@article{JA2022a,

title = {Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives},

author = {D. M. Rangel-cubillos and A. V. Vega-Silva and Y. F. Corzo-Vargas and M. C. Molano-Tordecilla and Y. P. Pe\~{n}uela-Ar\'{e}valo and K. M. Lagos-Pe\~{n}a and A. M. J\'{a}come-Hort\'{u}a and C. J. Villamizar Jaimes and S. L. Grace and H. C. Dutra de Souza and A. Angarita-Fonseca and J. C. S\'{a}nchez Delgado },

url = {https://www.mdpi.com/1660-4601/19/4/1911 Journal},

doi = {https://doi.org/10.3390/ijerph19041911},

year  = {2022},

date = {2022-02-09},

urldate = {2022-02-09},

journal = {Int. J. Environ. Res. Public Health},

volume = {19},

number = {4},

pages = {1911},

abstract = {Cardiac rehabilitation (CR) is under-used, particularly in low-resource settings. There are few studies of barriers and facilitators to CR adherence in these settings, particularly considering multiple perspectives. In this multiple-method study, a cross-sectional survey including the Cardiac Rehabilitation Barriers Scale (each item scored on a five-point Likert scale) was administered to patients treated between February and July, 2019, in three CR centers in Colombia. A random subsample of 50 participants was invited to a focus group, along with an accompanying relative. Physiotherapists from the programs were invited to an interview, with a similar interview guide. Audio-recordings were transcribed and analyzed using interpretive description. A total of 210 patients completed the survey, and 9 patients, together with 3 of their relatives and 3 physiotherapists, were interviewed. The greatest barriers identified were costs (mean = 2.8 ± 1.6), distance (2.6 ± 1.6) and transportation (2.5 ± 1.6); the logistical subscale was highest. Six themes were identified, pertaining to well-being, life roles, weather, financial factors, healthcare professionals and health system factors. The main facilitators were encouragement from physiotherapists, relatives and other patients. The development of hybrid programs where patients transition from supervised to unsupervised sessions when appropriate should be considered, if health insurers were to reimburse them. Programs should consider the implications regarding policies of family inclusion.},

keywords = {Cardiac Rehabilitation, Hearth diseases, Rehabilitation, Treatment adherence},

pubstate = {published},

tppubtype = {article}

}

@article{JA2201,

title = {Use of Moodle to strengthen citizenship competencies in physiotherapy students: a pretest-posttest design},

author = {M. C. Boneth-Collante and J. Salazar-Rodr\'{i}guez and A. Angarita-Fonseca},

url = {https://recyt.fecyt.es/index.php/retos/article/view/82517/66783, Retos},

doi = {10.47197/retos.v44i0.82517},

year  = {2022},

date = {2022-01-01},

urldate = {2022-01-01},

journal = {Retos},

volume = {44},

number = {2},

pages = {242-251},

abstract = {Introduction: Moodle is a learning information and communication technology widely used worldwide and has been little used to strengthen citizenship competencies. 



Objective: To improve citizenship competencies through a pedagogical strategy in the Moodle platform in students registered in the training courses of clinical/administrative physiotherapy practice at the University of Santander, Bucaramanga, Colombia. 



Methods: A pretest-posttest design was carried out. The educational intervention consisted of a pedagogical activity available online 24 hours a day in Moodle for ten weeks. A sample of 41 students completed a questionnaire before and after the educational intervention, which consisted of 25 questions distributed in five dimensions: political constitution, multi-perspective, systemic and reflective thinking, argumentation, and ethics. The total score per dimension ranged from 0 to 100. 



Results: The average knowledge score was 60.8 ± 12.9 in the pretest and 65.1 ± 15.4 in the posttest (p = 0.0665). After the educational intervention, there were positive changes in eight of the 25 questions (p <0.005), three of which corresponded to the multi-perspective dimension. In the analysis by subgroups, it was found that those who obtained a score equal to or less than 60 in the initial evaluation significantly improved their knowledge [pretest = 51.6 (9.9), posttest = 60 (15.1), p-value = 0.018]. 



Conclusion: A educational intervention with Moodle increased the knowledge of some citizenship competencies among physiotherapy students, especially in the multi-perspective dimension.},

keywords = {Competency-Based Education, Education, Educational Assessment, Knowledge, Learning, Moodle Extended Classroom, Physiotherapy, Students, Technology},

pubstate = {published},

tppubtype = {article}

}

@article{JA2021,

title = {International continuing education for rehabilitation workers in Honduras: a pre-test-post-test evaluation},

author = {A. Angarita-Fonseca and S. Lovo and I. C. Gomez-Diaz and J. Bidonde and M. L. Hijuelos C\'{a}rdenas and M. Basualdo and K. Premkumar and M. Urbina and A. Busch},

doi = {10.47985/dcidj.451},

year  = {2021},

date = {2021-12-31},

urldate = {2021-12-31},

journal = {Disability, CBR \& Inclusive Development},

volume = {32},

number = {4},

pages = {13-39},

abstract = {Background: The knowledge of Honduran healthcare workers who deliver rehabilitation services can be enhanced by support from community-engaged academic collaborations outside the country.



Objective: This study aimed to evaluate reactions and learning linked to two continuing education workshops for rehabilitation workers in northern Honduras.



Method: A pre-test post-test study design was used. In September 2017, faculty from Canada and Colombia, together with health professionals from Honduras, facilitated two neurorehabilitation workshops - one in a rehabilitation centre and the other in a family support organisation located in northern Honduras. The participants were physiotherapists, physicians, nurses and educational professionals, as well as a psychologist, kinesiologist, and non-professionals trained onsite. Seventeen participants attended the ‘Acquired brain injury/spinal cord injury workshop’ (adult workshop), and 15 attended the ‘Rehabilitation for children with impaired neuromotor development workshop’ (paediatric workshop). They completed three questionnaires before the workshops: one on sociodemographic information; one related to knowledge; and, the Modified Stages of Learning Questionnaires (MSLQs). Three questionnaires were completed after the workshops: the Modified Kirkpatrick; a knowledge questionnaire; and, the MSLQ.



Results: Most of the participants agreed that the workshops had positive effects in two of the four Kirkpatrick levels that were evaluated: reaction and learning. In the MSLQs of the paediatric workshop, there was a statistically significant change in the percentage of participants who moved from scanning/evaluation stages in the pre-test to learning/gaining experience in the post-test, in three of the six topics. Three of the knowledge questions showed important learning effects.



Conclusion and Implications: Workshops offered through an international collaboration resulted in enhancing learning and knowledge of neurological rehabilitation workers in Honduras.  This initiative has the potential to improve the quality of care for people with neurological conditions in the region. Participants evaluated the workshops as relevant and held very positive attitudes about the perceived outcomes. The inclusion of local practitioners in planning the workshops and selecting the topics appeared to have aided their relevance. It is recommended that workshop planners take adequate time to ensure relevancy.},

key = {Physical therapy specialty, rehabilitation, nervous system diseases, health education, global health},

keywords = {Continuing Education, Educational Assessment, Global Health, Neurological Rehabilitation, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{JA5821,

title = {Continuing Education and Professional Networks Workshops among Rehabilitation Workers in Honduras},

author = {A. Angarita-Fonseca and I. C. Gomez-Diaz and E. Pedrozo Araque and L. M. Uribe Calder\'{o}n and V. Umaefulam and K. Premkumar and M. Urbina and M. L. Hijuelos-C\'{a}rdenas and A. Busch and J. Bidonde},

url = {https://sites.google.com/view/revistakinesiologia/n\'{u}meros-previos/n\'{u}mero-4-2021-vol-40/talleres-de-educaci\'{o}n-continua-y-redes-profesionales-entre-los-trabajadores, Revista Kinesiologia},

year  = {2021},

date = {2021-12-15},

urldate = {2021-12-15},

journal = {Kinesiologia},

volume = {40},

number = {4},

pages = {233-242},

abstract = {Introduction. The work of non-medical rehabilitators in Honduras is done in isolated groups that need connectivity. Collaboration and professional networking can help rehab workers with the overwhelming clinical demands they face. Objectives. 1) describe the initial participation in professional networks of rehabilitation therapists and support rehabilitation workers who attended the workshops, and 2) evaluate the indirect effect of continuing education workshops on professional networks among attendees. Methods. A prospective longitudinal study was carried out. Participants in five continuing education workshops on rehabilitation held between 2017 and 2019 in northern Honduras completed a questionnaire made up of the sociodemographic sections and participation in professional networks. Generalized Estimation Equations (EEG) were used to assess the effects of workshop attendance on professional network dimensions (dimensions of clinical support and opportunities for participation in professional networks) adjusted for sociodemographic characteristics and work-related variables. Results. 100 questionnaires filled out by 67 participants were analyzed. Forty-six participants attended a single workshop; 12 attended two and 9 attended three or more workshops. 34.3% worked as a rehabilitation therapist, 62.7% were other professionals, and 3% were rehabilitation assistants. Multivariate EEGs did not show any significant association between attendance at continuing education workshops and the dimensions of participation in professional networks. Rehabilitation therapists presented fewer opportunities to participate in networks than other health professionals. Conclusion. There was no evidence of an effect of workshop attendance on participation in professional networks. Future workshops should include objectives and strategies for developing professional networks.},

keywords = {Continuing Education, Neurological Rehabilitation, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{pmid34724980,

title = {Patient-important outcomes reported in randomized controlled trials of pharmacologic treatments for COVID-19: a protocol of a META-epidemiological study},

author = {M. A. Jimenez-Mora and A. R. Varela and J. F. Meneses-Echavez and J. Bidonde and A. Angarita-Fonseca and R. A. C. Siemieniuk and D. Zeraatkar and J. J. Bartoszko and R. Brignardello-Petersen and K. Honarmand and B. Rochwerg and G. Guyatt and J. J. Yepes-Nu\~{n}ez},

url = {https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-021-01838-8, Systematic Reviews},

doi = {10.1186/s13643-021-01838-8},

issn = {2046-4053},

year  = {2021},

date = {2021-11-01},

urldate = {2021-11-01},

journal = {Syst Rev},

volume = {10},

number = {1},

pages = {289},

abstract = {BACKGROUND: The coronavirus disease 19 (covid-19) pandemic has underscored the need to expedite clinical research, which may lead investigators to shift away from measuring patient-important outcomes (PIO), limiting research applicability. We aim to investigate if randomized controlled trials (RCTs) of covid-19 pharmacological therapies include PIOs.



METHODS: We will perform a meta-epidemiological study of RCTs that included people at risk for, or with suspected, probable, or confirmed covid-19, examining any pharmacological treatment or blood product aimed at prophylaxis or treatment. We will obtain data from all RCTs identified in a living network metanalysis (NMA). The main data sources are the living WHO covid-19 database up to 1 March 2021 and six additional Chinese databases up to 20 February 2021. Two reviewers independently will review each citation, full-text article, and abstract data. To categorize the outcomes according to their importance to patients, we will adapt a previously defined hierarchy: a) mortality, b) quality of life/ functional status/symptoms, c) morbidity, and d) surrogate outcomes. Outcomes within the category a) and b) will be considered critically important to patients, and outcomes within the category c) will be regarded as important. We will use descriptive statistics to assess the proportion of studies that report each category of outcomes. We will perform univariable and multivariable analysis to explore associations between trial characteristics and the likelihood of reporting PIOs.



DISCUSSION: The findings from this meta-epidemiological study will help health care professionals and researchers understand if the current covid-19 trials are effectively assessing and reporting the outcomes that are important to patients. If a deficiency in capturing PIOs is identified, this information may help inform the development of future RCTs in covid-19.



SYSTEMATIC REVIEW REGISTRATIONS: Open Science Framework registration: osf.io/6xgjz .},

key = {Coronavirus, COVID-19, Patient-important outcome, Prevention, Reporting, Treatment},

keywords = {Coronavirus, COVID-19, Patient-important outcome, Prevention, Reporting, Respiratory system, Treatment},

pubstate = {published},

tppubtype = {article}

}