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

5. november 2026 oppdatert av: 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.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Detaljert beskrivelse

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.

Studietype

Observasjonsmessig

Registrering (Antatt)

400

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

22 år til 75 år (Voksen, Eldre voksen)

Tar imot friske frivillige

N/A

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

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.

Beskrivelse

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.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Observasjonsmodeller: OTHER
  • Tidsperspektiver: CROSS_SECTIONAL

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Mean Perceived Barrier Severity Score Assessed Using the Geriatric Rehabilitation Barriers Questionnaire
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Workforce Readiness and Geriatric Rehabilitation Training Score Measured Using the Workforce Preparedness Domain of the Geriatric Rehabilitation Survey
Tidsramme: 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

10. november 2026

Primær fullføring (Antatt)

30. mai 2027

Studiet fullført (Antatt)

30. juli 2027

Datoer for studieregistrering

Først innsendt

26. oktober 2026

Først innsendt som oppfylte QC-kriteriene

5. november 2026

Først lagt ut (Faktiske)

9. november 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

9. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

5. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • Barriers, geriatrics, egypt

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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