@article{Bonet‐Collantes2024,

title = {Enhancing physiotherapists' knowledge and perceptions of telerehabilitation: A before‐after educational intervention study},

author = {Milena Bonet‐Collantes and Diana Marcela Ni\~{n}o‐Pinz\'{o}n and Angie Dayana Chaustre‐Porras and Yuli Andrea Salas‐Poloche and Adriana Angarita‐Fonseca},

doi = {10.1002/pri.2120},

issn = {1471-2865},

year  = {2024},

date = {2024-10-00},

urldate = {2024-10-00},

journal = {Physiotherapy Res Intl},

volume = {29},

number = {4},

publisher = {Wiley},

abstract = {\<jats:title\>Abstract\</jats:title\>\<jats:sec\>\<jats:title\>Background and purpose\</jats:title\>\<jats:p\>In the evolving landscape of healthcare, telerehabilitation is emerging as a pivotal modality, especially in delivering services to vulnerable populations. With the increasing reliance on digital health solutions, there is a pressing need for physiotherapists to be adequately trained in telerehabilitation. This training is essential for them to adapt to new technologies and methodologies, ensuring effective and efficient patient care. The aim of this study was to evaluate the effect of a telerehabilitation educational intervention on physiotherapists' knowledge and perceptions in Bucaramanga and its metropolitan area.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Methods\</jats:title\>\<jats:p\>A group of 27 physiotherapists underwent an educational intervention focused on telerehabilitation. Before‐ and after‐intervention assessments were conducted to gauge their perceptions and knowledge.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Results\</jats:title\>\<jats:p\>Participants generally held a positive perception of telerehabilitation both before and after the intervention [Before Median (Md) and interquartile range (IQR): Md = 2.5 (IQR = 2.1\textendash3); after: Md = 2.7 (IQR = 2.4\textendash3.1), \<jats:italic\>p\</jats:italic\> = 0.256]. A significant increase in their knowledge after‐intervention was observed [Before: Md = 55.5 (IQR = 33.3\textendash66.6)]; after: Md = 77.7 (IQR = 66.6\textendash88.8), \<jats:italic\>p\</jats:italic\> = \<0.001, emphasizing the potential benefits of targeted educational interventions.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Conclusions\</jats:title\>\<jats:p\>The educational intervention significantly improved physiotherapists' knowledge of telerehabilitation, underscoring the importance of professional training in this domain. While perceptions remained consistently positive, the notable increase in knowledge suggests that such educational programs are crucial for enhancing the adoption and effective use of telerehabilitation in physiotherapy practice.\</jats:p\>\</jats:sec\>},

keywords = {2024, Education, Health services, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{Lovo2024,

title = {Effectiveness of an interprofessional assessment and management approach for people with chronic low back disorders delivered via virtual care: A randomized controlled trial pilot intervention},

author = {Stacey Lovo and Biaka Imeah and Nazmi Sari and Megan E O’Connell and Steve Milosavljevic and Adriana Angarita-Fonseca and Brenna Bath},

doi = {10.1177/20552076241260569},

issn = {2055-2076},

year  = {2024},

date = {2024-01-00},

urldate = {2024-01-00},

journal = {DIGITAL HEALTH},

volume = {10},

publisher = {SAGE Publications},

abstract = {\<jats:sec\>\<jats:title\>Objective\</jats:title\>\<jats:p\> Virtual care for chronic conditions has seen uptake due to COVID-19. Evaluation of virtual models is important to ensure evidence-based practice. There is a paucity of research in the use of virtual care for management of chronic back disorders. The objective of this study was to evaluate effectiveness of a team-based virtual care model for back disorder assessment where a physical therapist uses virtual care to join a nurse practitioner and patient in a rural Saskatchewan, Canada community. \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Methods\</jats:title\>\<jats:p\> Sixty-four rural adults with chronic back disorders were randomly allocated to receive either: (1) team-based virtual care ( n = 24); (2) care from an urban physical therapist travelling to community ( n = 20); or (3) care from a rural nurse practitioner ( n = 20). The team-based care group involved a nurse practitioner located with a rural patient, and a physical therapist joining using virtual care. The physical therapist alone and the nurse practitioner alone groups received in-person assessments. Groups with a physical therapist involved had follow-up treatments by in-person physical therapy. Outcomes over six months included pain, disability, back beliefs, satisfaction, quality-adjusted health status and management-related costs. \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Results\</jats:title\>\<jats:p\> There were no significant differences for pain, disability, back beliefs and satisfaction between groups. The average cost per patient for implementing in-person physical therapist assessment ($135) was higher compared with the team over virtual care ($118) and NP care ($59). \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Conclusion\</jats:title\>\<jats:p\> Primary outcomes were not different by group. Physical therapist alone was more costly than other groups. Future research should include more participants, longer follow-up time and refined cost parameters. \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Trial Registration\</jats:title\>\<jats:p\> ClinicalTrials.gov NCT02225535; https://clinicaltrials.gov/ct2/show/NCT02225535 (Archived by WebCite at http://www.webcitation.org/6lqLTCNF7 ). \</jats:p\>\</jats:sec\>},

keywords = {2024, Chronic Pain, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@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{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{RN54,

title = {Quality of life among those who participated or did not participate in a cardiac rehabilitation program after undergoing coronary angioplasty},

author = {J. C. S\'{a}nchez-Delgado and A. J\'{a}come-Hort\'{u}a and R. D. P. Martinez-Mar\'{i}n and C. E. Su\'{a}rez-L\'{o}pez and L. M. Vanegas-Pallares and E. S\'{a}nchez-Arias and A. Angarita-Fonseca},

url = {https://angarita-fonseca.com/2020sanchez/, PDF



http://revistamexicanadeenfermeriacardiologica.com.mx/index.php/RevMexEnferCardiol/article/view/138, Journal},

year  = {2020},

date = {2020-01-01},

urldate = {2020-01-01},

journal = {Rev. Mex. Enferm. Cardiol.},

volume = {28},

number = {1},

pages = {15-20},

abstract = {Background. Cardiac Rehabilitation Programs are effective in reducing morbidity due to coronary heart disease, promoting reintegration into the workplace, improving quality of life, and physical capacity, among others. Objective. To explore differences in the Health-Related Quality of Life (HRQL) of those who participate or not in a Cardiac Rehabilitation Program in a Hospital of Bucaramanga. Methodology. A cross-sectional study was conducted on 40 subjects who underwent coronary angioplasty between September 2014 and February 2015 in the Comuneros University Hospital of Bucaramanga, Colombia. Sociodemographic and clinical variables, and HRQL through the SF-36 survey instrument were gathered; all participants signed consent prior to their participation. Continuous variables were analyzed by measures of central tendency and dispersion; while the categorical variables were analyzed using frequencies. The two-sample Wilcoxon rank-sum test was used to compare the HRQL by cardiac rehabilitation participation. Results. A better perception of quality of life is evident in those whom participated in a Cardiac Rehabilitation Program. The results were significantly different in the domains of physical functioning (Median: 80 Interquartile range [IQR] = 50-95 vs. 30 I QR = 15-65; p = 0.003), vitality (Median 60 IQR = 55-75 vs 30 IQR = 25-55; p = 0 .004), social function ( Median 9 0 I QR = 75-100 vs. 5 0 R IC = 37.5-100; p = 0 .009), and health transition (Median 50 IQR = 25-75 vs 25 RIC = 0-50; p = 0.035). Conclusions. The results obtained suggest that the Cardiac Rehabilitation Program can improve the HRQL in patients undergoing coronary angioplasty},

key = {Coronary disease, Angioplasty, Quality of life, Rehabilitation},

keywords = {Angioplasty, Cardiac Rehabilitation, Cardiovascular Diseases, Coronary disease, Quality of life, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{RN6,

title = {Effect of stretching versus stretching after application of ultrasound on the extensibility of the hamstring muscles in adult women},

author = {C. A. Niño and A. Angarita-Fonseca and G. A. Villamizar Rayón},

url = {http://revistas.ustabuca.edu.co/index.php/USTASALUD_ODONTOLOGIA/article/view/2018},

doi = {10.15332/us.v16i0.2018},

year  = {2017},

date = {2017-01-01},

urldate = {2017-01-01},

journal = {UstaSalud},

volume = {16},

pages = {35-42},

abstract = {Objective:  To compare the effects of  SM  versus  US+SM  on the extensibility of the hamstring muscles in adult women. Methods: A Randomized Controlled Clinical Trial was conducted. Fourteen women (22.3 ± 3.9 years) were randomly assigned to two groups, SM (7 minutes) prior US (US + SM), n=8 and SM for 7 minutes, n=6. The differences between assessments were compared using student’s t-test; the effect of the intervention was evaluated by analysis of covariance. Results: Significantly increased flexibility of lower limbs in both groups. In the US + SM group increased -8.75 ± 5.5; while increasing in the SM group was -3.5 ± 2.7; when comparing the groups, no statistically significant differences were found. A statistically significant increase was found in final grades in the US + SM intervention group, -5.8 (95% CI: - 10.9; -0.67p = 0.030) compared with the SM group adjusting only for baseline score. Conclusion: A single exposure to US + SM is sufficient to enhance the gains in hamstring extensibility in adult women compared to SM.},

keywords = {Extensibility, Flexibility, Physiotherapy, Rehabilitation, Stretching, Ultrasound, Women's health},

pubstate = {published},

tppubtype = {article}

}

@article{RN11,

title = {Barriers for the participation in cardiac rehabilitation programmes in patients undergoing percutaneous revascularisation due to a coronary disease},

author = {J. C. S\'{a}nchez-Delgado and A. Angarita-Fonseca and A. Jacome Hortua and Y. Malaver-Vega and E. Schmalbach-Aponte and C. D\'{i}az-D\'{i}az},

url = {http://doi.org/10.1016/J.RCCAR.2015.08.009},

year  = {2016},

date = {2016-01-01},

urldate = {2016-01-01},

journal = {Revista Colombiana de Cardiolog\'{i}a},

volume = {23},

number = {2},

pages = {141-147},

abstract = {Introduction: Cardiac rehabilitation programmes encourage lifestyle changes and reduce the recurrence of morbidity and mortality by 25 %. Nevertheless, the attendance rate to such programmes varies between 7.5 and 29%, and around 40 to 50 % of users abandon the treatment during the early stages.



Motivation: To describe the barriers found in those who participated or not in cardiac rehabilitation programmes after percutaneous revascularization.



Methods: A cross-sectional study of 30 patients, who have applied the barrier scale for cardiac rehabilitation, using Likert-type questions, where the highest scores indicated a bigger perception of the barrier to participating in a cardiac rehabilitation programme.



Results: The major barriers per item were: «I find this exercise is tiring and/or painful» with an average of 2.86, followed by «I currently exercise» and «I did not know about cardiac rehabilitation» with an average of 2.73. The lowest score was: «Many people have heart problems and do not go», with 1.73. More barriers were shown in those who did not attend a cardiac rehabilitation programme (p \< 0.05) than those who did; in addition, most barriers were found in the fields of perceived needs and comorbidities/functional state (p \< 0.05). This indicates a lack of orientation and education when it comes to the benefits that users could obtain by joining and participating in a cardiac rehabilitation programme, no matter how they feel or the type of functional limitations they may have.},

keywords = {Cardiac Rehabilitation, Coronary disease, Rehabilitation, Secondary prevention},

pubstate = {published},

tppubtype = {article}

}

@article{RN21,

title = {Participation in a fitness program and functional capacity in patients undergoing angioplasty for acute coronary syndrome},

author = {J. C. S\'{a}nchez-Delgado and A. Angarita-Fonseca and J. Parra-Pati\~{n}o},

url = {https://www.elsevier.es/en-revista-fisioterapia-146-articulo-participacion-un-programa-acondicionamiento-fisico-S0211563814001357},

doi = {10.1016/j.ft.2014.08.001},

year  = {2015},

date = {2015-01-01},

urldate = {2015-01-01},

journal = {Fisioterapia},

volume = {37},

number = {3},

pages = {112-119},

abstract = {Objective: To describe the functional capacity of subjects who participated compared to those who did not participate in a Fitness program after undergoing coronary angioplasty.



Methodology: A cross-sectional study was conducted in 19 subjects (68.4% men) with acute coronary syndrome undergoing coronary angioplasty between June and August 2010, who were appropriate for conducting a stress test. The dependent variable was functional capacity assessed by the modified Bruce and Bruce protocols. The main independent variable was participation in the fitness program. Simple and multiple linear regression analyses were performed to establish the variables associated with functional capacity.



Results: We found that the subjects who attended the program achieved 2.57 MET above those who did not attend the program (P=.003), adjusted for history of hypertension and obesity. Conversely, obese people reached 3.04 MET less when compared with non-obese individuals, adjusted for program assistance and hypertension (P=.003).



Conclusions: In the adjusted analysis, an association was found between participation in a fitness program and functional capacity. Thus, inclusion and participation of subjects who have received percutaneous revascularization in a fitness program within their rehabilitation process is recommended.},

key = {Exercise, Obesity, Myocardial infarction, Angioplasty},

keywords = {Angioplasty, Cardiac Rehabilitation, Exercise, Obesity, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{RN16,

title = {Content validity of the Cardiac Rehabilitation Barriers Scale},

author = {J. C. Sanchez-Delgado and A. Jacome-Hortua and S. Pinzon and A. Angarita-Fonseca},

url = {https://revistas.udenar.edu.co/index.php/usalud/article/view/2695/pdf},

doi = {10.22267/rus.151702.2},

year  = {2015},

date = {2015-01-01},

urldate = {2015-01-01},

journal = {Revista Universidad y Salud},

volume = {17},

number = {2},

pages = {170-176},

abstract = {Introduction: This research was based on the absence of instruments with appropriate psychometric properties, adapted for Colombia, which evaluate the barriers of access to cardiovascular rehabilitation programs. Objective: To determine the validity of the content of the barriers scale for cardiac rehabilitation in the Colombian population. Methods and materials: A study of diagnostic tests was done. In the first phase, two native speakers of Spanish and one of English were required to translate and retro-translate the original questionnaire. In the second phase, the transcultural adaptation was done and the validity of content was assessed by a panel of four experts with experience in research, sports medicine and cardiac rehabilitation. Results: The instrument was translated and adapted to Colombian Spanish. The panel of experts decided to remove item 18 from the original scale. The content validity index was acceptable for the majority of the items, except for items 10, 15 and 18, where modifications were made in terms of words, phrases or conjugations according to the recommendations of the panel. On the other hand, the IVC in relevance was 0.86 and relevance of 0.88. Conclusion: There is an instrument that evaluates the barriers of access to cardiovascular rehabilitation adapted to the Colombian population programs and with content validity, so the results to be obtained from the application of the scale will be valid. However, it is suggested to continue with the evaluation of the reproducibility of the instrument.},

keywords = {Cardiac Rehabilitation, Cardiovascular Diseases, Rehabilitation, Reproducibility of Results},

pubstate = {published},

tppubtype = {article}

}