Title
Outcome measures in physiotherapy management of patients with stroke: A survey into self-reported use, and barriers to and facilitators for use
Author
van Peppen, R.P.S.
Maissan, F.J.F.
van Genderen, F.R.
van Dolder, R.
van Meeteren, N.L.U.
TNO Kwaliteit van Leven
Publication year
2008
Abstract
Objective. To investigate physiotherapists' self-reported use of outcome measures as recommended in the Dutch Clinical Practice Guideline on Physiotherapy Management of Patients with Stroke (CPGPS) and to assess perceived barriers to and facilitators for the use of outcome measures in everyday practice. Method. A 41-item survey, including the barriers and facilitators questionnaire (BFQ), was sent by post to 400 physiotherapists in each of the following settings in the Netherlands: acute care hospitals (ACH; n = 100), rehabilitation centres (RC; n = 100), nursing homes (NH; n = 100) and private physiotherapy practices (PPP; n = 100). Results. One hundred and eighty-nine physiotherapists returned the survey (47%; ACH, n = 57; RC, n = 67; NH, n = 26 and PPP, n = 39) and the surveys of 167 physiotherapists involved in stroke settings were analysed. These physiotherapists reported regularly using three (median; range 0-7) of the seven recommended outcome measures, with those working in RC or ACH reporting a significantly higher use than their colleagues in PPP (4 vs. 0 and 3 vs. 0; p < 0.001 and p = 0.02, respectively). The BFQ revealed that there were setting-specific facilitators, such as 'a positive attitude towards outcome measures' (as mentioned by 93% of the physiotherapists) and 'acquaintance with outcome measures' (90%), and barriers such as 'changing routines' (32%), 'time investment' (29%) and 'financial compensation' (21%). Conclusion. Despite an almost uniformly positive attitude, physiotherapists infrequently use the outcome measures recommended in the CPGPS. Robust setting-specific tailored implementation strategies based on the reported barriers and facilitators are needed. Copyright © 2008 John Wiley & Sons, Ltd.
Subject
Healthy for Life
Health
Healthy Living
Cerebrovascular disorders
Guideline
Outcome measures
Physiotherapy
Survey
adult
article
daily life activity
female
human
male
middle aged
Netherlands
organization and management
outcome assessment
physiotherapy
practice guideline
psychometry
standard
statistics
stroke
utilization review
Activities of Daily Living
Adult
Female
Guideline Adherence
Humans
Male
Middle Aged
Netherlands
Outcome Assessment (Health Care)
Physical Therapy (Specialty)
Physical Therapy Modalities
Practice Guidelines as Topic
Psychometrics
Stroke
To reference this document use:
http://resolver.tudelft.nl/uuid:41f5f3c6-28ee-46cb-ba6f-19a2f7ec2f87
DOI
https://doi.org/10.1002/pri.417
TNO identifier
241252
ISSN
1358-2267
Source
Physiotherapy Research International, 13 (4), 255-270
Document type
article