Adesola C. Odole (PhD)

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1 Are clinical physiotherapy students in Nigeria aware and knowledgeable about Tele-physiotherapy? Adesola C. Odole (PhD) Med-e-Tel 2016 Conference

2 Outline Setting the Scene What exactly? So what? What next? Outcome Finally Implications Future areas of research Med-e-Tel 2016 Conference 2

3 Setting the Scene Med-e-Tel 2016 Conference 3

4 What Exactly? Tele-health is gradually becoming the new face of health care delivery both in developed and developing nations. Med-e-Tel 2016 Conference 4

5 Benefits of Telehealth potential to extend care improve medical educational opportunities for professionals increase public health awareness (Bernard et al, 2009; Binks and Benger 2007) Helpful in remote areas. Med-e-Tel 2016 Conference 5

6 What exactly? Integration of telehealth in the healthcare delivery across disciplines Medicine Radiology Psychology Nursing Pharmacy Rehabilitation Physiotherapy Med-e-Tel 2016 Conference 6

7 Tele-physiotherapy Tele-physiotherapy is the use of information technology in supporting physiotherapy over the internet beyond the current manual, dedicated and hospital-based physiotherapy sessions (Fook et. al., 2008). Med-e-Tel 2016 Conference 7

8 Tele-physiotherapy in Nigeria (1) In Nigeria, few studies focusing on evidence for its effectiveness on outcomes of care in some clinical conditions are available for referencing. (Odole, 2015 a ) Med-e-Tel 2016 Conference 8

9 Tele-physiotherapy in Nigeria (2) Integration of tele-health into physiotherapy practice in Nigeria appears low. Med-e-Tel 2016 Conference 9

10 Tele-physiotherapy in Nigeria (3) Many reasons are attributable to this low uptake lack of awareness of tele-health by healthcare workers and the end users (patients) lack of training among healthcare professionals inadequate basic healthcare infrastructure, and technological hiccups (Odole, 2015 b ) Med-e-Tel 2016 Conference 10

11 So what? Students play a vital role in creating awareness Studies have been carried out on students awareness, knowledge and practice of tele-nursing It appears there is no published study on students awareness, perception and knowledge of telephysiotherapy globally Med-e-Tel 2016 Conference 11

12 The uptake of tele-physiotherapy can be enhanced when potential graduate physiotherapists are knowledgeable and have positive perception towards its utilization. Med-e-Tel 2016 Conference 12

13 What next? This study was designed to Investigate clinical physiotherapy students awareness, knowledge and perception of tele-physiotherapy Compare male and female students awareness, knowledge and perception of tele-physiotherapy Determine association among their awareness, knowledge and perception of tele-physiotherapy. Med-e-Tel 2016 Conference 13

14 Materials and Methods (1) Population-based cross-sectional survey. Participants were selected through a sampling technique of convenience. Oldest and best-rated training institution in Nigeria (University of Ibadan) They were UG physiotherapy students at the clinical phase (300 level 500 level of study) Participants informed consent was obtained.. Med-e-Tel 2016 Conference 14

15 Med-e-Tel 2016 Conference 15

16 Materials and Methods (2) Participants bio data of age, sex, level of training Data on awareness, knowledge and perception of students about telephysiotherapy was obtained an existing structured, self-administered validated questionnaire. Data were analyzed descriptive statistics of frequency, means, percentages, pie charts, bar charts Chi-square test, α= Med-e-Tel 2016 Conference 16

17 Outcome (1) Participants (37females; 24males) were aged ±1.54 years. 26, 20 and 15 students at the 300, 400 and 500 level of study. Participants constituted 90% of the total student population. Thirty-nine (64%) participants (24 females; 15 males) were aware of the term telephysiotherapy their source of information was majorly (56.4%) from web journals. Med-e-Tel 2016 Conference 17

18 Outcome (2) More than half of the participants (23 females; 11 males) reported negative perception of tele-physiotherapy. Twenty four (39.3%) participants (11 females; 13 males) reported good knowledge of tele-physiotherapy Fifteen (24.6%) participants (10 females; 5 males) reported poor knowledge of telephysiotherapy Med-e-Tel 2016 Conference 18

19 Outcome (3) Male and female students were comparable in their awareness (p=0.53), perception (p=0.37) and knowledge (p=0.33) of telephysiotherapy. Level of study was not associated with participants awareness (p=0.78), perception (p=0.29) and knowledge (p=0.43) of telephysiotherapy. There was a significant association between participants perception and awareness (p=0.02) no significant association exists between perception and knowledge (p=0.18) of telephysiotherapy. Med-e-Tel 2016 Conference 19

20 Finally.. Clinical physiotherapy students from University of Ibadan, Nigeria are fairly knowledgeable about tele-physiotherapy More than half of them appear to have negative perception of the integration of information and communication technology into the Nigerian physiotherapy clinical practice Med-e-Tel 2016 Conference 20

21 Implications Courses on tele-physiotherapy should be included in the curriculum of undergraduate physiotherapy training programme in Nigeria in order to further improve their knowledge and enhance the integration of telephysiotherapy in the Nigerian clinical practice. Med-e-Tel 2016 Conference 21

22 Future areas of research A qualitative study will be necessary to further explore students perception and knowledge of tele-physiotherapy. Med-e-Tel 2016 Conference 22

23 References 1. Bernard M, Janson F., Flora P, Faulkner G, Meunier-Norman L, and Fruhwirth M (2009): Videoconference-Based Physiotherapy and Tele- Assessment for Homebound Older Adults: A Pilot Study: Activities, Adaptation & Aging: 33(1) Binks S, Benger J (2007): Tele-education in emergency care. Emergency Medical Journal. 24(11) Fook F.S, Sum Zhuo Hao V; Wai A.P, Jayachandran M, Biswas J, Yee L.S, Yap P.(2008) Innovative platform for tele-physiotherapy e-health Networking, Application and Services, HealthCom 10 th International Conference E-ISBN: IEEE Odole, A.C. (2015 a ). Tele-Health in Nigeria (Mirage or Reality): A Review of Literature. Jordanova, M., Lievens, F. (Eds) in Med-e-Tel 2015 Electronic Proceedings: The International ehealth, Telemedicine and Health ICT Forum for Educational, Networking and Business ISSN Vol Odole A.C., Odunaiya N.A., Ojo O.D. and Afolabi K.O. (2015 b ). Tele- Physiotherapy in Nigeria: Perceived Challenges by Physiotherapists to its Implementation. International Journal of Telemedicine and Clinical Practices Vol Med-e-Tel 2016 Conference 23

24 THANK YOU FOR THE ATTENTION Med-e-Tel 2016 Conference 24

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