Attitudes and Beliefs of Physical Therapists and Physical Therapist Students Toward Working With Older Adults: A Systematic Review.

IF 3.5 4区 医学 Q1 ORTHOPEDICS
Humberto Omaña, Ashvene Sureshkumar, Marja Äijö, Susan W Hunter
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引用次数: 0

Abstract

Objective: The aim of this study was to systematically review physical therapists' and physical therapist students' attitudes toward working with older adults.

Methods: CINAHL, EMBASE, ERIC, MEDLINE, Scopus, PsycINFO, and SocIndex databases were searched in duplicate (from inception to March 2023). Studies that assessed knowledge on aging, intention to work with older adults or attitudes toward older adults for physical therapist students and/or clinicians, and that were written in English, Finnish, Spanish, or Swedish were included. Grey literature, qualitative studies, or articles of people with a specific diagnosis (eg, dementia) were excluded. All articles were reviewed by 2 authors independently, and consensus was required for inclusion. Data extraction was completed using a standardized data extraction sheet.

Results: Of 2755 articles screened, 34 met the inclusion criteria. Twenty-five studies recruited only physical therapist students, 6 recruited only physical therapist clinicians, and 3 involved mixed samples of both. Ten intervention studies were included, all of which recruited physical therapist students. Overall, physical therapist students were observed to have predominantly positive attitudes toward older adults, while clinicians had neutral to weak positive attitudes toward older adults. Both physical therapist students and clinicians were observed to have low knowledge on aging and low intentions to work with older adults. Results from intervention studies suggest that education combined with clinical experience with older adults improves attitudes toward older adults.

Conclusion: A discrepancy is observed in physical therapists in that although attitudes toward older adults are positive, a lack of knowledge on aging and a disinterest in working with older adults exists. Intervention studies suggest that clinical experience may improve attitudes toward older adults in physical therapist students.

Impact: Predominantly positive attitudes toward older adults are reported by physical therapist students, while for clinicians mixed results are observed. Education coupled with clinical experiences appears to be effective interventions to improve attitudes toward older adults, but such research has only been explored in student samples.

物理治疗师和物理治疗师学生对与老年人共事的态度和信念:系统综述。
研究目的本研究旨在系统回顾理疗师和理疗师学生对与老年人打交道的态度:方法:重复检索了 CINAHL、EMBASE、ERIC、MEDLINE、Scopus、PsycINFO 和 SocIndex 数据库(从开始到 2023 年 3 月)。研究内容包括物理治疗师学生和/或临床医生的老龄化知识、与老年人打交道的意愿或对老年人的态度,研究语言为英语、芬兰语、西班牙语或瑞典语。灰色文献、定性研究或关于特定诊断(如痴呆症)患者的文章均不包括在内。所有文章均由两位作者独立审阅,并在达成共识后方可纳入。数据提取采用标准化数据提取表完成:在筛选出的 2755 篇文章中,有 34 篇符合纳入标准。25 项研究仅招募了理疗师学生,6 项研究仅招募了理疗师临床医生,3 项研究涉及两者的混合样本。其中包括 10 项干预研究,所有研究都招募了理疗师学生。总体来看,理疗师学生对老年人的态度主要是积极的,而临床医生对老年人的态度则是中性到微弱的积极态度。据观察,理疗师学生和临床医生对老龄化的了解程度都很低,对与老年人打交道的意愿也很低。干预研究的结果表明,教育与老年人临床经验相结合可以改善对老年人的态度:结论:虽然物理治疗师对老年人的态度是积极的,但他们缺乏有关老龄化的知识,对与老年人打交道也不感兴趣。干预研究表明,临床经验可以改善理疗师学生对老年人的态度:物理治疗师学生对老年人的态度主要是积极的,而临床医生的态度则好坏参半。教育加上临床经验似乎是改善对老年人态度的有效干预措施,但此类研究仅在学生样本中进行过探讨。
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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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