Please enable JavaScript.
Coggle requires JavaScript to display documents.
Conceptualisation Paper Structure - Coggle Diagram
Conceptualisation Paper Structure
Identify need for PHC rehab guidance
Rehab Capacity
Need for PHC service improvement
A study conducted in SA found that there is lack of rehab services at PHC
Lack of workforce
Young inexperienced workforce
Lack of space and resources at PHC
Secondary Hospitals do outreach but time, transport and workforce are challenges
STGs
No guidelines for rehab at PHC
Rehab not represented on national committees
Maria studies
Need for guidance for rehab workers, nurses and CHWs
PHC users
Not aware that they have functioning problems which would necessatate them to see rehabilitation
Often afraid to tell nurses of problems if not urgent
Not always able to access rehabilitation services
Transport
Finances
PHCW
Concept idea
Research team meetings
Weekly meetings with research team where framework discussed
Principal investigator presented concept idea to research team who met on weekly basis
Feedback was provided by research team weekly
PI would work on feedback given and present progress of concept development into framework to team again
Stakeholder input
Maria project
PHCW gave input on idea of online guidance tool
Nurses were keen as they are familiar with PACK and are often at a loss when to refer to rehab
Varied feedback regarding online tool, but some were keen as they have been given data and some a tablet to use during COVID and becoming used to online guidance
CHW are keen for guidance as they are not always able to contact rehab when seeing a client at home
Rehab workers were generally keen for both guidance and online tool
Focus group
A focus group discussion was held to present the concept idea and framework to stakeholders and research team
Individual consultations
The concept idea was also presented to individual stakeholders
Based on PACK
PhD Proposal
Main concept was developed by Principal investigator and her supervisors whilst writing proposal for PhD
Prioritisation of functional problems
Rehab4all
Scoping Review
Review of literature on functioning problems in SA
Based on top 10 conditions contributing most to YLDs according to GBD
Washington Questionnaire
Corresponds with StatsSA
NB to use data already in use so functioning screening will also use Washington SQ
Sub-problems
Rehab4all
Sub-problems were also identified in Scoping Review
Stakeholders
Stakeholders will be asked to add any additional sub-problems which should be included
ICF
Sub-problems were also identified using ICF
Screening
Outcome Measures
Rehab4all/ Scoping Review
Scoping Review included measures used to assess functioning problems
Literature Review
Literature Review to summarise more comprehensive list of OMs
NGT
Stakeholders will reach consensus on most appropriate OM for each Fx problem
Impairments
ICF
Will guide stakeholders
Expert Stakeholders
NGT meeting
Assessments
WHO PIR
Will guide stakeholders
Expert Stakeholders
NGT Meeting
Interventions
WHO PIR
Database for interventions
Expert Stakeholders
Guiding principles