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01-02-2022 | Original Article

Development of a multinational, multidisciplinary competency framework for physiotherapy training in pessary management: an E-Delphi study

Authors: Patricia B. Neumann, Nada Radi, Tamara Lynn Gerdis, Clee Tonkin, Chenaye Wright, K. Jane Chalmers, Irena Nurkic

Published in: International Urogynecology Journal | Issue 2/2022

Abstract

Introduction and hypothesis

Vaginal support pessaries are intravaginal devices designed to relieve symptoms of pelvic organ prolapse, but they can cause serious medical complications if not managed well. Physiotherapists are well placed to manage pessaries, but there are no guidelines on the training required for competency in pessary management (PM).

Methods

A scoping review of current literature on PM training was conducted to develop draft competency standards, which were reviewed by a multidisciplinary focus group. Using e-Delphi methodology, a multidisciplinary and multinational expert panel then refined the standards. Three rounds of e-Delphi online surveys were conducted, with individual participant feedback and one videoconference to discuss items that did not reach consensus. Consensus was set at 80% agreement and stability measured using kappa coefficient.

Results

Pessary training competency standards, developed by 29 experts, covered three key domains including: (1) prerequisite knowledge and understanding; (2) entrustable professional activities; (3) pessary-specific standards under ten key roles. Consensus was reached on all 73 (100%) competency standards and stability demonstrated for 95.9% of standards. There was no attrition of expert panel participants through the e-Delphi rounds.

Conclusions

This e-Delphi study provides the first, robust recommendations on training standards for physiotherapists in PM. These competency standards will provide clinicians with a self-assessment tool, and educators and training institutions with a benchmark in training for PM, which should improve options and reduce risk for women with prolapse being managed with a pessary.

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Title: Development of a multinational, multidisciplinary competency framework for physiotherapy training in pessary management: an E-Delphi study
Authors: Patricia B. Neumann
Nada Radi
Tamara Lynn Gerdis
Clee Tonkin
Chenaye Wright
K. Jane Chalmers
Irena Nurkic
Publication date: 01-02-2022
Publisher: Springer International Publishing
Published in: International Urogynecology Journal / Issue 2/2022
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-021-04843-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Development of a multinational, multidisciplinary competency framework for physiotherapy training in pessary management: an E-Delphi study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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