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Sari YM, Burton E, Lee DA, et al. Current physiotherapy practice on delivering treatments for older people with dementia in Indonesia: A cross-sectional study. Physiother Res Int. 2021;e1931doi: 10.1002/pri.1931.
Sari, Y. M., Burton, E., Lee, D. A., & Hill, K. D. (2021). Current physiotherapy practice on delivering treatments for older people with dementia in Indonesia: A cross-sectional study. Physiotherapy research international : the journal for researchers and clinicians in physical therapy, e1931. https://doi.org/10.1002/pri.1931
Sari, Yulisna Mutia, et al. "Current physiotherapy practice on delivering treatments for older people with dementia in Indonesia: A cross-sectional study." Physiotherapy research international : the journal for researchers and clinicians in physical therapy vol. (2021): e1931. doi: https://doi.org/10.1002/pri.1931
Sari YM, Burton E, Lee DA, Hill KD. Current physiotherapy practice on delivering treatments for older people with dementia in Indonesia: A cross-sectional study. Physiother Res Int. 2021 Nov 02;e1931. doi: 10.1002/pri.1931. Epub 2021 Nov 02. PMID: 34727408.
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Physiother Res Int. 2021 Nov 02;e1931. doi: 10.1002/pri.1931. Epub 2021 Nov 02.

Current physiotherapy practice on delivering treatments for older people with dementia in Indonesia: A cross-sectional study.

Physiotherapy research international : the journal for researchers and clinicians in physical therapy

Yulisna Mutia Sari, Elissa Burton, Den-Ching A Lee, Keith D Hill

Affiliations

  1. Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
  2. Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
  3. enAble Institute, Curtin University, Perth, Western Australia, Australia.
  4. School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.

PMID: 34727408 DOI: 10.1002/pri.1931

Abstract

OBJECTIVES: The aims of the study were to i) explore the current practice, roles, and perceptions of physiotherapists who treat older people with and without dementia in Indonesia, ii) identify the characteristics of physiotherapists associated with treating older people and older people with dementia, and iii) identify the level of knowledge and attitudes about dementia among physiotherapists treating people with dementia in Indonesia.

METHODS: This was a cross-sectional study in which registered physiotherapists in Indonesia were surveyed online using Qualtrics. Descriptive statistics, linear regression and univariate logistic regression were used in this study. Multiple logistic regression was conducted to identify the characteristics of physiotherapists associated with treating older people and/or people with dementia. The Dementia Knowledge Assessment Scale (DKAS) was used to assess level of knowledge and attitudes about dementia. Qualitative data from the survey were analyzed using thematic content analysis.

RESULTS: The online survey was sent to 6327 physiotherapists who met the inclusion criteria and 1061 (16.8%) returned the survey. Eight hundred and eighty-four (83.3%) respondents worked with older patients, and 632 (59.6%) worked with people with dementia. The multiple regression analysis showed that physiotherapists who have been practicing for longer (years) (OR: 1.0, 95%CI: 1.0-1.1, p ≤ 0.001) and were working in a geriatrics area (OR: 3.0, 95%CI: 1.4-6.5, p = 0.005) were more likely to treat older people with dementia. The DKAS mean score (SD) was 32.1 (±5.1)/50 indicating some limitations in dementia knowledge by respondents, and 62% of physiotherapists reported low levels of confidence in treating older people with dementia.

CONCLUSIONS: The relatively low dementia knowledge, and generally low confidence in treating people with dementia among Indonesian physiotherapists were important findings in this study. This study highlights opportunities for improvement in physiotherapist's knowledge and skills in this emerging area of practice in Indonesia.

© 2021 John Wiley & Sons Ltd.

Keywords: Indonesia; cross-sectional studies; dementia; physiotherapists

References

  1. Alzheimer's Disease International. (2014). Dementia in the Asia Pasific Region. https://www.alz.co.uk/adi/pdf/Dementia-Asia-Pacific-2014.pdf - PubMed
  2. Alzheimer's Disease International. (2018). World Alzheimer Report 2018. The state of the art of dementia research: New frontiers. https://www.alz.co.uk/research/WorldAlzheimerReport2018.pdf - PubMed
  3. Annear, M., Toye, C., Elliott, K.-E., McInerney, F., Eccleston, C., & Robinson, A. (2017). Dementia knowledge assessment scale (DKAS): Confirmatory factor analysis and comparative subscale scores among an international cohort. BMC Geriatrics, 17(1). https://doi.org/10.1186/s12877-017-0552-y - PubMed
  4. Annear, M., Toye, C. M., Eccleston, C. E., McInerney, F. J., Elliott, K. E. J., Tranter, B. K., Hartley, T., & Robinson, A. L. (2015). Dementia knowledge assessment scale: Development and preliminary psychometric properties. Journal of the American Geriatrics Society, 63(11), 2375-2381. https://doi.org/10.1111/jgs.13707 - PubMed
  5. Bennie, J. A., De Cocker, K., Teychenne, M. J., Brown, W. J., & Biddle, S. J. H. (2019). The epidemiology of aerobic physical activity and muscle-strengthening activity guideline adherence among 383,928 U.S. adults. Int J Behav Nutr Phys Act, 16(1), 34. https://doi.org/10.1186/s12966-019-0797-2 - PubMed
  6. Blondell, S. J., Hammersley-Mather, R., & Veerman, J. L. (2014). Does physical activity prevent cognitive decline and dementia?: A systematic review and meta-analysis of longitudinal studies. BMC Public Health, 14(1), 510. https://doi.org/10.1186/1471-2458-14-510 - PubMed
  7. Downs, M., & Collins, L. (2015). Person-centred communication in dementia care. Nursing Standard, 30(11), 37-41. https://doi.org/10.7748/ns.30.11.37.s45 - PubMed
  8. Fauth, E. B., & Gibbons, A. (2014). Which behavioral and psychological symptoms of dementia are the most problematic? Variability by prevalence, intensity, distress ratings, and associations with caregiver depressive symptoms. International Journal of Geriatric Psychiatry, 29(3), 263-271. https://doi.org/10.1002/gps.4002 - PubMed
  9. Foley, T., Sheehan, C., Jennings, A. A., & O’Sullivan, T. (2020). A qualitative study of the dementia-care experiences and educational needs of physiotherapists in the Republic of Ireland. Physiotherapy, 107, 267-274. https://doi.org/10.1016/j.physio.2019.08.006 - PubMed
  10. Forbes, D., Forbes, S., Blake, C., Thiessen, E., & Forbes, S. (2015). Exercise programs for people with dementia (review). Cochrane Database Systematic Review, (4), CD006489. https://doi.org/10.1002/14651858.CD006489.pub4 - PubMed
  11. Gallaway, P., Miyake, H., Buchowski, M., Shimada, M., Yoshitake, Y., Kim, A., & Hongu, N. (2017). Physical activity: A viable way to reduce the risks of mild cognitive impairment, Alzheimer’s disease, and vascular dementia in older adults. Brain Sciences, 7(12), 22. https://doi.org/10.3390/brainsci7020022 - PubMed
  12. Giné-Garriga, M. P. P. T., Roqué-Fíguls, M. M. D., Coll-Planas, L. M. D., Sitjà-Rabert, M. P. P. T., & Salvà, A. M. D. (2014). Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, Frail older adults: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 95(4), 753-769. https://doi.org/10.1016/j.apmr.2013.11.007 - PubMed
  13. Grant, S. W., Hickey, G. L., & Head, S. J. (2019). Statistical primer: Multivariable regression considerations and pitfalls. European Journal of Cardio-Thoracic Surgery, 55(2), 179-185. https://doi.org/10.1093/ejcts/ezy403 - PubMed
  14. Hall, A., Watkins, R., Lang, I., Endacott, R., & Goodwin, V. (2017). The experiences of physiotherapists treating people with dementia who fracture their hip. BMC Geriatrics, 17(1), 91. https://doi.org/10.1186/s12877-017-0474-8 - PubMed
  15. Hsieh, H.-F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177/1049732305276687 - PubMed
  16. Jones, C. (2019). Advancing physiotherapy competence in dementia care. A service development initiative. Age and Ageing, 48(Suppl_3), iii17-iii65. https://doi.org/10.1093/ageing/afz103.138 - PubMed
  17. Lam, F., Huang, M.-Z., Liao, L.-R., Chung, R. C., Kwok, T. C., & Pang, M. Y. (2018). Physical exercise improves strength, balance, mobility, and endurance in people with cognitive impairment and dementia: A systematic review. Journal of Physiotherapy, 64(1), 4-15. https://doi.org/10.1016/j.jphys.2017.1012.1001 - PubMed
  18. Law, C., Lam, F. M., Chung, R. C., & Pang, M. Y. (2020). Physical exercise attenuates cognitive decline and reduces behavioural problems in people with mild cognitive impairment and dementia: A systematic review. Journal of Physiotherapy, 66(1), 9-18. https://doi.org/10.1016/j.jphys.2019.1011.1014 - PubMed
  19. Lawler, K., Kitsos, A., Bindoff, A. D., Callisaya, M. L., Eccleston, C. E. A., & Doherty, K. V. (2020). Room for improvement: An online survey of allied health professionals' dementia knowledge. Australasian Journal on Ageing, 40, 195-201. https://doi.org/10.1111/ajag.12886 - PubMed
  20. Lu, Z., Harris, T. B., Shiroma, E. J., Leung, J., & Kwok, T. (2018). Patterns of physical activity and sedentary behavior for older adults with Alzheimer's disease, mild cognitive impairment, and cognitively normal in Hong Kong. J Alzheimers Dis, 66(4), 1453-1462. https://doi.org/10.3233/JAD-180805 - PubMed
  21. Norton, S., Matthews, F. E., Barnes, D. E., Yaffe, K., & Brayne, C. (2014). Potential for primary prevention of Alzheimer's disease: An analysis of population-based data. The Lancet Neurology, 13(8), 788-794. https://doi.org/10.1016/S1474-4422(14)70136-X - PubMed
  22. Pallant, J. (2020). SPSS survival manual: A step by step guide to data analysis using IBM SPSS (7th ed.). Allen & Unwin. - PubMed
  23. Robinson, A., Eccleston, C., Annear, M., Elliott, K.-E., Andrews, S., Stirling, C., Ashby, M., Donohue, C., Banks, S., Toye, C., & McLnerney, F. (2014). Who knows, who cares? Dementia knowledge among nurses, care workers, and family members of people living with dementia. Journal of Palliative Care, 30(3), 158-165. https://doi.org/10.1177/082585971403000305 - PubMed
  24. Steinberg, M., Leoutsakos, J.-M., Podewils, L., & Lyketsos, C. (2009). Evaluation of a home-based exercise program in the treatment of Alzheimer's disease: The maximizing Independence in Dementia (MIND) study. International Journal of Geriatric Psychiatry, 24, 680-685. https://doi.org/10.1002/gps.2175 - PubMed
  25. Strøm, B. S., Engedal, K., & Andreassen, L. (2019). Nursing staff’s knowledge and attitudes toward dementia: A pilot study from an Indian perspective. Dement Geriatr Cogn Disord Extra, 9(3), 352-361. https://doi.org/10.1159/000502770 - PubMed
  26. Suttanon, P., Hill, K. D., Said, C. M., Williams, S. B., Byrne, K. N., Logiudice, D., Lautenschlager, N. T., & Dodd, K. J. (2013). Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer’s disease: A pilot randomized controlled trial. Clinical Rehabilitation, 27(5), 427-438. https://doi.org/10.1177/0269215512460877 - PubMed
  27. Thompson, C. G., Kim, R. S., Aloe, A. M., & Becker, B. J. (2017). Extracting the variance inflation factor and other multicollinearity diagnostics from typical regression results. Basic and Applied Social Psychology, 39(2), 81-90. https://doi.org/10.1080/01973533.2016.1277529 - PubMed
  28. World Bank. (2016). Live long and prosper: Aging in East Asia and Pacific Regional Report. https://openknowledge.worldbank.org/handle/10986/23133 - PubMed
  29. World Health Organization. (2017). Global action plan on the public health response to dementia 2017-2025. https://www.who.int/mental_health/neurology/dementia/action_plan_2017_2025/en/ - PubMed

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