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Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data.

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Title: Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data.
Authors: Bayly, Joanne, Bradshaw, Andy, Fettes, Lucy, Omarjee, Muhammed, Talbot-Rice, Helena, Walshe, Catherine, Sleeman, Katherine E, Bajwah, Sabrina, Dunleavy, Lesley, Hocaoglu, Mevhibe, Oluyase, Adejoke, Garner, Ian, Cripps, Rachel L, Preston, Nancy, Fraser, Lorna K, Murtagh, Fliss EM, Higginson, Irene J, Maddocks, Matthew
Source: Palliative Medicine. Feb2022, Vol. 36 Issue 2, p319-331. 13p.
Subjects: Hospice care, Hospitals, Sick leave, COVID-19, Physical therapy, Cross-sectional method, Internet, Medical care, Community health services, Occupational therapy, Descriptive statistics, Rehabilitation, Occupational adaptation, Thematic analysis, Palliative treatment, COVID-19 pandemic, Reflection (Philosophy), Diffusion of innovations
Geographic Terms: Northern Ireland, Scotland, Wales, England
Abstract: Background: Palliative rehabilitation involves multi-professional processes and interventions aimed at optimising patients' symptom self-management, independence and social participation throughout advanced illness. Rehabilitation services were highly disrupted during the Covid-19 pandemic. Aim: To understand rehabilitation provision in palliative care services during the Covid-19 pandemic, identifying and reflecting on adaptative and innovative practice to inform ongoing provision. Design: Cross-sectional national online survey. Setting/participants: Rehabilitation leads for specialist palliative care services across hospice, hospital, or community settings, conducted from 30/07/20 to 21/09/2020. Findings: 61 completed responses (England, n = 55; Scotland, n = 4; Wales, n = 1; and Northern Ireland, n = 1) most frequently from services based in hospices (56/61, 92%) providing adult rehabilitation. Most services (55/61, 90%) reported rehabilitation provision becoming remote during Covid-19 and half reported reduced caseloads. Rehabilitation teams frequently had staff members on sick-leave with suspected/confirmed Covid-19 (27/61, 44%), redeployed to other services/organisations (25/61, 41%) or furloughed (15/61, 26%). Free text responses were constructed into four themes: (i) fluctuating shared spaces; (ii) remote and digitised rehabilitation offer; (iii) capacity to provide and participate in rehabilitation; (iv) Covid-19 as a springboard for positive change. These represent how rehabilitation services contracted, reconfigured, and were redirected to more remote modes of delivery, and how this affected the capacity of clinicians and patients to participate in rehabilitation. Conclusion: This study demonstrates how changes in provision of rehabilitation during the pandemic could act as a springboard for positive changes. Hybrid models of rehabilitation have the potential to expand the equity of access and reach of rehabilitation within specialist palliative care. [ABSTRACT FROM AUTHOR]
Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data.
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  Data: <searchLink fieldCode="AR" term="%22Bayly%2C+Joanne%22">Bayly, Joanne</searchLink><br /><searchLink fieldCode="AR" term="%22Bradshaw%2C+Andy%22">Bradshaw, Andy</searchLink><br /><searchLink fieldCode="AR" term="%22Fettes%2C+Lucy%22">Fettes, Lucy</searchLink><br /><searchLink fieldCode="AR" term="%22Omarjee%2C+Muhammed%22">Omarjee, Muhammed</searchLink><br /><searchLink fieldCode="AR" term="%22Talbot-Rice%2C+Helena%22">Talbot-Rice, Helena</searchLink><br /><searchLink fieldCode="AR" term="%22Walshe%2C+Catherine%22">Walshe, Catherine</searchLink><br /><searchLink fieldCode="AR" term="%22Sleeman%2C+Katherine+E%22">Sleeman, Katherine E</searchLink><br /><searchLink fieldCode="AR" term="%22Bajwah%2C+Sabrina%22">Bajwah, Sabrina</searchLink><br /><searchLink fieldCode="AR" term="%22Dunleavy%2C+Lesley%22">Dunleavy, Lesley</searchLink><br /><searchLink fieldCode="AR" term="%22Hocaoglu%2C+Mevhibe%22">Hocaoglu, Mevhibe</searchLink><br /><searchLink fieldCode="AR" term="%22Oluyase%2C+Adejoke%22">Oluyase, Adejoke</searchLink><br /><searchLink fieldCode="AR" term="%22Garner%2C+Ian%22">Garner, Ian</searchLink><br /><searchLink fieldCode="AR" term="%22Cripps%2C+Rachel+L%22">Cripps, Rachel L</searchLink><br /><searchLink fieldCode="AR" term="%22Preston%2C+Nancy%22">Preston, Nancy</searchLink><br /><searchLink fieldCode="AR" term="%22Fraser%2C+Lorna+K%22">Fraser, Lorna K</searchLink><br /><searchLink fieldCode="AR" term="%22Murtagh%2C+Fliss+EM%22">Murtagh, Fliss EM</searchLink><br /><searchLink fieldCode="AR" term="%22Higginson%2C+Irene+J%22">Higginson, Irene J</searchLink><br /><searchLink fieldCode="AR" term="%22Maddocks%2C+Matthew%22">Maddocks, Matthew</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Feb2022, Vol. 36 Issue 2, p319-331. 13p.
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  Label: Abstract
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  Data: Background: Palliative rehabilitation involves multi-professional processes and interventions aimed at optimising patients' symptom self-management, independence and social participation throughout advanced illness. Rehabilitation services were highly disrupted during the Covid-19 pandemic. Aim: To understand rehabilitation provision in palliative care services during the Covid-19 pandemic, identifying and reflecting on adaptative and innovative practice to inform ongoing provision. Design: Cross-sectional national online survey. Setting/participants: Rehabilitation leads for specialist palliative care services across hospice, hospital, or community settings, conducted from 30/07/20 to 21/09/2020. Findings: 61 completed responses (England, n = 55; Scotland, n = 4; Wales, n = 1; and Northern Ireland, n = 1) most frequently from services based in hospices (56/61, 92%) providing adult rehabilitation. Most services (55/61, 90%) reported rehabilitation provision becoming remote during Covid-19 and half reported reduced caseloads. Rehabilitation teams frequently had staff members on sick-leave with suspected/confirmed Covid-19 (27/61, 44%), redeployed to other services/organisations (25/61, 41%) or furloughed (15/61, 26%). Free text responses were constructed into four themes: (i) fluctuating shared spaces; (ii) remote and digitised rehabilitation offer; (iii) capacity to provide and participate in rehabilitation; (iv) Covid-19 as a springboard for positive change. These represent how rehabilitation services contracted, reconfigured, and were redirected to more remote modes of delivery, and how this affected the capacity of clinicians and patients to participate in rehabilitation. Conclusion: This study demonstrates how changes in provision of rehabilitation during the pandemic could act as a springboard for positive changes. Hybrid models of rehabilitation have the potential to expand the equity of access and reach of rehabilitation within specialist palliative care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/02692163211063397
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