Exercise professionals in extended scope of practice roles: a qualitative exploration of a new model of rehabilitation
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| Publicado en: | BMJ Public Health vol. 3, no. 2 (Aug 2025), p. e002322 |
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| Autor principal: | |
| Otros Autores: | , , , , , , , , , |
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BMJ Publishing Group LTD
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| Acceso en línea: | Citation/Abstract Full Text + Graphics Full Text - PDF |
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MARC
| LEADER | 00000nab a2200000uu 4500 | ||
|---|---|---|---|
| 001 | 3243559410 | ||
| 003 | UK-CbPIL | ||
| 022 | |a 2753-4294 | ||
| 024 | 7 | |a 10.1136/bmjph-2024-002322 |2 doi | |
| 035 | |a 3243559410 | ||
| 045 | 2 | |b d20250801 |b d20250831 | |
| 100 | 1 | |a McCormick, Sheree |u Faculty of Health & Education , Manchester Metropolitan University , Manchester , UK | |
| 245 | 1 | |a Exercise professionals in extended scope of practice roles: a qualitative exploration of a new model of rehabilitation | |
| 260 | |b BMJ Publishing Group LTD |c Aug 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a BackgroundThere is a need to provide greater patient choice through accessible and sustainable rehabilitation for people with long-term conditions. New models of rehabilitation employing non-clinical healthcare workers in extended service practice roles are developing. Little research has investigated the experiences of non-clinical health workers, such as exercise professionals, in extended scope of practice roles. This research explored the experiences of stakeholders and beneficiaries (exercise professionals in extended scope of practice roles, allied health professionals and people with Long COVID) participating in a new model of rehabilitation delivered online from selected Fitness and Well-being Centres of a UK charity.MethodsA qualitative design using in-depth semistructured interviews was undertaken to explore the experiences of triage physiotherapists, specialist trained exercise professionals, referred to as rehabilitation specialists and people with Long COVID participating in the new model of rehabilitation involving exercise, education and well-being support.ResultsFive triage physiotherapists, two rehabilitation specialists and three people with Long COVID were recruited. Facilitators, barriers and opportunities were identified as key themes. Facilitators related to ‘it isn’t just exercise’, ‘condition specific needs are met’ and ‘dedicated team who make a difference’. Barriers related to ‘supporting staff training needs’ and ‘optimising resources/mode of delivery for clinical population’. Opportunities related to the provision of a ‘stepped-down approach at programme end’, ‘building and developing the team’, and ‘identifying and evaluating emerging trends through process evluations’.ConclusionsThis novel model of rehabilitation provided positive experiences for people living with Long COVID. Some aspects of the role provided job satisfaction for the delivery team but mentorship, support and additional training in psychological skills and mental health are important when considering sustainability and expansion of the programme. Scaling out to other clinical populations and areas where access to conventional services is sparse could provide a viable public health strategy to improve access to services, thereby reducing mainstream healthcare costs. | |
| 651 | 4 | |a United Kingdom--UK | |
| 653 | |a Rehabilitation | ||
| 653 | |a Scope of practice | ||
| 653 | |a Long COVID | ||
| 653 | |a Training | ||
| 653 | |a Well being | ||
| 653 | |a Public health | ||
| 653 | |a Medical personnel | ||
| 653 | |a Health care | ||
| 653 | |a Social | ||
| 700 | 1 | |a Cukic Iva |u Faculty of Health & Education , Manchester Metropolitan University , Manchester , UK | |
| 700 | 1 | |a Alexanders Jenny |u Nuffield Health , Epsom , UK | |
| 700 | 1 | |a Yeowell Gillian |u Faculty of Health & Education , Manchester Metropolitan University , Manchester , UK | |
| 700 | 1 | |a Fatoye Francis |u Faculty of Health & Education , Manchester Metropolitan University , Manchester , UK | |
| 700 | 1 | |a Kelly, Benjamin M |u Faculty of Health & Education , Manchester Metropolitan University , Manchester , UK | |
| 700 | 1 | |a Fitzgerald, Victoria |u Nuffield Health , Epsom , UK | |
| 700 | 1 | |a Cable, Tim |u Institute of Sport , Manchester Metropolitan University , Manchester , UK | |
| 700 | 1 | |a Doherty, Patrick |u Health Sciences , University of York , York , UK | |
| 700 | 1 | |a Deniszczyc Davina |u Nuffield Health , Epsom , UK | |
| 700 | 1 | |a Panayiotis, Michael |u Faculty of Health & Education , Manchester Metropolitan University , Manchester , UK | |
| 773 | 0 | |t BMJ Public Health |g vol. 3, no. 2 (Aug 2025), p. e002322 | |
| 786 | 0 | |d ProQuest |t Health & Medical Collection | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3243559410/abstract/embedded/J7RWLIQ9I3C9JK51?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text + Graphics |u https://www.proquest.com/docview/3243559410/fulltextwithgraphics/embedded/J7RWLIQ9I3C9JK51?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3243559410/fulltextPDF/embedded/J7RWLIQ9I3C9JK51?source=fedsrch |