Barriers and Facilitators of Physical Therapy Homecare Services for Patients with Stroke in Saudi Arabia

Abstract

Background

Extensive rehabilitation following a stroke is crucial. It could be provided as home health care (HHC) and is critical in aiding patients’ recovery at home and promoting independence. Home-based rehabilitation has proven effective for patients with stroke and enhances their quality of life. Further research is necessary to support recovery at home for patients with stroke in Saudi Arabia.

Objective

The study aims to explore the barriers and facilitators of physical therapy homecare services for patients with stroke in Saudi Arabia.

Methods

A cross-sectional study using a self-administered questionnaire was distributed among 150 licensed physical therapists. Descriptive and inferential statistics were used to describe the participants’ characteristics, barriers, and facilitators.

Results

The physical therapists showed high confidence in stroke rehabilitation, with a mean score (16.49 + 2.37). Most of our respondents reported that patients’ refusal of service was considered the most common barrier to homecare, with a mean score of (2.78 + 0.43). The barrier scores were significantly associated with the workplace region (p = 0.04). On a positive note, (84%) identified effective communication as a facilitator, with a mean score of (2.82 + 0.43). A significant association was found among specialists working in the homecare department compared to those working at usual rehabilitation clinics (p = 0.02).

Conclusions

The primary challenges were patients refusing services and inadequate communication. Overcoming these barriers is crucial. Effective communication and involving a family member in the treatment program were critical factors for facilitating home care and ensuring a high level of service.