Advancing Type 2 Diabetes as a Condition for Primary Referral to Physiotherapy in Canada
Notice bibliographique
Résumé
Obesity and sedentary lifestyle are increasingly prevalent risk factors for type 2 diabetes (T2D), characterized by high blood glucose levels. Adoption and maintenance of healthy eating, physical activity, and exercise is recommended for lowering blood glucose and weight management. Physiotherapists are experts in prescribing safe, effective exercise to optimize health for people with co-morbid health conditions. However, T2D is not a primary condition for referral to physiotherapy services in Canada. The overall question guiding a series of three related studies was, What is the current education and perspectives of Canadian physiotherapists about their role in managing T2D? Study one surveyed and interviewed Canadian physiotherapy educators (n=10) as content experts of academic training of entry-to-practice physiotherapists. Participants held the opinion that physiotherapists are educated to assess for and manage diabetes complications, including peripheral neuropathy, lower limb amputations, and cardiovascular disease. Educators reported T2D is considered as a co-morbid health condition currently in curriculum. Study two detailed the perspectives of physiotherapists (n=21) through interviews. Physiotherapists agreed they would welcome the primary referral of people with T2D. They advocated physiotherapists can provide effective care for people with T2D, as a condition of primary referral, through education, prescription and supervision of exercise, and supporting healthy lifestyle behaviours. Lastly, study three examined the effectiveness of an 8-week supervised group education and exercise program, ‘Get Fit for Active Living with Diabetes’ (GFAL-D), for 12 people with T2D, exploring motivation at one-, six- and 12-month follow ups through interviews. Clinically significant improvements were observed for waist circumference, systolic blood pressure, six-minute walk test (6MWT), timed up-and-go (TUG), 30-second chair stand test (CST) and arm curls. Follow up with a physiotherapy student was a motivator contributing to physical activity adherence within an episodic pattern of adherence throughout the year post-GFAL-D. In conclusion, entry-to-practice physiotherapists are trained to provide direct care employing exercise prescription and monitoring, behaviour change for living healthy lifestyles, and recognition of uncontrolled disease for referral to medical team members. Promotion of physiotherapy as a resource and partnership for referral from primary health care providers is needed to optimize health for people living with T2D.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».