Physiotherapists' experiences with a blended osteoarthritis intervention: a mixed methods study

Corelien J J Kloek, Daniël Bossen, Herman J de Vries, Dinny H de Bakker, Cindy Veenhof, Joost Dekker

Onderzoeksoutput: ArticleAcademicpeer review

Uittreksel

INTRODUCTION: 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.

Originele taal-2English
Pagina's (van-tot)1-8
TijdschriftPhysiotherapy theory and practice
DOI's
StatusPublished - 29 jun 2018
Extern gepubliceerdJa

Vingerafdruk

Physical Therapists
Osteoarthritis
Exercise
Hip Osteoarthritis
Knee Osteoarthritis
Professional Autonomy
Workload

Keywords

  • fysiotherapie
  • artrose
  • apps

Citeer dit

Kloek, Corelien J J ; Bossen, Daniël ; de Vries, Herman J ; de Bakker, Dinny H ; Veenhof, Cindy ; Dekker, Joost. / Physiotherapists' experiences with a blended osteoarthritis intervention : a mixed methods study. In: Physiotherapy theory and practice. 2018 ; blz. 1-8.
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Physiotherapists' experiences with a blended osteoarthritis intervention : a mixed methods study. / Kloek, Corelien J J; Bossen, Daniël; de Vries, Herman J; de Bakker, Dinny H; Veenhof, Cindy; Dekker, Joost.

In: Physiotherapy theory and practice, 29.06.2018, blz. 1-8.

Onderzoeksoutput: ArticleAcademicpeer review

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T1 - Physiotherapists' experiences with a blended osteoarthritis intervention

T2 - a mixed methods study

AU - Kloek, Corelien J J

AU - Bossen, Daniël

AU - de Vries, Herman J

AU - de Bakker, Dinny H

AU - Veenhof, Cindy

AU - Dekker, Joost

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N2 - INTRODUCTION: 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.

AB - INTRODUCTION: 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.

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KW - apps

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KW - osteoarthritis

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