Title
Physiotherapists’ experiences with a blended osteoarthritis intervention: A mixed methods study
Author
Kloek, C.J.J.
Bossen, D.
de Vries, H.J.
de Bakker, D.H.
Veenhof, C.
Dekker, J.
Publication year
2020
Abstract
E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists' experiences and determinants related to the usage of e-Exercise. Methods: An explanatory sequential mixed methods design embedded in a randomized controlled trial comparing e-Exercise with usual physiotherapy in patients with hip/knee osteoarthritis. Usage of e-Exercise was based on recruitment rates of 123 physiotherapists allocated to e-Exercise and objective web-based application usage data. Experiences and determinants related to e-Exercise usage were investigated with a questionnaire and clarified with semi-structured interviews. Results: Of the 123 physiotherapists allocated to e-Exercise, 54 recruited more than one eligible patient, of whom 10 physiotherapists continued using e-Exercise after the study period. Physiotherapists had mixed experiences with e-Exercise. Determinants related to intervention usage were appropriateness, added value, time, workload, professional autonomy, environmental factors, and financial consequences. Physiotherapists recommended to improve the ability to tailor e-Exercise to the individual needs of the patient patients' individual needs. Discussion: Determinants related to the usage of e-Exercise provided valuable information for the implementation of e-Exercise on broader scale. Most importantly, the flexibility of e-Exercise needs to be improved. Next, there is a need for education on how to integrate an online program within physiotherapy.
Subject
Physiotherapy
E-Health
Osteoarthritis
Implementation
Patients
Hip
Knee
To reference this document use:
http://resolver.tudelft.nl/uuid:bc5fb33c-ac72-460c-ac6a-fcb1388f3cc1
DOI
https://doi.org/10.1080/09593985.2018.1489926
TNO identifier
877595
Source
Physiotherapy Theory and Practice, 36 (5), 572-579
Document type
article