@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{2023-Angarita-COVID19,

title = {Exploring long COVID condition in Latin America: its impact on patients’ activities and associated healthcare use},

author = {A. Angarita-Fonseca and R. Torres-Castro and V. Benavides-Cordoba and S. Chero and Morales Satan M. and Hernandez Lopez B. and R. Salazar and S. Larrateguy and D.C. Sanchez-Ramirez},

doi = {10.3389/fmed.2023.1168628},

year  = {2023},

date = {2023-03-27},

journal = {Frontiers in Medicine},

volume = {10},

abstract = {Background: Studies exploring long COVID condition (LCC) in low- and middle-income countries are scarce. Further characterization of LCC patients experiencing activity limitations and their associated healthcare use is needed. This study aimed to describe LCC patients’ characteristics, it’s impact on activities, and associated healthcare use in Latin America (LATAM).

Participants: Individuals who (cared for someone or) had COVID-19 and could read, write, and comprehend Spanish and lived in a LATAM country were invited to complete a virtual survey. Sociodemographic characteristics, COVID-19 and LCC symptoms, activity limitations, and healthcare use.

Results: Data from 2466 people from 16 countries in LATAM was analyzed (females = 65.9%; mean age of 39.5 ± 53.3 years). 1178 (48%) of the respondents had LCC symptoms (≥3 months). These were more likely to have COVID-19 earlier in the pandemic, were older, had no COVID vaccines, had more comorbidities, needed supplementary oxygen and reported significantly more COVID-19 symptoms during the infectious period. 33% of the respondents visited a primary care provider, 13% went to the emergency department, 5% were hospitalized, 21% visited a specialist, and 32% consulted ≥1 therapist for LCC symptoms mainly extreme fatigue, sleep difficulties, headaches, muscle or joint pain, and shortness of breath with activity. The most consulted therapists were respiratory therapists (15%) and psychologists (14%), followed by physical therapists (13%), occupational therapists (3%) and speech pathologists (1%). One-third of LCC respondents decreased their regular activities (e.g., work, school) and 8% needed help with activities of daily living (ADLs). LCC respondents who reduced their activities reported more difficulty sleeping, chest pain with activity, depression, and problems with concentration, thinking and memory; while those who needed help with ADLs were more likely to have difficulty walking, and shortness of breath at rest. Approximately 60% of respondents who experienced activity limitations sought a specialist and 50% consulted therapists.

Conclusions and relevance: Results supported previous findings in terms of the LCC demographics, and provided insight into LCC impact on patients’ activities and healthcare services used in LATAM. This information is valuable to inform service planning and resource allocation in alignment with the needs of this population.},

key = {Activity limitations, Long Covid, healthcare use, long COVID disability, Latin America},

keywords = {COVID-19, Health services, Mobility limitations, Respiratory system},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36444387,

title = {Distinct care trajectories among persons living with arthritic conditions: A two-year state sequence analysis},

author = {H. L. Nguena Nguefack and M. G. Pag\'{e} and M. Choini\`{e}re and A. Vanasse and S. Deslauriers and A. Angarita-Fonseca and M. A. Blanchette and A. Lacasse},

doi = {10.3389/fpain.2022.1014793},

issn = {2673-561X},

year  = {2022},

date = {2022-11-12},

urldate = {2022-01-01},

journal = {Front Pain Res (Lausanne)},

volume = {3},

pages = {1014793},

abstract = {OBJECTIVES: Developing solutions to optimize care trajectories (CareTs) requires examining patient journeys through the health care system. This study aimed to describe CareTs among people living with arthritis and evaluate their association with self-reported health outcomes.



METHODS: Analyses were conducted using the TorSaDE Cohort ( = 102,148), which connects the 2007 to 2016 Canadian Community Health Surveys (CCHS) with Quebec administrative databases (longitudinal claims). CareTs of participants living with arthritis according to CCHS ( = 16,631), over the two years before CCHS completion, were clustered using state sequence analysis (months as a time unit). CareT group membership was then put in association with self-reported outcomes (pain intensity and interference, self-perceived general and mental health).



RESULTS: The analysis revealed five CareT groups characterized predominantly by: (1) arthritis-related visits to a specialist ( = 2,756; 16.6%), (2) arthritis-related emergency department visits ( = 2,928; 17.6%), (3) very high all-cause health care utilization and arthritis-related hospitalizations ( = 1,570; 9.4%), (4) arthritis-related medical visits to general practitioners and specialists ( = 2,708; 16.3%), (5) low all-cause health care utilization ( = 6,669; 40.1%). Multivariable results revealed that CareT group membership was associated with higher levels of pain interference (CareT group #3 vs. #5: OR: 1.4, 95%CI: 1.1-1.8) and fair/poor self-perceived general health (CareT group #1 vs. #5: OR: 1.551, 95%CI: 1.319-1.824; #2 vs. #5: OR: 1.244, 95%CI: 1.062-1.457; #3 vs. #5: OR: 1.771, 95%CI: 1.451-2.162; #4 vs. #5: OR: 1.481, 95%CI: 1.265-1.735).



DISCUSSION: Sate sequence analysis is an innovative method of studying CareTs and valuable for making evidence-based decisions taking into account inter- and intra-individual variability.},

keywords = {Health services, Musculoskeletal system, Trends},

pubstate = {published},

tppubtype = {article}

}

@article{RN17,

title = {Achievement of technological and scientific capacity in physical therapy services of Bucaramanga and Floridablanca},

author = {M. I. Pinz\'{o}n-Ochoa and A. Angarita-Fonseca and D. M. Ni\~{n}o-Pinz\'{o}n},

url = {https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/51934},

doi = {10.15446/rsap.v17n2.51934},

year  = {2015},

date = {2015-01-01},

urldate = {2015-01-01},

journal = {Revista de Salud Publica},

volume = {17},

number = {2},

pages = {254-266},

abstract = {Objective: To identify the achievement of the condition of technological and scientific capacity of a sample of physical therapy and respiratory services from the urban area of Floridablanca and Bucaramanga. 

Methodology: A descriptive study was performed with a set of samples not based on probabilities out of convenience. The sample consisted of four health service provider institutions in the town of Floridablanca and three institutions from the urban area of Bucaramanga. During the year 2011, two checklists were applied in order to verify the fulfillment of standards of habilitation and to find the reasons for their non-compliance in some of their requisites. 

Results: Three institutions in Floridablanca belong to the first level of care and one to the second level of care; the standards with the lowest fulfillments are Risk follow-up with a median fulfillment score of 0 (Range: 0-12); Medical Records of care with a median of 9.5 (Range: 0-100) and the standard of priority procedures with a median of 18 (Range: 9-27). In Bucaramanga, two institutions belong to the second level of care and one to the third level of care. The lowest standards in fulfillment were: Medications and devices with zero for one institution, Priority procedures with a median of 60 (Range: 0-89) and physical installations with a median of 73 (Range: 64-84). 

Conclusions: The results show a non-compliance with the essential requisites of habilitation even though these are demanded by the territorial organizations in each health department, district, and municipality.},

key = {Health services, quality of health care, respiratory therapy},

keywords = {Health services, Physiotherapy, Quality of Health Care},

pubstate = {published},

tppubtype = {article}

}

@article{RN47,

title = {An approximation to the health and education reality of disabled people from Los Santos, Santander. 2010-2011},

author = {M. L. Hijuelos C\'{a}rdenas and A. Angarita-Fonseca and R. D. P. Martinez-Marin and L. Y. Criado Guerrero},

url = {https://www.redalyc.org/pdf/304/30428111004.pdf},

year  = {2011},

date = {2011-01-01},

urldate = {2011-01-01},

journal = {Umbral Cientifico},

volume = {19},

pages = {32-41},

abstract = {We present the health and education reality of disabled persons (DP) from Los Santos, Santander in 2010 and 2011. A descriptive and cross-sectional study was done with the instrument “Survey of Persons with Disabilities and its caregiver”. An interview was performed by 17 last year students of Physiotherapy and Bacteriology previously trained. Information was collected from 108 DP (48.1% female). With reference to health, the conditions that most affect them are nervous system disorders (64.8%), with a principal diagnosis of Epilepsy (18%) and Cerebral Palsy (15%). 89.6% of DP belongs to a subsidized health regime, 61% went once to rehabilitation, and physiotherapy was the main service received (63.2%); the primary reason for not attending rehabilitation was the lack of financial resources (45.7%). Regarding education, for DP aged three years old and more, 46.2% could not read or write, 37.4% of DP would not continue studying if they have the opportunity, and 33.6% did not know or did not answer this question. In terms of education, support services to DP who are enrolled in school, 50% have pedagogical support and the remaining do not have any service. Furthermore, 62.5% believe that teachers do not adequately address the special needs of DP and 58.5% believe that the education of DP has not been responsive to their needs. We conclude that disability is a public health problem affecting the health and education of DP, reducing their individual development and the opportunities for integration into society.},

key = {Disabled Persons, Education, Health Services},

keywords = {Disability, Health services},

pubstate = {published},

tppubtype = {article}

}