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Barriers, Capacity, and Workforce Readiness for Geriatric Rehabilitation Services in Egypt (Geriatric)

5. listopadu 2026 aktualizováno: Mohammed Youssef Elhamrawy, Beni-Suef University

Barriers, Capacity, and Workforce Readiness for Geriatric Rehabilitation Services in Egypt: A National Cross-Sectional Survey

This study aims to assess the barriers, service capacity, infrastructure, workforce preparedness, and policy-related factors affecting the delivery of geriatric rehabilitation services in Egypt. As the Egyptian population ages, the demand for rehabilitation services for older adults continues to increase; however, limited information is available regarding the readiness of the healthcare system to meet these needs. This national cross-sectional survey will collect data from rehabilitation professionals, including physiotherapists, occupational therapists, speech-language pathologists, and rehabilitation administrators, to evaluate workforce training, service availability, equipment and infrastructure adequacy, accessibility challenges, and policy support for geriatric rehabilitation. Findings will help identify priority areas for workforce development, healthcare planning, and policy improvement to strengthen geriatric rehabilitation services across Egypt.

Přehled studie

Postavení

Zatím nenabíráme

Podmínky

Detailní popis

Population aging is one of the most important demographic changes worldwide, with the number of people aged 60 years and older increasing rapidly. In Egypt, growing healthcare demands associated with aging require healthcare systems to expand and adapt rehabilitation services to address age-related conditions such as stroke, frailty, musculoskeletal disorders, falls, and chronic disease-related disability. Evidence indicates that geriatric rehabilitation can improve functional independence, reduce hospital readmissions, enhance quality of life, and decrease long-term healthcare costs. However, specialized geriatric rehabilitation services remain limited in many developing healthcare systems, including Egypt.

Previous studies have identified several barriers to effective geriatric rehabilitation, including insufficient workforce training, lack of specialized equipment and assistive technologies, inadequate awareness among patients and healthcare providers, financial constraints, and limited insurance coverage. Despite increasing demand for services, little national-level information exists regarding infrastructure, workforce readiness, service availability, and accessibility of geriatric rehabilitation services in Egypt. Most available evidence is institution-specific and does not provide a comprehensive overview of the national situation.

This study will employ a national cross-sectional survey design using a structured self-administered questionnaire. Eligible participants will include physiotherapists, occupational therapists, speech-language pathologists, and rehabilitation center administrators or managers who are currently practicing in Egypt and involved in rehabilitation service delivery. The survey will be distributed through professional societies, university hospitals, private healthcare networks, and Ministry of Health rehabilitation facilities using a multi-channel recruitment strategy designed to achieve representation across geographic regions and healthcare sectors.

The questionnaire will assess five major domains: demographic and professional characteristics, clinical workload, geriatric rehabilitation capacity, barriers to service delivery, and workforce training and policy support. Specific areas of investigation will include workforce competencies, availability of rehabilitation programs, use of standardized assessment tools, adequacy of equipment and assistive technologies, accessibility of facilities, waiting times, geographical disparities, patient adherence challenges, financial barriers, policy awareness, and organizational collaboration.

A target sample of at least 370 completed responses will be sought to provide adequate statistical power and representativeness. Quantitative data will be analyzed using descriptive and inferential statistical methods to identify differences across professional groups, healthcare sectors, and geographic regions. Qualitative responses will undergo thematic analysis to identify common perceptions and recommendations regarding service improvement.

The primary objective of the study is to systematically assess health system, workforce, infrastructural, and policy-related barriers affecting the accessibility and delivery of geriatric rehabilitation services in Egypt. Secondary objectives include evaluating workforce training and preparedness, assessing infrastructure and equipment availability, identifying urban-rural and public-private disparities in service provision, examining barriers to access and continuity of care, investigating policy and funding mechanisms, and identifying priority strategies for improving geriatric rehabilitation from the perspective of frontline rehabilitation professionals. The findings are expected to support evidence-based workforce planning, healthcare policy development, and strategic investment in geriatric rehabilitation services in Egypt.

Typ studie

Pozorovací

Zápis (Odhadovaný)

400

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

22 let až 75 let (Dospělý, Starší dospělý)

Přijímá zdravé dobrovolníky

N/A

Pohlaví způsobilá ke studiu

Všechno

Metoda odběru vzorků

Vzorek nepravděpodobnosti

Studijní populace

The study population includes physiotherapists, occupational therapists, speech-language pathologists, rehabilitation physicians, and rehabilitation administrators/managers currently practicing in Egypt and involved in rehabilitation service delivery, management, or planning across public, private, academic, and community healthcare settings.

Popis

Inclusion Criteria

  • Licensed physiotherapists, occupational therapists, speech-language pathologists, rehabilitation physicians, or rehabilitation administrators/managers currently practicing in Egypt.
  • Actively involved in the delivery, management, or planning of rehabilitation services for older adults.
  • Aged 22 years or older.
  • Able to read and understand Arabic or English.
  • Willing to provide informed consent and complete the survey questionnaire.

Exclusion Criteria:

  • Rehabilitation professionals not currently practicing in Egypt.
  • Students, interns, or trainees who are not independently practicing healthcare professionals.
  • Individuals not involved in rehabilitation service delivery, management, or planning.
  • Survey responses with substantial missing data (e.g., more than 20% incomplete items).
  • Duplicate survey submissions from the same participant.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Observační modely: OTHER
  • Časové perspektivy: CROSS_SECTIONAL

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Mean Perceived Barrier Severity Score Assessed Using the Geriatric Rehabilitation Barriers Questionnaire
Časové okno: baseline

Composite barrier severity score derived from responses to 13 barriers to geriatric rehabilitation service delivery, including workforce shortages, inadequate equipment, financial constraints, transportation difficulties, insurance limitations, awareness deficits, cultural barriers, and tele-rehabilitation limitations. Each item is rated on a 4-point Likert scale (0 = Not a Barrier to 3 = Severe Barrier). Higher scores indicate greater perceived barriers to geriatric rehabilitation service provision.

baseline

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Workforce Readiness and Geriatric Rehabilitation Training Score Measured Using the Workforce Preparedness Domain of the Geriatric Rehabilitation Survey
Časové okno: baseline

Assessed from participant responses regarding formal geriatric rehabilitation education, certification, workshop attendance, policy awareness, and perceived governmental and professional support. Higher scores indicate greater workforce preparedness for delivery of geriatric rehabilitation services.

baseline

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Odhadovaný)

10. listopadu 2026

Primární dokončení (Odhadovaný)

30. května 2027

Dokončení studie (Odhadovaný)

30. července 2027

Termíny zápisu do studia

První předloženo

26. října 2026

První předloženo, které splnilo kritéria kontroly kvality

5. listopadu 2026

První zveřejněno (Aktuální)

9. listopadu 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

9. listopadu 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

5. listopadu 2026

Naposledy ověřeno

1. listopadu 2026

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • Barriers, geriatrics, egypt

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

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