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Title:Exploring adaptations to first contact physiotherapy service for musculoskeletal patients duringCovid-19 Pandemic Background Covid had a significant and ongoing operational impact on global health and social care systems. Healthcare services initially experienced disruption due to Covid- 19 pandemic, for example, World Health Organisation reported 53% disruptions in primary care services and 38% in emergency care globally. However, healthcare services transformed and adopt innovations rapidly and at scale to respond to the complex needs of Covid infected patients while continuing routine care delivery. There is currently no evidence on the adaptation strategies implemented by first contact physiotherapy (FCP) services since the onset of the pandemic and how they have been experienced by patients and staff. There is a need to describe this process and identify barriers and facilitators in the implementation of this change to understand and reflect on the experience of the service providers and users for future practice Aim To explore first contact physiotherapist service rapid adaptation for musculoskeletal conditions during Covid 19 pandemic in the UK and Australia. Conceptual Frameworks Adaptation framework, World Health Organisation Responsiveness framework and Dearing Readiness tool will be combined to understand adaptation and its associated factors Method A cross-sectional study design will be used to explore changes that occurred in FCP service delivery for Musculoskeletal patients during the Covid-19 pandemic in the UK and Australia using an online survey (Qualtrics©). The online survey (questionnaire) was developed a priori, drawing on literature and consultation with experts. About 439 FCP practitioners will be recruited through physiotherapy associations both in the UK and Australia. Data will be imported into SPSS and analysed using descriptive statistics of mean, frequencies, and percentage. Content analysis will be used to analyse responses to open-ended questions to provide numerical counts of categories where appropriate. Result/conclusion This study will provide an overview of changes that have occurred in FCP healthcare service delivery for musculoskeletal patients in the UK and Australia. This will provide an opportunity for cross-contextual learning and best practice may inform future practice. Relevant literature AL AWAJI, N. N., ALMUDAIHEEM, A. A. & MORTADA, E. M. 2022. Changes in speech, language and swallowing services during the Covid-19 pandemic: The perspective of speech-language pathologists in Saudi Arabia. PLoS One, 17, e0262498. BARTON, C. J., EZZAT, A. M., MEROLLI, M., WILLIAMS, C. M., HAINES, T., MEHTA, N. & MALLIARAS, P. 2022. “It's second best”: A mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during the COVID-19 pandemic. Musculoskeletal Science and Practice, 58. MARSHALL, J., SCOTT, B., DELVA, J., ADE, C., HERNANDEZ, S., PATEL, J., MORENO-CHEEK, M., ROJAS, D., TANNER, J. P. & KIRBY, R. S. 2020. An Evaluation of Florida’s Zika Response Using the WHO Health Systems Framework: Can We Apply These Lessons to COVID-19? Maternal and Child Health Journal, 24, 1212-1223. STIRMAN, W. S., BAUMANN, A. A. & MILLER, C. J. 2019. The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implementation Science, 14. DEARING, J. W. 2018. Organizational Readiness Tools for Global Health Intervention: A Review. Front Public Health, 6, 56. |
