplementary Table 1
- Accepted Manuscript
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Accepted/In Press date: 1 September 2023
Identifiers
Local EPrints ID: 482747
URI: http://eprints.soton.ac.uk/id/eprint/482747
ISSN: 2044-6055
PURE UUID: ed0b5274-af20-4017-a8b5-449299343fb9
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Date deposited: 12 Oct 2023 16:40
Last modified: 26 Oct 2024 01:59
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Author:
Beth Clark
Author:
Juliette Truman
Author:
Jill Whitall
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