Multifaceted strategies may increase implementation of physiotherapy clinical guidelines: a systematic review

Wees, Philip J. van der; Jamtvedt, Gro; Rebbeck, Trudy; Bie, Rob A. de; Dekker, Joost; Hendriks, Erik

doi:10.1016/s0004-9514(08)70002-3

Cited by 114 publications

(103 citation statements)

References 25 publications

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“…Multimodal approaches that not only address the exercise attitudes and beliefs and intended behaviours of physiotherapists, but also identify and address other potential barriers to long-term behaviour change in physiotherapists, are likely to be required to achieve greater or more sustained changes in these variables over time. 224,226,227 Although a large number of physiotherapists participated in the BEEP trial training programme (n = 53) and we achieved good follow-up rates on their self-completed postal questionnaires after training (83%) and 12-18 months later (74% response rate), the numbers were too small for robust statistical testing to compare changes in beliefs, attitudes or intended behaviours over time and between groups of physiotherapists delivering the three interventions. In addition, as with all survey research that utilises …”

Section: Number and Patterns Of Treatmentmentioning

confidence: 85%

Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

Hay

Dziedzic

Foster

et al. 2018

Programme Grants Appl Res

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This report should be referenced as follows:Hay E, Dziedzic K, Foster N, Peat G, van der Windt D, Bartlam B, et al. Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials. Programme Grants Appl Res 2018;6(4). Programme Grants for Applied ResearchISSN 2050-4322 (Print) ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0407-10386. The contractual start date was in July 2008. The final report began editorial review in March 2015 and was accepted for publication in May 2016. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publicatio...

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Section: Number and Patterns Of Treatmentmentioning

confidence: 85%

Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

Hay

Dziedzic

Foster

et al. 2018

Programme Grants Appl Res

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“…To achieve better outcomes [21] we applied a mix of implementation strategies tailored to the target group and context. First, we organized a plenary educational meeting on measurement instruments for the KBs and their fellow PTs.…”

Section: Data Collectionmentioning

confidence: 99%

“…[16][17][18][19][20] However, to improve the use of measurement instruments in clinical practice, the abovementioned implementation barriers should be taken into account when selecting instruments for the revised guideline. [12,21] PTs had to perceive the instruments as relevant to daily practice, and the instruments should be found feasible in clinical practice, and preferably applicable in all phases and settings of stroke rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Selecting relevant and feasible measurement instruments for the revised Dutch clinical practice guideline for physical therapy in patients after stroke

Otterman

Veerbeek

Schiemanck

et al. 2016

Disability and Rehabilitation

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Purpose: To select relevant and feasible instruments for the revision of the Dutch clinical practice guideline for physical therapy in patients with stroke. Methods: In this implementation study a comprehensive proposal for ICF categories and matching instruments was developed, based on reliability and validity. Relevant instruments were then selected in a consensus round by 11 knowledge brokers who were responsible for the implementation of the selected instruments. The feasibility of the selected instruments was tested by 36 physical therapists at different work settings within stroke services. Finally, instruments that were deemed relevant and feasible were included in the revised guideline. Results: A total of 28 instruments were recommended for inclusion in the revised guideline. Nineteen instruments were retained from the previous guideline. Ten new instruments were tested in clinical practice, seven of which were found feasible. Two more instruments were added after critical appraisal of the set of the measurement instruments. Conclusions: The revised guideline contains 28 relevant and feasible instrument selected and tested in clinical practice by physical therapists. Further education and implementation is needed to integrate instruments in clinical practice. Further research is proposed for developing and implementing a core set of measurement instruments to be used at fixed time points to establish data registries that allow for continuous improvement of rehabilitation for stroke patients. ä IMPLICATIONS FOR REHABILITATIONThe revised Dutch Stroke Physical Therapy Guideline recommends a total of 28 instruments, that are relevant and feasible for clinical practice of physical therapist in the different settings of stroke rehabilitation. The selection of instrument in daily practice should be part of the clinical reasoning process of PTs and be tailored to individual patients' needs and the degree of priority of the affected ICF category. Suggested education strategies for further integration of instruments in of the daily practice of PTs in Stroke Rehabilitation are: 'Training on the job' and 'peer assessment in clinical situations'. ARTICLE HISTORY

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“…The results of these studies were promising but inconclusive, with different effects on different outcomes. Only one of the systematic reviews focused on physiotherapy, and concluded (based on the three identified RCTs) that there is some evidence from physiotherapy settings that active, multi-component strategies with an educational component are more effective than passive, single intervention strategies-on some outcomes, but not on others [105]. Positive effects were seen in knowledge and behaviour, but not in attitudes, patient outcomes, or cost of care, and effects were mostly small.…”

Section: Previous Research On Guideline Implementation In Physiotherapymentioning

confidence: 99%

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Bernhardsson¹

2015

Linköping University Medical Dissertations

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Multifaceted strategies may increase implementation of physiotherapy clinical guidelines: a systematic review

Cited by 114 publications

References 25 publications

Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

Selecting relevant and feasible measurement instruments for the revised Dutch clinical practice guideline for physical therapy in patients after stroke

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

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