Factors influencing health promotion practices of physical therapists in secondary care hospitals
Article Sidebar
Main Article Content
Abstract
Background: Nowadays, Thai physical therapists have limited practices in health promotion. Studies about the factors influencing health promotion practices among Thai physical therapists has not yet been found.
Objective: To explore predisposing factors in terms of attitude, reinforcing factors, and enabling factors influencing physical therapists’ health promotion practices in secondary care hospitals.
Methods: In-depth interviews were conducted with 13 physical therapists (8 females and 5 males, average age of 38 ± 5.10 years) in 11 health service sectors, and 3 focus group discussions were performed for data collection. Data was analyzed by content analysis.
Results: The predisposing factor was a positive attitude toward the health promotion of most physical therapists, which derived from their experiences more than from studying in a bachelor-level program. The reinforcing factors were “health promotion Indicators” directly for physical therapists, attitude and perception of physical therapists’ roles in health promotion by hospital executives and multidisciplinary team, physical therapists’ knowledge and skills in community, empowerment, behavioral sciences, psychology, and communication. Enabling factors were manpower, budget, and community networking.
Conclusion: The findings of this study should be beneficial for any organization related to the physical therapy profession to develop and support health promotion practices of physical therapists in secondary care hospitals.
Article Details
References
World Health Organization. Health Promotion Glossary. Geneva: WHO; 1998.
Tassaniyom N, Tassaniyom S. Teaching of health promotion. In: Tassaniyom N, editors. Health promotion Empowerment. Khon Kaen: Klang Na Na Vitthaya; 2012. p. 157. (In Thai)
American Physical Therapy Association. The Role of the Physical Therapist in National Health Care Reform [online] 2015 [cited 2017 Mar 12]. Available from: https://www.apta.org/ uploadedFiles/APTAorg/Advocacy/Federal/Health_Care_Reform/APTA_Position/RoleofPTinHealthCareReform.pdf
Bureau of Policy and Strategy, Ministry of Public Health. Detail of Key performance indicators of the Ministry of Public Health Year 2018. [online] 2017 [cited 2018 Jan 5]. Available from: http://203.157.232.109/hdc_ report frontend/ web/file/kpi_template2561.pdf (In Thai)
World Confederation for Physical Therapy. Policy statement Non-communicable diseases. [online] 2017 [cited 2017 Jan 9]. Available from: https://www.wcpt.org/policy/ps-ncd
Barnett A, Smith B, Lord SR, Williams M, Baumaand A. Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. Age Ageing 2003; 32(4): 407-14.
Board of serivce plan primary care seconary care and holistic health. Guidelines for serivce plan of primary care, secondary and holistic health. Nonthaburi: Bureau of health administration Ministry of Public Health, 2013. (In Thai)
National Health Security Office. Disability health insurance rights for disabled. [online] 2010 [cited 2017 Feb 14]. Available from: https://www.nhso.go.th/downloadfile/fund/101223_1408.pdf
Termwut N, Nualnetr N. Work practices of physical therapists in primary health care settings. J Med Tech Phy Ther 2016; 28(2): 1-15.
Ariyachaikul S, Pengping V, Habudha V. The role and duty of physical therapists in community hospitals. Bull Chiang Mai Assoc Med Sci 2001; 34(3): 169-79.
Tapley H, Patel R. Using the PRECEDE-PROCEED Model and Service-Learning to Teach Health Promotion and Wellness: An Innovative Approach for Physical Therapist Professional Education. J Phys Ther Educ 2016; 30(1): 47-59.
Noppakesorn T. Qualitative methods: a field guide for applied research in human/ organization/ community and social development. Nakhon Ratchasima: community nurse association of Thailand; 2011. (In Thai)
Department of Physical Therapy Faculty of Medicine Khon Kaen University. Bachelor of Science Program in Physical Therapy. [online] 2002 [cited 2017 Feb 15]. Available from: https://ams.kku.ac.th/aalearn/resource/edoc/ptcur/undergrad/curriculum.pdf (In Thai)
Chiang Mai University, Department of Physical Therapy Faculty of associated medical sciences. Bachelor of Science Program Physical Therapy. Chiang Mai: Chiang Mai University; 2001. (In Thai)
Huachiew Chalermprakiet university, Faculty of Physical Therapy. Bachelor of Science Program Physical Therapy. Samut Prakan: Weerawan Press Printing,1998. (In Thai)
Rangsit University, Faculty of Physical Therapy. Bachelor of Science Program Physical Therapy. Pathum Thani: Rangsit University, 1999. (In Thai)
Department of Physical Therapy Faculty of Medicine Chiang Mai University. Bachelor of Science Program in Physical Therapy. [online] 2015 [cited 2017 Feb 15]. Available from: http://www.ams.cmu.ac.th/main/web/images/article/documents/0_83017825_1473654247.pdf (In Thai)
Department of Physical Therapy Faculty of Allied Health Sciences Chulalongkorn University. Bachelor of Science Program in Physical Therapy. [online] 2004 [cited 2017 Feb 15]. Available from: http://www.ahs.chula. ac.th/main/Files/2.BPhysicalTherapy.pdf (In Thai)
Faculty of Health Science of Srinakharinwirot University. Bachelor of Science Program in Physical Therapy. [online] 2012 [cited 2017 Feb 12]. Available from: http://healthsci.swu. ac.th/sites/default/files/field/attachments/T2_B.Sc_.PT55.pdf (In Thai)
Department of Physical Therapy Faculty of Allied Health Sciences of Naresuan Universit. Bachelor of Science Program in Physical Therapy. [online] 2011 [cited 2017 Feb 10]. Available from: http://www.ahs.nu.ac.th/ images/buttom/course/coure/pt.pdf (In Thai)
Faculty of Physical Therapy and sport medicine of Rangsit University. Bachelor of Science Program in Physical Therapy. [online] 2009 [cited 2017 Feb 10]. Available from: https://www.rsu.ac.th/therapy/pdf/physical therapy program%2052.pdf (In Thai)
Faculty of Medicine, Prince of Songkla University. Bachelor of Science Program in Physical Therapy. [online] 2011 [cited 2018 Feb 10]. Available from: http://medinfo2.psu. ac.th/ptpsu/doc/TQF2554.pdf (In Thai)
Faculty of Allied health sciences Thammasat University. Bachelor of Science Program in Physical Therapy. [online] 2009 [cited 2019 Jun 20]. Available from: https://web.reg.tu. ac.th/registrar/_link/_8_knowledge/curric_cd/curric_ba/BA_12_02.pdf (In Thai)
Department of Health Service Support , Ministry of Public Health. chapter 7 Administration system of the Ministry of Public Health. [online] 2004 [cited 2019 Jun 28]. Available from: http://hss.moph.go.th/file upload_doc_slider/2016-12-13--486.pdf (In Thai)
Bezner JR. Promoting Health and Wellness: Implications for Physical Therapist Practice. Phys Ther 2015; 95(10): 1433-44.
McMahon N, Connolly C. Health promotion knowledge, attitudes and practices of chartered physiotherapists in Ireland: A national survey. Physiother Pract Res 2013; 34(1): 21-8.
Taukobong NP, Myezwa H, Pengpid S, Geertruyden J.PV. Knowledge Attitude and Practice about Health Promotion among Physiotherapists in South Africa. Physiother 2014; 70(3): 1491-92.
Wilaichit S, Tridech P, Pandii W. Factors affecting standard of practice for physiotherapist in hospitals under Ministry of Public Health in the central region. J Med Tech Phy Ther 2011; 23(2): 197-208.
Leelawong S, Paisanpanichkul A, Chantaummao U. Competencies of chief nursing officer. In: Likhitluecha N, eds. Health Change Leadership Course. Nonthaburi: Nursing division Permanent Secretary Ministry of Public Health, 2017: 23-4. (In Thai)
Institude of Geriatric Medicine Department of Medical Services, Ministry of Public Health. Summary of conceptual framework health promotion for the elderly in the community. In: Pokakul W, eds. Guide to health promotion for the elderly in the community. Nonthaburi: Ministry of Public Health, 2003: 40-2.
World Health Organization. Developing Health Promotion Competencies and Standards for Countries in WHO South-East Asia Region. In: Varghese C , eds. Report of a meeting of experts WHO/SEARO. New Delhi: regional office for South-East Asia, 2008: 8-13.
Charoenchang P, Kerdmuang S, Kalampakorn S. Public health Professional Competency of public health officers working in Thai primary care units. J NURS Ministry of Public Health 2016; 26: 40-51.
Norman KE, Geddes EL, Berg K, et al. Physiotherapists in Health Promotion: Findings of a Forum. Physiother Can 2011; 63(4): 391-92
Walkedena S, Walker KM. Perceptions of physiotherapists about their role in health promotion at an acute hospital: a qualitative study. Physiother 2014; 101(2): 226–31.
Aweto HA, Oligbo CN, Fapojuwo OA, Olawale OA. Knowledge, attitude and practice of physiotherapists towards promotion of physically active lifestyles in patient management. BMC Health Serv Res 2013; 13(21): 1-8.
Fisher A, Otterson M, Pitzen S. Facilitators and Barriers to Health Promotion Perceived by Minnesota Physical Therapists Working in Outpatient Settings [Master Thesis in Doctor of physical therapy program]. Minnesota: St. Catherine University; 2014.
