@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{RN10,

title = {Association between gross motor function and nutritional status in children with cerebral palsy: a cross-sectional study from Colombia},

author = {E. Herrera-Anaya and A. Angarita-Fonseca and V. M. Herrera-Galindo and R. D. P. Mart\'{i}nez-Mar\'{i}n and C. N. Rodr\'{i}guez-Bayona},

url = {https://onlinelibrary.wiley.com/doi/full/10.1111/dmcn.13108},

doi = {10.1111/dmcn.13108},

year  = {2016},

date = {2016-01-01},

urldate = {2016-01-01},

journal = {Developmental Medicine and Child Neurology},

volume = {58},

number = {9},

pages = {936-941},

abstract = {Aim: To determine the association between gross motor function and nutritional status in children with cerebral palsy (CP) residing in an urban area in a developing country.



Method: We conducted a cross-sectional study in 177 children (ages 2\textendash12y, 59.3% male) with a diagnosis of CP who were attending rehabilitation centres in Bucaramanga, Colombia (2012\textendash2013). A physiotherapist evaluated patients using the Gross Motor Function Classification System (GMFCS, levels I to V). Nutritional status was evaluated by nutritionists and classified according to the World Health Organization growth charts. We used linear and multinomial logistic regression methods to determine the associations.



Results: There were 39.5%, 6.8%, 5.6%, 16.4%, and 31.6% patients classified in levels I to V respectively. The mean adjusted differences for weight-for-age, height-for-age, BMI-for-age, and height-for-weight z-scores were significantly larger for children classified in levels II to V compared with those in level I. The children classified in levels IV and V were more likely to have malnutrition (adjusted odds ratio [OR] 5.64; 95% confidence interval [CI] 2.27\textendash14.0) and stunting (OR 8.42; 95% CI 2.90\textendash24.4) than those classified in GMFCS levels I to III.



Interpretation: Stunting and malnutrition are prevalent conditions among paediatric patients with CP, and both are directly associated with higher levels of gross motor dysfunction.},

keywords = {Body Composition, Neurological Rehabilitation, Neurology, Nutrition},

pubstate = {published},

tppubtype = {article}

}

@article{RN51,

title = {Characterization of the disability in a sample of children with Cerebral Palsy from Bucaramanga and its metropolitan area, Colombia},

author = {R. D. P. Martinez-Marin and A. Angarita-Fonseca and M. Rojas-Gutierrez and K. Rojas-Perez and E. Velandia-Rojas},

url = {https://revistas.unal.edu.co/index.php/revfacmed/article/view/39694/41660},

year  = {2013},

date = {2013-01-01},

urldate = {2013-01-01},

journal = {Revista Facultad de Medicina},

volume = {61},

number = {2},

pages = {185-194},

abstract = {Objective: To determine the sociodemographic, neonatal history, disability status and level of gross motor function in children with cerebral palsy 2-12 years of Bucaramanga and its metropolitan area. 



Methods: We performed a cross-sectional study with a sample of 60 participants selected for convenience. The level of gross motor function was assessed using the classification system of the gross motor function (GMFCS). The analysis calculated absolute and relative frequencies. 



Results: The largest age group was between 6 and 12 years 61.6%, 50% were female and the majority belonged to the socioeconomic stratum 2 (43.3%), representing the lower class stratification as in Colombia; 56, 7% of children lived with both parents, found that 55% of households had \>1 y \<2 Current legal minimum monthly wage and the health system was the most common tax (65%). According to the classification with GMFCS, we found that 38.3% of children were at level V, 25.0% in Level I, Level IV 16.7%, 13.3% in level III and level II 6.7%. Body structures most affected were the central nervous system with 78.3%, followed by deficiencies in the structures for movement (upper and lower limbs) with 20.0%. 



Conclusions: It is found that the severity of gross motor function is directly related to functional abilities, the need for elements of support and caregiver.},

key = {Child, cerebral palsy, motion, disabled children },

keywords = {Children, Disability, Neurological Rehabilitation, Neurology},

pubstate = {published},

tppubtype = {article}

}

@article{RN40,

title = {Relationship between the social participation of children with disabilities and the satisfaction of their parents},

author = {O. L. Santamaria-Pinzon and A. Angarita-Fonseca and F. L. K. Bayona-Gualdr\'{o}n and F. J. Delgado Silva and F. I. Y. Parra Guerrero and F. A. P. P\'{e}rez Ortega},

url = {https://www.medigraphic.com/pdfs/revcubped/cup-2013/cup131c.pdf},

year  = {2013},

date = {2013-01-01},

urldate = {2013-01-01},

journal = {Revista Cubana de Pediatria},

volume = {85},

number = {1},

pages = {17-27},

abstract = {Objectives: to determine the association between the social participation of the children with disabilities and the satisfaction of their parents with it.



Methods: a cross-sectional study was conducted on eighty 5 to 13 years-old children (9±2.7 years) with disabilities, who lived in the metropolitan area of Bucaramanga and were conveniently selected. The life-habit scale assessment was used. Spearman's correlation coefficient was estimated (p).



Results: the global scoring of social participation was 6±2.3 and the satisfaction of the parents with their children's social participation was 3.6±0.7. The habit with the highest correlation coefficient was communication (p= 0.83) and that with the lowest coefficient was personal relationships (p= 0.44). In the global scoring, a very good correlation was found between the social participation and the satisfaction of the parents with this participation (p= 0.82).



Conclusions: at the time of putting forward objectives and treatments, both the social participation and the satisfaction of parents with it should be taken into consideration jointly rather than separately.

},

key = {MHAVIDA, life habits, social participation, satisfaction of parents},

keywords = {Children, Disability, Neurological Rehabilitation, Neurology},

pubstate = {published},

tppubtype = {article}

}