Browsing Research Articles (Physiotherapy) by Author "Frantz, Jose M."
Now showing items 1-17 of 17
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Rowe, Michael; Frantz, Jose M.; Bozalek, Vivienne (BioMed Central, 2013)[more][less]
Abstract: Background: While there is evidence to suggest that teaching practices in clinical education should include activities that more accurately reflect the real world, many educators base their teaching on transmission models that encourage the rote learning of knowledge and technical skills. Technology-mediated instruction may facilitate the development of professional attributes that go beyond “having” knowledge and skills, but there is limited evidence for how to integrate technology into these innovative teaching approaches. Methods: This study used a modified Delphi method to help identify the professional attributes of capable practitioners, the approaches to teaching that may facilitate the development of these attributes, and finally, how technology could be integrated with those teaching strategies in order to develop capable practitioners. Open-ended questions were used to gather data from three different expert panels, and results were thematically analysed. Results: Clinical educators should not view knowledge, skills and attitudes as a set of products of learning, but rather as a set of attributes that are developed during a learning process. Participants highlighted the importance of continuing personal and professional development that emphasised the role of values and emotional response to the clinical context. To develop these attributes, clinical educators should use teaching activities that are learner-centred, interactive, integrated, reflective and that promote engagement. When technology-mediated teaching activities are considered, they should promote the discussion of clinical encounters, facilitate the sharing of resources and experiences, encourage reflection on the learning process and be used to access content outside the classroom. In addition, educational outcomes must drive the integration of technology into teaching practice, rather than the features of the technology. Conclusions: There is a need for a cultural change in clinical education, in which those involved with the professional training of healthcare professionals perceive teaching as more than the transmission of knowledge and technical skills. Process-oriented teaching practices that integrate technology as part of a carefully designed curriculum may have the potential to facilitate the development of capable healthcare graduates who are able to navigate the complexity of health systems and patient management in ways that go beyond the application of knowledge and skills. URI: http://hdl.handle.net/10566/595 Files in this item: 1
RoweTeachnology-MediatedTeaching2013.pdf (185.7Kb) -
Frantz, Jose M. (Nova Southeastern University, 2007)[more][less]
Abstract: Health care is changing and the demands put on health professionals are increasing. Physiotherapy education should reflect the health and social priorities of the nation. The World Confederation of Physical Therapy (WCPT) is committed to assisting physiotherapy associations in developing educational standards. Physiotherapy education in Africa however, seems to have a real need for assistance from the WCPT. The aim of this paper is to highlight the challenges facing physiotherapy education in Africa. The Delphi methodology was used to obtain information from key informants involved in the area of physiotherapy education from a variety of African countries. The majority of the participants were people who have experienced physiotherapy education in Africa either as graduates or current teachers. Data were analyzed into themes and sent back to respondents for confirmation. The most important challenges highlighted were: lack of undergraduate training opportunities, limited number of therapists, upgrading of physiotherapy educators, research as a major component of physiotherapy education, and recognition of physiotherapy as an essential service. It is concluded that assistance is needed for physiotherapists from Africa to take their rightful place in the health team and higher education institutions should look at improving diploma qualifications of physiotherapists in African countries. URI: http://hdl.handle.net/10566/189 Files in this item: 1
FrantzChallenges2007.pdf (221.5Kb) -
Frantz, Jose M.; Rowe, Michael (Health and Medical Publications Group, 2013)[more][less]
Abstract: Background. Evidence-based practice (EBP) is the process by which a clinician evaluates the quality of evidence before applying it in the management of a patient. Many practitioners struggle to integrate this research-based evidence into their professional practice. Blogs have been identified as useful pedagogical tools that can facilitate the sharing of ideas and clinical experiences among peers to reflect on diverse learning experiences. Objectives. A qualitative research design was used to examine the use of reflective blogging to teach the process of EBP in physiotherapy. Methods. A conveniently selected group of postgraduate students who were registered for an EBP module participated in the study. Blogging was used to teach the process of EBP in physiotherapy using Kolb's cycle as a guiding and an evaluative framework. Students reflected on and shared their learning experiences in ways that exposed the limits of their understanding around certain concepts. Results. The results reflect how students moved from assisted to independent performance by identifying gaps in their own understanding and finding the answers themselves. Conclusion. Reflective blogging was found to be a valuable tool for promoting meaningful learning activities among participants and assisted students in making sense of their shared experiences. It was also an effective tool to be used in teaching the process of EBP. URI: http://hdl.handle.net/10566/615 Files in this item: 1
FrantzBloggingPhysiotheraphy2013.pdf (1.131Mb) -
Pillay, Tanushree; Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Introduction: The increase in physical inactivity is thought to be one of the main risk factors for the development of diseases of lifestyle. This has highlighted the need for prevention and intervention programmes that are thought to assist in influencing the modifiable risk factors. Physical activity programmes have been proven to positively influence risk factors such us blood pressure and body mass index (BMI). Interventions by health professionals can assist in combating the problem. This study aimed to determine the effects of a short term physical activity programme on the BMI, body fat and blood pressure of high school learners in a local community in the Western Cape. Methods: The total number of learners who volunteered to participate in the study was 106. The study used a pre-test post-test design. The intervention programme was a 6 week programme run for 3 days per week for a period of 40 – 60 minutes per session. The intervention consisted of moderate to vigorous activities. Data was analysed by comparing learners who participated in the intervention and those who did not. Descriptive and inferential statistics were used in this study. Results: Prior to the intervention it was found that 18% were found to be obese and at least 10% were hypertensive. Following the intervention it was reported that blood pressure as well as BMI and percentage body fat was influenced in positive way. Conclusion: One can conclude that, a short term physical activity intervention programme conducted three times a week with moderate activities can affect the BMI and blood pressure levels of adolescents. URI: http://hdl.handle.net/10566/119 Files in this item: 1
PillayEffects2009.pdf (71.62Kb) -
Njoki, Emma; Frantz, Jose M.; Mpofu, Ratie (Informa Healthcare, 2007)[more][less]
Abstract: Purpose. To determine the health promotion needs through an exploration of health-related behaviours and the factors that influence the behaviour of physically disabled youth with spinal cord injury. Methods. A descriptive and exploratory study that utilized a qualitative approach was carried out among ten participants aged between 15 and 29 years who were purposely selected. Information was obtained from individual face-to-face interviews and a focus-group discussion. Results. The participants were involved in risky health behaviours including sedentary lifestyles, use of alcohol, tobacco, and drugs. Various factors that influenced their participation in these behaviours were identified including personal struggles with identity and adjustment issues. Conclusions. The results emphasize that participants were involved in health-risk behaviours, which are associated with development of secondary conditions such as respiratory problems, heart diseases, and stroke. Health-promotion strategies employed for these individuals should address the psychological impact of spinal cord injury (SCI) on the individual as an influence to participation in health risk behaviours. URI: http://hdl.handle.net/10566/399 Files in this item: 1
FrantzHealthPromotion2007.pdf (246.3Kb) -
Tumusiime, David; Frantz, Jose M. (Africa Association for Health, Physical Education, Recreation,Sport and Dance/LAM Publications Limited, 2006)[more][less]
Abstract: Physical inactivity is one of the leading causes of the major non-communicable diseases, which contribute substantially to the global burden of diseases, death and disability. The burden of mortality, morbidity and disability attributable to non-communicable diseases is currently greatest and is continually growing in the developing countries. Most declines in physical activity (PA) occur during the transition period when a person goes from high school to College or University. The objectives of this study were to identify perceived benefits of and barriers to PA and determine whether previous participation in PA does have an influence on these perceptions. A cross- sectional and descriptive study with quantitative design was conducted. Five hundred (500) tertiary institution students were randomly sampled from purposively selected departments and classes at each of the five government educational tertiary institutions in Rwanda. A pre-coded self-administered questionnaire with a small number of open-ended questions was administered to the students. A response rate of 425 (85%) was obtained. Descriptive and inferential statistics were used to analyse the data, by means of SAS version 8 software. Frequencies and percentages for mean score values with standard deviations for each perception variable were descriptively obtained. False Discovery Rate (FDR) at 5% for multiple test adjustment and Spearman’s correlation (r) tests were used to identify the significant influence of previous participation on perceptions. More than 70% students were not participating in PA at tertiary level. Psychological benefits of PA were some of the most important perceived benefits cited by the students. Most of the important barriers cited concerned equipment and time constraints to exercising. Associations were found between previous participation and the current perceptions of PA. The findings of this study demonstrate that previous participation can influence perceptions of PA among the students. Physical activity promotion programmes should consider the role of these factors which should be emphasised from childhood. URI: http://hdl.handle.net/10566/397 Files in this item: 1
TumusiimePhysicalActivity2006.pdf (127.2Kb) -
Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: A number of initiatives were launched in various countries worldwide to provide quality physical education in schools. However, the promotion of participation in sport and specifically elite sport is still regarded to be economically more feasible, than the introduction of physical education in schools and “sport for all” programmes at community level. In order to improve the current situation, the conventional ideas of the school physical education programme needs to be reconsidered and more serious consideration should be given to the preferences and needs of the key stakeholders. The aim of the study was to determine the views of teachers and learners with regards to physical education and the promotion of physical activity in a local community school. Participants included learners and teachers involved in life orientation and coaching of sport in a high school in a local community in the Western Cape, South Africa. The school was purposively selected as it caters for the previously disadvantaged learners in the area. Data was collected by means of focus group discussions. The results indicated that both the learners and teachers appreciated the benefits associated with participation in physical education but also highlighted significant barriers that prevented the effective implementation of physical education programmes in the school. South Africa needs a structured, cost effective approach to physical and health education in schools that stipulates national objectives and detailed strategies to realize the objectives. URI: http://hdl.handle.net/10566/118 Files in this item: 1
FrantzPhysicalEducation2008.pdf (46.38Kb) -
Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: Objective: The author aimed to develop a valid and reliable questionnaire that would measure the knowledge of learners relating to risk factors for chronic disease of lifestyle such as stroke, diabetes and hypertension. The questionnaire was intended to be used as part of a health education programme aimed at improving the knowledge of learners as it relates to risk factors for chronic diseases of lifestyle. Method: The development of the questionnaire was guided by Williams 9 steps of questionnaire design and was influenced by the national curriculum of education’s life orientation programme and literature. A 31 item questionnaire was designed and presented to an expert panel. Content validity was done by the expert panel and face validity was tested through informal discussions with high school learners. Reliability testing was done using the test-retest method and Kappa co-efficient was used to test stability of the items. The questionnaire was administered to 40 high school learners but only 30 did the test the second time. Results: The questionnaire yielded a reliability analysis that revealed internal consistency with a Cronbach’s alpha of 0.897. The average score obtained by learners using this questionnaire was 14. The questionnaire can be used for learners with a grade 10 education. The questionnaire also highlighted that learners had a moderate knowledge relating to risk factors for chronic diseases of lifestyle and the need for appropriate information interventions was emphasized URI: http://hdl.handle.net/10566/115 Files in this item: 1
FrantzQuestionnaire2008.pdf (372.6Kb) -
Frantz, Jose M.; Rhoda, Anthea; Rowe, Michael; Phillips, Julie; Karachi, F; Mlenzana, Nondwe; Pharaoh, H; Steyl, Tania; Struthers, Patricia (South African Society of Physiotherapy, 2010)[more][less]
Abstract: A growing shift towards research and evidence based practice in academia is associated with requirements to disseminate research results in the form of publication in peer reviewed journals. Mentoring has been identified as an important component of developing young authors, as it increases confidence and competence, and facilitates professional development. This led to the formation of a support group to stimulate peer-review publication in the physiotherapy department at the University of the Western Cape. The Kirkpatrick Framework of Evaluation was used to evaluate the success of the mentoring process which made use of a participatory action research methodology. The writing group consisted of nine academic members of staff and took place over ten weeks. The programme included writing, giving feedback, discussion and peer review on a weekly basis. Focus group discussions were taped and transcribed in order to evaluate the mentoring process by identifying relationships within the data and categorising key concepts, which were shaped into a thematic framework. The findings indicated that participants experienced a variety of emotions throughout the programme, with an overall feeling of personal growth by the end. In addition, participants also reported improved writing, reviewing and communication skills. Six months following the programme, six participants had submitted at least one article to a peer reviewed journal. It is clear from this study that some academics still find the task of writing and reviewing articles daunting, and that guidance and support in the form of a writing programme can be useful. URI: http://hdl.handle.net/10566/190 Files in this item: 1
FrantzMentoring2010.pdf (323.0Kb) -
Matheri, Joseph Mwangi; Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Purpose: To determine the levels of and potential contributing factors to participation in physical activity among young people with physical disabilities attending high school in Kenya. Methods: A cross-sectional survey, using a pre-piloted and validated self-administered questionnaire, was carried out in a purposively selected sample of 234 young people with physical disabilities drawn from three inclusive high schools in Kenya. The questionnaire comprising outcome measures for physical activity levels, barriers, and facilitators to physical activity participation was administered to the young people. Data was analyzed using the Statistical Package for Social Sciences (SPSS) and both descriptive and inferential statistics were done. Results: Almost half of the children in the sample were inactive. Key barriers to physical activity were found to be: fear avoidance and disability, lack of time and the need to rest. Finding ways to exercise that are enjoyable, and not being in good health were associated significantly to gender (p<0.05). Likewise, age was significantly associated with gaining peer acceptance, as was encouragement from family and having disability (p<0.05). Conclusion: The results indicate there is a need, for activity counselling and provision of local disability-friendly and/or conducive environments to increase physical activity participation in this sample. All stakeholders should be enlisted in making recommendations and designing physical activity programmes for young people with disabilities in their schools. URI: http://hdl.handle.net/10566/120 Files in this item: 1
MatheriActivityLevels2009.pdf (117.5Kb) -
Frantz, Jose M. (Stellenbosch University, 2006)[more][less]
Abstract: This study aimed to determine the physical activity levels and existence of risk factors associated with chronic diseases of lifestyle among high school learners. A crosssectional research design was used to obtain information about physical activity levels from 951 learners from two high schools in a local community in the Western Province of South Africa. Physical activity levels were obtained using the KUOPIO Ischaemic Heart Disease 24-hour physical activity record over a seven-day period. Anthropometrical and blood pressure measurements as well as behaviours including cigarette smoking and alcohol use were recorded as risk factors for chronic diseases of lifestyle. Statistical analyses were performed using the Statistical Package for Social Science (2000). Risk factors were identified as obesity, physical inactivity, smoking and hypertension. Variance of analysis (ANOVA) was used to statistically determine differences in groups. The results indicated that 32% of the learners were classified as being physically inactive and that 21% engaged in health risk behaviours. In addition, 35% of the learners had more than one risk factor for chronic diseases of lifestyle present. Since cardiovascular risk factors have been shown to persist into adulthood, health professionals should assume some responsibility for the prevention, detection, and intervention relevant to cardiovascular risk factors in adolescents. URI: http://hdl.handle.net/10566/398 Files in this item: 1
FrantzPhysicalInactivity2006.pdf (194.4Kb) -
Rowe, Michael; Frantz, Jose M.; Bozalek, Vivienne (South African Society of Physiotherapy, 2012)[more][less]
Abstract: The relevance of non-technical skills have long been acknowledged as important components of clinical learning, and there is evidence that integrating technology can facilitate their development by encouraging reflection, and by enhancing communication and reasoning. However, effectively integrating technology into learning practices must take the contextual needs of students into consideration. The aim of this study was to determine what online tools undergraduate physiotherapy students at one South African university are familiar with, and how they use them as part of their learning practices. The case study was conducted in a university physiotherapy department in the Western Cape during 2010. A cross-sectional, descriptive design used a survey to obtain quantitative and qualitative data from participants, and a plot study was conducted to test the reliability of the instrument. All ethical considerations were adhered to. Seventy six percent of participants had access to the internet at home, and 93% of them belonged to a social network, although fewer than half used it for their studying. Few students reported using the internet for more than information retrieval but reported wanting to use it for enhanced communication with lecturers. Almost all respondents believed that lectures were a useful way to learn. However, 61% added that integrating online learning activities with lectures could have value. Integrating technology into healthcare education has the potential to develop non-technical skills that are relevant for clinical practice. However, this group of students currently lack the experience and insight to use technology effectively as part of their learning practices. Educators must take cognisance of the educational and contextual needs of students if they wish to integrate technology into clinical teaching. URI: http://hdl.handle.net/10566/309 Files in this item: 1
RowePhysiotherapyStudents2012.pdf (530.7Kb) -
Rowe, Michael; Frantz, Jose M.; Bozalek, Vivienne (Association for Medical Education in Europe, 2012)[more][less]
Abstract: BACKGROUND: Developing practice knowledge in healthcare is a complex process that is difficult to teach. Clinical education exposes students to authentic learning situations, but students also need epistemological access to tacit knowledge and clinical reasoning skills in order to interpret clinical problems. Blended learning offers opportunities for the complexity of learning by integrating face-to-face and online interaction. However, little is known about its use in clinical education. AIM: To determine the impact of blended learning in the clinical education of healthcare students. METHODS: Articles published between 2000 and 2010 were retrieved from online and print sources, and included multiple search methodologies. Search terms were derived following a preliminary review of relevant literature. RESULTS: A total of 71 articles were retrieved and 57 were removed after two rounds of analysis. Further methodological appraisals excluded another seven, leaving seven for the review. All studies reviewed evaluated the use of a blended learning intervention in a clinical context, although each intervention was different. Three studies included a control group, and two were qualitative in nature. Blended learning was shown to help bridge the gap between theory and practice and to improve a range of selected clinical competencies among students. CCONCLUSION: Few high-quality studies were found to evaluate the role of blended learning in clinical education, and those that were found provide only rudimentary evidence that integrating technology-enhanced teaching with traditional approaches have potential to improve clinical competencies among health students. Further well-designed research into the use of blended learning in clinical education is therefore needed before we rush to adopt it. URI: http://hdl.handle.net/10566/308 Files in this item: 1
RoweBlendedLearning2012.pdf (1.048Mb) -
Frantz, Jose M.; Smith, Mario (Faculty of Community and Health Sciences, University of the Western Cape, 2010)[more][less]
Abstract: INTRODUCTION: Strategies for improving the publication output of academics are an essential component of research directives at tertiary institutions. The aim of this report was to highlight the effects of a writing retreat as an intervention strategy used by a university faculty to improve academic publication output. The strategy used included a structured programme over a period of three days guided by a facilitator. METHODS: The report uses a qualitative design to report the effects of the writing retreat on the participants. RESULTS: The major themes that emerged were reviewing and critical reading, writing for publication, personal growth and confidence, dedicated time, peer mentoring, programme structure and facilitation, and future directives. CONCLUSION: From the feedback obtained, it is evident that strategies such as a writing retreat provide academics with an opportunity to produce articles that are a benefit to the authors’ career trajectories as well as the institutional publication profile of their university. URI: http://hdl.handle.net/10566/188 Files in this item: 1
FrantzSmithStaff2010.pdf (106.5Kb) -
Assuman, Nuhu; Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: Introduction Although stretching increases soft tissue flexibility and joint range of motion, numerous studies demonstrated contradictory findings as to its effect in injury prevention. Aim The purpose of this systematic review is to assess the effectiveness of stretching on the prevention of injuries. Methods An electronic search using MEDLINE, SCIENCE DIRECT, COCHRANE, EBSCOHOST, SPORTDiscus and CINAHL databases, checking the references. Randomised control trials (RCTs) and cohort studies investigating stretching as an injury prevention measure published in the last decade were selected in this review. Methodological quality was assessed using the Critical Appraisal Skills Programme (CASP) tool. Results Two RCTs and two prospective cohort studies all of high quality were included in this analysis. One cohort study found that stretching reduced the incidence of exercise related injuries. Two RCTs and one cohort study found that stretching did not produce practical reduction on the occurrence of injuries. Conclusion Stretching exercises does not give a practical useful reduction in the risk of injuries. Not enough recent research has been done to draw definitive conclusion on the effect of stretching in injury prevention. Well designed studies are needed to shed light as to the effect of stretching in exercise-related injury risk reduction. URI: http://hdl.handle.net/10566/117 Files in this item: 1
NuhuStretching2008.pdf (374.7Kb) -
Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Introduction: Research has become an integral part of all health care practitioners. Finding effective ways of sharing the valuable work that is being done in the clinical setting is essential. A case report is a form of communicating information to other health care practitioners regarding exceptional cases. Aim: This paper aims to describe the importance and role of case reports in the literature and summarise the guidelines for doing a case report. Method: A literature search was conducted in Pubmed and Medline using terms such as case reports, publishing, and guidelines to determine successful literature that highlights how to write a case report. Case reports will contribute to the body of evidence needed for professions and could stimulate debate around controversial issues. A summary of the relevant information needed to write a good case report for publication based on the literature is summarised in order to facilitate the process for new authors. Conclusion: Case reports if written in a scientific manner, can make a valuable contribution to research. URI: http://hdl.handle.net/10566/116 Files in this item: 1
FrantzCaseReport2009.pdf (72.39Kb) -
Phillips, Julie; Frantz, Jose M.; Mpofu, Ratie (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: Introduction: There is mounting evidence of the health risk behaviours that adolescents are involved in on a daily basis. Local and national governments have advocated for intervention programmes to prevent an increase in the health risk behaviours among young people. In order to introduce effective prevention strategies, evaluation of the current situation is needed. The University of the Western Cape, identified Youth Wellness as one of the niche areas for research. Aim: This paper aims to synthesize the studies on youth wellness conducted at the University of the Western Cape. Findings: The studies conducted included epidemiological studies and intervention studies. Studies used both qualitative and quantitative designs. Most of the studies highlighted the need for intervention programmes at various levels such as personal (individual), community and policy. Conclusion: The findings of the research clearly highlights the need for researchers at UWC to identify appropriate criteria by which to measure the desired intervention outcomes. URI: http://hdl.handle.net/10566/112 Files in this item: 1
FrantzYouthHealth2008.pdf (909.0Kb)
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