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An investigation of outcome measures and interventions utilized by physical therapists for fall prevention in community dwelling older adults who have gait and balance problems.

机译：一项物理治疗师为预防步态和平衡问题而在社区居住的老年人中预防跌倒的成果措施和干预措施的调查。

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摘要

The purpose of this study was to identify the outcome measures and interventions that physical therapists are utilizing for fall prevention when working with older adults who have balance disorders. Data describing the outcome measures and interventions were gathered using a newly designed online survey.;The participants in this study were physical therapists who were presently practicing in the states of California, Florida, New York, Ohio, and Texas. The newly designed survey was pilot tested for test-retest reliability and content and face validity prior to full sample distribution. The survey was made available to the participants through PsychData, an academic-based survey service that provides online research services.;A series of analyses included crosstab analyses using Pearson's chi-square (chi2) tests of independence, Pearson's product moment correlations, independent samples t-tests and analysis of variance (ANOVAs) analyses followed by a post hoc comparison test, Tukey's HSD test. The findings suggest the majority of the best practice outcome measures and interventions were not utilized. In addition, participants who had been practicing longer, women, and those whose entry level degree was a baccalaureate utilized significantly more interventions. The participants who had a focus in orthopedics used significantly fewer outcome measures and interventions. A follow up qualitative study is needed to explore physical therapists' attitudes and rationale regarding outcome measures and interventions for fall prevention.;The APTA Vision 2020 projects that by the year 2020, physical therapy services will be provided by physical therapists who are doctors of physical therapy and who are guided by life-long learning and who will render evidence-based services. The results of this study indicate that there may be significant differences in the actual practice of physical therapy and the recommended practice suggested by the research evidence, the Guide To Physical Therapist Practice and projected by the APTA Vision 2020.
机译：这项研究的目的是确定物理治疗师在与患有平衡障碍的老年人一起工作时用于预防跌倒的成果措施和干预措施。使用新设计的在线调查收集了描述结局指标和干预措施的数据。该研究的参与者是物理治疗师，他们目前在加利福尼亚州，佛罗里达州，纽约州，俄亥俄州和德克萨斯州执业。新设计的调查在全面分发样本之前，先进行了重测信度，内容和面部有效性的先导测试。通过提供在线研究服务的基于学术的调查服务PsychData向参与者提供了该调查;一系列分析包括使用Pearson的卡方独立性卡方检验（chi2），Pearson的产品矩相关性，独立样本进行的交叉表分析。 t检验和方差分析（ANOVA）分析，然后进行事后比较检验，即Tukey的HSD检验。研究结果表明，大多数最佳实践结果指标和干预措施均未得到利用。此外，练习时间更长的参与者，妇女以及入门水平为学士学位的参与者使用了更多的干预措施。专注于骨科的参与者使用的结局指标和干预措施明显少得多。需要进行后续的定性研究，以探索物理治疗师对预防跌倒的结果措施和干预措施的态度和理由。《 APTA 2020年愿景》预计，到2020年，物理治疗师将由物理治疗师提供物理治疗服务治疗，谁将接受终身学习的指导，谁将提供循证服务。这项研究的结果表明，物理治​​疗的实际实践与研究证据，《物理治疗师实践指南》以及APTA 2020愿景所计划的推荐实践可能存在显着差异。

著录项

  • 作者

    McDowell, Debra R.;

  • 作者单位

    Texas Woman's University.;

  • 授予单位 Texas Woman's University.;
  • 学科 Gerontology.;Health Sciences Rehabilitation and Therapy.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 286 p.
  • 总页数 286
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 老年病学;康复医学;
  • 关键词

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