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Physical Therapists' Perceptions of Implementing and Sustaining Pediatric Intensive Therapy Programs: A Survey Study
Jamie B Hall1, James B Hedgecock, Meaghan Rubsam
1University of Missouri, Columbia, MO (Dr Hall and Dr Chole); Hedgecock Physical Therapy, PLLC, Denver, CO, Providence Alaska Children's Hospital, Anchorage, Alaska (Dr Hedgecock); PhD Program in Rehabilitation Sciences, Department of Physical Therapy, University of Illinois Chicago, Shirley Ryan AbilityLab, Chicago, Illinois (Dr Rubsam); Division of Occupational Therapy and Physical Therapy, Division of Patient Services Research, Department of Pediatrics, Cincinnati Children's Hospital Medical Center; University of Cincinnati College of Medicine, Cincinnati, Ohio (Dr Greve).
Purpose:
The purpose of this study was to explore the experiences of pediatric physical therapists with the implementation and sustainability of pediatric intensive physical therapy (PT) programs in the United States.
Methods:
Data were collected from a 35-question survey consisting of multiple choice, Likert scale, and open-ended questions based on the Knowledge to Action Cycle Framework. Mixed methods were used in the data analysis of 2 quantitative questions relevant to implementing and sustaining pediatric intensive PT programs and 4 open-ended questions.
Results:
The sample size for quantitative questions was 80 and varied from 29 to 50 for open-ended questions depending on the question.
Identified Overarching Themes Included:
Clinicians value intensive programs; "Logistically tough," and Programs require 3 "Fs" for implementation and sustainability - Funding, Flexibility, and Foundational Knowledge.
Conclusions:
Pediatric physical therapists value intensive programs. Identified areas for support included formal training, improved research evidence, and institutional support.
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