THE DEVELOPMENT OF THE GUIDE FOR RESPONSIBLE ENVIRONMENTAL ENGAGEMENT AND PRACTICES APPROPRIATE IN PHYSICAL THERAPY (GREEN PATH)

Abstract

Purpose: Environmental physical therapy (EPT) is the incorporation of environmental health into the field of physical therapy that encompasses the relationships between the environment, human health and functioning, and physical therapy. A previous study had determined that Filipino physical therapists underutilize their environment in rehabilitation but display strong awareness, support, and grasp of EPT. Thus, this study aimed to formulate guidelines aimed towards the smooth transition of EPT into clinical PT practice in the Philippines. Methods: The study employed a research and development design based on the quantitative results of a study conducted relating to the awareness, understanding, perception, and current EPT practice in the Philippines as well as the qualitative data collected within this study through small group discussions and interviews. The interview guide for the small group discussion was developed and content validated. The guidelines were then guided by established strategies, mainly the Sustainable Development Goals (SDG), the One Health approach of the World Health Organization (WHO), and the EPT Agenda, all aimed at achieving universal environmental sustainability. Results: The results of the data collection reveal that Filipino physical therapists show promise in adopting EPT to promote healthcare sustainability. Hence, the GREEN PATH was categorized into three priorities for action being: utilize the environment in clinical practice, utilize other-than-humans, and practice sustainable development. Each of these priorities for action were then subcategorized into areas seeking to address attitude and awareness, resource and facilities, and policy and practice. Discussion: The development of the GREEN PATH acts as a guide to the clinical practice of EPT within the Philippines and as a set of practice suggestions tailored to address the intersection of physical therapy, environmental health, and sustainable development.