Outcome measures in physiotherapy management of patients with stroke: a survey into self‐reported use, and barriers to and facilitators for use

Peppen, R.P.S. van; Maissan, François; Genderen, Frank R. Van; Dolder, R van; Meeteren, N.L.U. van

doi:10.1002/pri.417

Cited by 110 publications

(134 citation statements)

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“…Regarding to environmental factors, barriers included lack of time, excessive or low assessment cost, spatial restriction, and low organizational support. Regarding measurespecific factors, barriers were reliability and validity of assessment tools, and the application of an assessment tool appropriate for population [38,[44][45][46][47][48].…”

Section: Barriers To Balance and Gait Assessmentmentioning

confidence: 99%

“…In a clinical setting, barriers included lack of time, too high or too low assessment cost, spatial restriction, and low organizational support [38,[44][45][46][47][48]. All six publications that these researchers identified explained clinical environmental barriers.…”

Section: Environmental Factorsmentioning

confidence: 99%

“…In addition, in a busy clinical setting with too many patients, time limitations impair proper assessment [46]. In three studies, too high or too low assessment cost was identified as barrier [38,46,48]. In other articles, cost was a low priority in decision-making [45].…”

Section: Environmental Factorsmentioning

confidence: 99%

“…Furthermore, assessment enables rehabilitation experts to share information, and is a critical part of evidence-based practice [18][19][20] These numerous assessments are used for academic or clinical purposes; therefore, it is difficult for therapists to apply an assessment method properly in line with a patient's functional level [36,37]. Van Peppen et al found that, changing routines, time investment and financial compensation constituted significant barriers to assessment in a clinical setting [38]. In a different study, the lack of knowledge about assessment tools was the main barrier to balance and gait assessment [39,40].…”

Section: Introductionmentioning

confidence: 99%

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Barriers to Using Balance and Gait Assessment Tools by Physical Therapists in Patients with Neurological Impairments: A Systematic Review

Jang¹,

Kim²,

Oh³

et al. 2017

J Clin Res Bioeth

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Introduction: The balance disability and pathological gait caused by neurological impairments deter activities of everyday living and social participation, deteriorate the quality of life, and increase the risk of falling. Physical therapeutic intervention plays a critical role in improving the balance disability and pathological gait. For effective physical therapy, accurate assessment of a patient is a priority.

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Section: Barriers To Balance and Gait Assessmentmentioning

confidence: 99%

Section: Environmental Factorsmentioning

confidence: 99%

Section: Environmental Factorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Barriers to Using Balance and Gait Assessment Tools by Physical Therapists in Patients with Neurological Impairments: A Systematic Review

Jang¹,

Kim²,

Oh³

et al. 2017

J Clin Res Bioeth

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show abstract

“…Practice guidelines have also provided comprehensive reviews and broad recommendations for the use of assessment measures [8,9]. Nonetheless, rehabilitation therapists do not routinely use validated assessment or outcome measures, despite encouragement to incorporate them into routine practice [10]. Frequently cited barriers to clinical use of outcome measures include time constraints, lack of equipment, institution culture and unfamiliarity with assessment tools and their benefits [1,11].…”

Section: Introductionmentioning

confidence: 99%

Standardization of Interdisciplinary Clinical Practice and Assessment in Stroke Rehabilitation

Kinney¹

2013

Int J Phys Med Rehabil

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Current use of PROMs and factors associated with their use in patients with nonspecific low back pain

Brinkman

Barten

Pisters

et al. 2019

Learning Health Systems

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ObjectivePatient‐related outcome measures (PROMs) can guide clinicians in providing evidence‐based treatment and have the potential to empower patients, support clinical decision making, and improve quality of care. In order to make the information coming from PROMs useful, it is important to know to what extent the use of PROMs is biased in any way. Therefore, we assessed (a) the current level of use of PROMs among primary care physiotherapists and (b) which factors on the patient level, therapist level, and primary care practice level are associated with the use of PROMs in patients with nonspecific low back pain (LBP).DesignAn observational study based on electronic health record data recorded routinely in Nivel Primary Care Database.ParticipantsA total of 2916 patients aged 18 years or older with nonspecific LBP consulting a primary care physiotherapist.MethodsMultilevel logistic regression analyses were used to identify factors at the level of the patient, physiotherapist, and primary care practice, which may affect the use of PROMs.ResultsPROMs were used in 46% of the patients, by 72% of the physiotherapists, and in 71% of the physiotherapy practices. None of the included independent variables were associated with the use of PROMs. Only 1% of the variance was explained by the final model.ConclusionThis study shows that the use of PROMs is mostly dependent on characteristics of patients. However, we did not succeed in identifying characteristics of patients that are responsible for that. This could mean that therapists randomly choose patients for PROMs or that there is some other unmeasured patient characteristic determining the use of PROMs. The former explanation implies no systematic bias in the information resulting from PROMs. More research is needed to examine possible related factors to improve implementation and a more frequent use of PROMs in the future.

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Outcome measures in physiotherapy management of patients with stroke: a survey into self‐reported use, and barriers to and facilitators for use

Abstract: 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.

Cited by 110 publications

References 27 publications

Barriers to Using Balance and Gait Assessment Tools by Physical Therapists in Patients with Neurological Impairments: A Systematic Review

Barriers to Using Balance and Gait Assessment Tools by Physical Therapists in Patients with Neurological Impairments: A Systematic Review

Standardization of Interdisciplinary Clinical Practice and Assessment in Stroke Rehabilitation

Current use of PROMs and factors associated with their use in patients with nonspecific low back pain

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