The role of Allied Health in improving community-based Chronic Heart Failure rehabilitation engagement following an acute admission
Katie Palmer1,2, Julia Morphet1, Kelly-Ann Bowles1 1Monash University, 2Monash Health
Abstract
Background: Chronic Heart Failure (CHF) rehabilitation is vital to improve quality of life and physical function and reduce hospital re-admission rates. Despite strong evidence for the safety and efficacy of such programs, referral and engagement rates remain low. Allied Health is one group of potential referrers. The aim of this study was to identify whether tailored education delivered to acute physiotherapists improves engagement rates in community-based CHF rehabilitation programs following an acute admission.
Method: A quasi-experimental study was designed. Twenty-eight acute cardiorespiratory physiotherapists took part. A tailored education session was delivered virtually, with learning outcomes focused on clinical guidelines around CHF management and rehabilitation. Outcome measures were based on Kirkpatrick’s Model of Evaluation (Levels 2-4) including a valid and reliable tool to assess participant learning (Level 2), and audits evaluating clinical behaviour change (Level 3) and rehabilitation attendance (Level 4).
Results: Participants’ self-reported knowledge, confidence and clinical practice significantly improved at ten weeks post education delivery. The biggest improvement was seen in confidence levels (Median difference 46.00%, p<0.001). Descriptive analysis showed improvements in the clinical record audit, with increased discussion and offer of referral, and rehabilitation attendance but neither outcome achieved statistical significance. Conclusion: Tailored education interventions in a functioning healthcare service can improve self-reported knowledge, confidence, and clinical practice. The findings suggest acute Allied Health clinicians can play an important role in CHF rehabilitation referral and engagement during an acute admission, but other potential referral groups such as medical and nursing may also benefit from similar education.
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