Impact of the Covid-19 pandemic and lockdowns on the education and mental health of physiotherapy students in France: a descriptive cross-sectional study with national online survey

Authors

  • Arnaud Delafontaine Department of Orthopedic Surgery, University Free of Brussels, Brussels, Belgium; CIAMS, Univ. Paris-Sud., University Paris-Saclay, Orsay, France; Department of Research and International, ASSAS Rehabilitation School, Paris, France
  • Gabriel Saiydoun Department of Cardiac Surgery, Pitié Salpetrière University Hospital, Sorbonne University, APHP, Paris, France; Department of Cardiac Surgery, Henri Mondor University Hospital, AP-HP, Créteil, France; Mondor Biomédical Research Institute, IMRB, Inserm U955, Creteil Faculty of Health, Créteil Cedex, France
  • Maxime Vallée Department of Urology, University Hospital of Poitiers, Poitiers, France; University of Poitiers, INSERM U1070, “Pharmacologie des Anti-Infectieux”, UFR Médecine-Pharmacie, Pôle Biologie Santé, Bâtiment B36 TSA 51106, Poitiers, France
  • Laurent Fabeck Department of Orthopedic Surgery, University Free of Brussels, Brussels, Belgium
  • François-Régis Sarhan Physiotherapy School (IFMK), University Hospital Amiens – Picardie, Amiens, France; UR 7516 CHIMERE, University Picardie Jules Verne, Amiens, France
  • Thomas Rulleau University of Nantes, University Hospital of Nantes, Nantes, France
  • Sylvain Gautier University of Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm U1018 CESP, «centre de recherche en épidémiologie et santé des populations, Equipe Soins primaires et prévention», Villejuif, France; Department of Epidemiology and Public health, AP-HP, GHU Paris Saclay, Raymond Poincaré Hospital, Garches, France
  • Nicolas Pinsault TIMC-IMAG UMR CNRS 5525, ThEMAS Team, University of Grenoble Alpes, Domaine de la Merci, La Tronche, France; French National Council of Physiotherapy (CNOMK), Paris, France

DOI:

https://doi.org/10.2340/jrm.v56.18463

Keywords:

COVID-19, Lockdown, Physiotherapy students, Mental Health, Physiotherapy education

Abstract

Objective: To determine the impact of the SARS-CoV-2 (COVID-19) pandemic and lockdowns on the mental health status, training, perceptions of the physiotherapy profession, and career plans of French physiotherapy students.

Design: A descriptive cross-sectional study was conducted, representing the first and only survey of its kind, using a national online survey.

Subjects: A total of 2678 French physiotherapy students participated in the study.

Methods: Mental health status was assessed using the validated French versions of established depression, anxiety, and insomnia scales.

Results: The survey revealed that female sex, age below 21 years, living alone, and having a psychiatric history or COVID-19 risk factors were associated with more severe symptoms of depression, anxiety, and insomnia in the surveyed students. In addition, stress, anxiety, and depression induced by the COVID-19 crisis were linked to apprehension about continuing practical training in physiotherapy. These factors also affected students’ perceptions of the profession and the initially envisioned mode of practice, particularly among fifth-year students (odds ratio (OR) = 2.25, 95% confidence interval (95% CI) = (1.69, 2.99), p < 0.001). Notably, the pandemic significantly reduced the desire of these students to pursue a career as physiotherapists (adjusted OR (aOR) 1.41 (1.06, 1.86)).

Conclusion: French physiotherapy students, especially those in their fifth year, have experienced significant impacts from the COVID-19 pandemic, affecting their mental health, education, perceptions of the physiotherapy profession, and career plans.

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References

Haines KJ, Berney S. Physiotherapists during COVID-19: usual business, in unusual times. J Physiother 2020; 66: 67-69.

https://doi.org/10.1016/j.jphys.2020.03.012 DOI: https://doi.org/10.1016/j.jphys.2020.03.012

Yang S, Kwak SG, Ko EJ, Chang MC. The mental health burden of the covid-19 pandemic on physical therapists. Int J Environ Res Public Health 2020; 17: 3723.

https://doi.org/10.3390/ijerph17103723 DOI: https://doi.org/10.3390/ijerph17103723

Chesterton P, Richardson M, Tears C. Student physiotherapists perceptions of online curriculum delivery during the COVID-19 pandemic. BMC Med Educ 2022; 22: 440.

https://doi.org/10.1186/s12909-022-03486-5 DOI: https://doi.org/10.1186/s12909-022-03486-5

Elmer T, Mepham K, Stadtfeld C. Students under lockdown: comparisons of students' social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS One 2020; 15: e0236337.

https://doi.org/10.1371/journal.pone.0236337 DOI: https://doi.org/10.1371/journal.pone.0236337

Choi I, Kim JH, Kim N, Choi E, Choi J, Suk HW, et al. How COVID-19 affected mental well-being: an 11- week trajectories of daily well-being of Koreans amidst COVID-19 by age, gender and region. PLoS One 2021; 16: e0250252.

https://doi.org/10.1371/journal.pone.0250252 DOI: https://doi.org/10.1371/journal.pone.0250252

Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students' mental health in the united states: interview survey study. J Med Internet Res 2020; 22: e21279.

https://doi.org/10.2196/21279 DOI: https://doi.org/10.2196/21279

Rodríguez-Hidalgo AJ, Pantaleón Y, Dios I, Falla D. Fear of COVID-19, stress, and anxiety in university undergraduate students: a predictive model for depression. Front Psychol 2020; 11: 591797.

https://doi.org/10.3389/fpsyg.2020.591797 DOI: https://doi.org/10.3389/fpsyg.2020.591797

Zolotov Y, Reznik A, Bender S, Isralowitz R. COVID-19 fear, mental health, and substance use among israeli university students. Int J Ment Health Addict 2022; 20: 230-236.

https://doi.org/10.1007/s11469-020-00351-8 DOI: https://doi.org/10.1007/s11469-020-00351-8

Ng L, Seow KC, MacDonald L, Correia C, Reubenson A, Gardner P, et al. eLearning in physical therapy: lessons learned from transitioning a professional education program to full elearning during the COVID-19 pandemic. Phys Ther 2021; 101: pzab082.

https://doi.org/10.1093/ptj/pzab082 DOI: https://doi.org/10.1093/ptj/pzab082

Benham A, Malone J, Duncan J. The experience of physiotherapy and occupational therapy students of pandemic teaching and its perceived impact on placement/practice. Physiother 2022; 114: e233-4.

https://doi.org/10.1016/j.physio.2021.12.226 DOI: https://doi.org/10.1016/j.physio.2021.12.226

Gębska M, Kołodziej Ł, Dalewski B, Pałka Ł, Sobolewska E. The influence of the covid-19 pandemic on the stress levels and occurrence of stomatoghnatic system disorders (SSDs) among physiotherapy students in Poland. J Clin Med 2021; 10: 3872.

https://doi.org/10.3390/jcm10173872 DOI: https://doi.org/10.3390/jcm10173872

Rossettini G, Geri T, Turolla A, Viceconti A, Scumà C, Mirandola M, et al. Online teaching in physiotherapy education during COVID-19 pandemic in Italy: a retrospective case-control study on students' satisfaction and performance. BMC Med Educ 2021; 21: 456.

https://doi.org/10.1186/s12909-021-02896-1 DOI: https://doi.org/10.1186/s12909-021-02896-1

Dario A, Simic M. Innovative physiotherapy clinical education in response to the COVID-19 pandemic with a clinical research placement model. J Physi-other 2021; 67: 235-237.

https://doi.org/10.1016/j.jphys.2021.08.008 DOI: https://doi.org/10.1016/j.jphys.2021.08.008

Etoom M, Aldaher KN, Abdelhaq AA, Alawneh A, Alghwiri AA. Predictors of distance learning in physiotherapy students during COVID-19 outbreak. Phy-siother Theory Pract 2023; 39: 1513-1518.

https://doi.org/10.1080/09593985.2022.2042438 DOI: https://doi.org/10.1080/09593985.2022.2042438

Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001; 16: 606-613.

https://doi.org/10.1046/j.1525-1497.2001.016009606.x DOI: https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Carballeira Y, Dumont P, Borgacci S, Rentsch D, de Tonnac N, Archinard M, et al. Criterion validity of the French version of Patient Health Questionnaire (PHQ) in a hospital department of internal medicine. Psychol Psychother Theory Res Pract 2007; 80: 69-77.

https://doi.org/10.1348/147608306X103641 DOI: https://doi.org/10.1348/147608306X103641

Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006; 166: 1092.

https://doi.org/10.1001/archinte.166.10.1092 DOI: https://doi.org/10.1001/archinte.166.10.1092

Bastien C. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001; 2: 297-307.

https://doi.org/10.1016/S1389-9457(00)00065-4 DOI: https://doi.org/10.1016/S1389-9457(00)00065-4

La formation aux professions de santé. (n.d.). Retrieved November 20, 2023. Available from : https://data.drees.solidarites-sante.gouv.fr/explore/dataset/491_la-formation-aux-professions-de-sante/information/

Gilliland D, Melfi V. A note on confidence interval estimation and margin of error. J Stat Educ 2010; 18: 1.

https://doi.org/10.1080/10691898.2010.11889474 DOI: https://doi.org/10.1080/10691898.2010.11889474

Vallée M, Kutchukian S, Pradère B, Verdier E, Durbant È, Ramlugun D, et al. Prospective and observational study of COVID-19's impact on mental health and training of young surgeons in France. Brit J Surg 2020; 107: e486-e488.

https://doi.org/10.1002/bjs.11947 DOI: https://doi.org/10.1002/bjs.11947

Chen T, Lucock M. The mental health of university students during the COVID-19 pandemic: an online survey in the UK. PloS One 2022; 17: e0262562.

https://doi.org/10.1371/journal.pone.0262562 DOI: https://doi.org/10.1371/journal.pone.0262562

World Physiotherapy. Immediate impact on students and the response to delivering physiotherapist entry level education. London, UK: World Physi-otherapy; 2020. Available from: https://world.physio/sites/default/files/2020-07/Education-Briefing-paper-3-Students-24-June-2020.pdf

Syed A, Ali SS, Khan M. Frequency of depression, anxiety and stress among the undergraduate physiotherapy students. Pak J Med Sci 2018; 34: 468-471.

https://doi.org/10.12669/pjms.342.12298 DOI: https://doi.org/10.12669/pjms.342.12298

van Vuuren ECJ, Bodenstein K, Nel M. Stressors and coping strategies among physiotherapy students: Towards an integrated support structure. Health SA 2018; 23: 1091.

https://doi.org/10.4102/hsag.v23i0.1091 DOI: https://doi.org/10.4102/hsag.v23i0.1091

Jull G, Moore A. Hands on, hands off? The swings in musculoskeletal physiotherapy practice. Man Ther 2012; 17: 199-200.

https://doi.org/10.1016/j.math.2012.03.009 DOI: https://doi.org/10.1016/j.math.2012.03.009

Malliaras P, Merolli M, Williams CM, Caneiro JP, Haines T, Barton C. 'It's not hands-on therapy, so it's very limited': Telehealth use and views among allied health clinicians during the coronavirus pandemic. Musculoskelet Sci Pract 2021; 52: 102340.

https://doi.org/10.1016/j.msksp.2021.102340 DOI: https://doi.org/10.1016/j.msksp.2021.102340

Lasheras I, Gracia-García P, Lipnicki DM, Bueno-Notivol J, López-Antón R, de la Cámara, C, et al. Prevalence of anxiety in medical students during the covid-19 pandemic: a rapid systematic review with meta-analysis. Int J Environ Res Public Health 2020; 17: 6603.

https://doi.org/10.3390/ijerph17186603 DOI: https://doi.org/10.3390/ijerph17186603

Kota M, Kudo H, Okita K. Relationships between motives to become a physical therapist, delayed graduation, and perceptions of school and internship learning among physical therapy students. J Phys Ther Sci 2018; 30: 136-139.

https://doi.org/10.1589/jpts.30.136 DOI: https://doi.org/10.1589/jpts.30.136

Stith JS, Butterfield WH, Strube MJ, Deusinger SS, Gillespie DF. Personal, interpersonal, and organizational influences on student satisfaction with clinical education. Phys Ther 1998; 78: 635-645.

https://doi.org/10.1093/ptj/78.6.635 DOI: https://doi.org/10.1093/ptj/78.6.635

Alameddine M, Baroud M, Kharroubi S, Hamadeh R, Ammar W, Shoaib H, et al. Investigating the job satisfaction of healthcare providers at primary healthcare centres in Lebanon: a national cross-sectional study. Health Soc Care Community 2017; 25: 1805-1816.

https://doi.org/10.1111/hsc.12454 DOI: https://doi.org/10.1111/hsc.12454

Pritchard, RD, Karasick BW. The effects of organizational climate on managerial job performance and job satisfaction. Organ Behav Hum Perform 1973; 9: 126-146.

https://doi.org/10.1016/0030-5073(73)90042-1 DOI: https://doi.org/10.1016/0030-5073(73)90042-1

Boehm MA, Lei QM, Lloyd RM, Prichard JR. Depression, anxiety, and tobacco use: Overlapping impediments to sleep in a national sample of college students. J Am Coll Health 2016; 64: 565-574.

https://doi.org/10.1080/07448481.2016.1205073 DOI: https://doi.org/10.1080/07448481.2016.1205073

Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA 2020; 323: 2133-2134.

https://doi.org/10.1001/jama.2020.5893 DOI: https://doi.org/10.1001/jama.2020.5893

Gas J, Bart S, Michel P, Peyronnet B, Bergerat S, Olivier J, et al. Prevalence of and predictive factors for burnout among French urologists in training. Eur Urol 2019; 75: 702-703.

https://doi.org/10.1016/j.eururo.2018.12.037 DOI: https://doi.org/10.1016/j.eururo.2018.12.037

Reger MA, Stanley IH, Joiner TE. Suicide mortality and coronavirus disease 2019-a perfect storm? JAMA Psychiatry 2020; 77: 1093-1094.

https://doi.org/10.1001/jamapsychiatry.2020.1060 DOI: https://doi.org/10.1001/jamapsychiatry.2020.1060

Srivastav AK, Sharma N, Samuel AJ. Impact of coronavirus disease-19 (COVID-19) lockdown on physical activity and energy expenditure among physi-otherapy professionals and students using web-based open E-survey sent through WhatsApp, Facebook and Instagram messengers. Clin Epidemiol Glob Health 2021; 9: 78-84.

https://doi.org/10.1016/j.cegh.2020.07.003 DOI: https://doi.org/10.1016/j.cegh.2020.07.003

Zhu Y, Wang Z, Zhou Y, Onoda K, Maruyama H, Hu C, et al Summary of respiratory rehabilitation and physical therapy guidelines for patients with CO-VID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. J Phys Ther Sci 2020; 32: 545-549.

https://doi.org/10.1589/jpts.32.545 DOI: https://doi.org/10.1589/jpts.32.545

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al.Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother 2020; 66: 73-82.

https://doi.org/10.1016/j.jphys.2020.03.011 DOI: https://doi.org/10.1016/j.jphys.2020.03.011

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Published

2024-01-10

How to Cite

Delafontaine, A., Saiydoun, G. ., Vallée , M. ., Fabeck, L., Sarhan , F.-R., Rulleau, T. ., … Pinsault, N. . (2024). Impact of the Covid-19 pandemic and lockdowns on the education and mental health of physiotherapy students in France: a descriptive cross-sectional study with national online survey. Journal of Rehabilitation Medicine, 56, jrm18463. https://doi.org/10.2340/jrm.v56.18463

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