Reliability, validity and discriminability of patient reported outcomes for non-specific low back pain in a nationwide physical therapy registry: A retrospective observational cohort study

Meerhoff, Guus A.; Verburg, Arie C.; Schapendonk, Renske M.; Cruijsberg, Juliette; Sanden, Maria W. G. Nijhuis-van der; Dulmen, Simone A. van; Wees, Philip J. van der

doi:10.1371/journal.pone.0251892

Cited by 5 publications

(6 citation statements)

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“…(9,12) A practice test can support the usefulness and feasibility of quality indicators in daily practice and gain insight into the psychometric properties of outcome-based quality indicators. (3,11,13) Although to our knowledge, no specific definition of a practice test is reported in previous research, there are several examples of using a practice test in development of quality indicators. (11,13,14) Such an example is the study of Meerhoff et al 2021 in which a practice test was conducted to explore the reliability, validity and discriminability of patient reported outcomes for the development of quality indicators in patients with nonspecific low back pain.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, a practice test, including the collection of real-world data prior to selection, is an essential step for evaluation of the comparability, discriminability and feasibility of potential quality indicators in daily practice [ 9 , 12 ]. A practice test can support the usefulness and feasibility of quality indicators in daily practice and gain insight into the psychometric properties of outcome-based quality indicators [ 3 , 11 , 13 ]. Although to our knowledge, no specific definition of a practice test has been reported in previous research, there are several examples of using a practice test in the development of quality indicators [ 11 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…A practice test can support the usefulness and feasibility of quality indicators in daily practice and gain insight into the psychometric properties of outcome-based quality indicators [ 3 , 11 , 13 ]. Although to our knowledge, no specific definition of a practice test has been reported in previous research, there are several examples of using a practice test in the development of quality indicators [ 11 , 13 , 14 ]. Such an example is the study of by M eerhoff et al .…”

Section: Introductionmentioning

confidence: 99%

“…(3,11,13) Although to our knowledge, no specific definition of a practice test is reported in previous research, there are several examples of using a practice test in development of quality indicators. (11,13,14) Such an example is the study of Meerhoff et al 2021 in which a practice test was conducted to explore the reliability, validity and discriminability of patient reported outcomes for the development of quality indicators in patients with nonspecific low back pain. (13) We defined comparability as the extent to which the quality indicator is comparable between practices, and discriminability as the extent to which the quality indicator is able to discriminate between practices.…”

Section: Introductionmentioning

confidence: 99%

“…(11,13,14) Such an example is the study of Meerhoff et al 2021 in which a practice test was conducted to explore the reliability, validity and discriminability of patient reported outcomes for the development of quality indicators in patients with nonspecific low back pain. (13) We defined comparability as the extent to which the quality indicator is comparable between practices, and discriminability as the extent to which the quality indicator is able to discriminate between practices.…”

Section: Introductionmentioning

confidence: 99%

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A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study

Verburg¹,

Dulmen²,

Kiers

et al. 2022

ERJ Open Res

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AimTo estimate the comparability and discriminability of outcome-based quality indicators by performing a practice test in Dutch physical therapy primary care, and to select a core set of outcome-based quality indicators that are well-accepted by physical therapists based on their perceived added value as a quality improvement tool.MethodsFirst, a list of potential quality indicators was defined, followed by the determination of the comparability (case-mix adjusted multi-level analysis) and discriminability (intraclass correlation coefficient (ICC)). Second, focus group meetings were conducted with stakeholders (physical therapists and senior researchers) to select a core set of quality indicators.ResultsOverall, 229 physical therapists from 137 practices provided 2651 treatment episodes. Comparability: in 10 of the 11 case-mix adjusted models, the ICC increased compared with the intercept-only model. Discriminability: the ICC ranged between 0.01 and 0.34, with five of the 11 ICCs being >0.10. The majority of physical therapists in each focus group preferred the inclusion of seven quality indicators in the core set, including three process and four outcome indicators based upon the Six-Minute-Walk-Test (6MWT), the Clinical COPD Questionnaire (CCQ), and the determination of quadriceps strength using a hand-held dynamometer (HHD).ConclusionThis is the first study that describes the comparability and discriminability of the outcome-based quality indicators selected for patients with COPD treated in primary care physical therapy practices. Future research should focus on increasing data collection in daily practice and on the development of tangible methods to use as the core set of a quality improvement tool.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study

Verburg¹,

Dulmen²,

Kiers

et al. 2022

ERJ Open Res

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Physical therapy registries worldwide: A systematic review

Banaye Yazdipour,

Ayyoubzadeh,

Nazary‐Moghadam

et al. 2024

Health Science Reports

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IntroductionNowadays, the demand for physical therapy services has grown significantly over the last few decades due to an aging population, a rise in chronic conditions, and increased awareness of the benefits of physical therapy for injury recovery and managing various health issues. Collecting and managing data from physical therapy services is highly significant and beneficial. One of the information management systems that facilitates data collection related to physical therapy services is a physical therapy registry. In this systematic review, we aimed to identify physical therapy registries worldwide and examine the characteristics and data elements of each registry.MethodsPubMed, Scopus, Web of Science, and IEEE databases were searched from inception until March 19, 2023 by using keywords and Medical Subject Headings (MeSH) terms regarding “registries” and “physical therapy.” The criteria for inclusion in the study were: (1) studies with the English language; (2) original studies, and online access to the physical therapy registry is available; (3) full‐text available; (4) studies related to the aims of the study, and (5) studies that have sufficient available information regarding the minimum datasets and other characteristics physical therapy registry. The methodological quality of the included studies was independently assessed by two reviewers using the Effective Public Health Practice Project's (EPHPP) quality assessment tool.ResultsSixteen studies were eligible to be included. The findings of this review indicated that the oldest physical therapy registry was established in 1992, while the newest one was established in 2017. The USA has the highest number of physical therapy registries (n = 7). Ten registries were funded by the government, and the data source for most registries was collected in clinics (n = 11). The geographical coverage of 10 registries was national. All registries collected administrative data (such as sociodemographic data, healthcare provider's data, and others) and clinical data (such as diagnosis, type of physical therapy intervention, pain location, comorbidities, and others) through web‐based systems. The data collection method in half of the registries was retrospective (n = 8 out of 16). According to the EPHPP quality assessment tool, 11 studies (73%) were rated as moderate, 3 (20%) as weak, and 1 (7%) as strong.ConclusionThis systematic review found that most developed countries have implemented web‐based physical therapy registries to collect administrative and clinical data at the national level. It is recommended that developing countries design and implement similar registries based on these characteristics and extracted data elements. Additionally, these registries should be designed to enable data sharing and interoperability with other international health information systems.

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Feasibility of a quality-improvement program based on routinely collected health outcomes in Dutch primary care physical therapist practice: a mixed-methods study

Smeekens,

Verburg,

Maas

et al. 2024

BMC Health Serv Res

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Background This study evaluates the feasibility of a nine-month advanced quality-improvement program aimed at enhancing the quality of care provided by primary care physical therapists in the Netherlands. The evaluation is based on routinely collected health outcomes of patients with nonspecific low back pain, assessing three feasibility domains: (1) appropriateness, feasibility, and acceptability for quality-improvement purposes; (2) impact on clinical performance; and (3) impact on learning and behavioral change. Methods A mixed-methods quality-improvement study using a concurrent triangulation design was conducted in primary care physical therapist practice. Feedback reports on the processes and outcomes of care, peer assessment, and self-assessment were used in a Plan-Do-Study-Act cycle based on self-selected goals. The program’s appropriateness, feasibility, and acceptability, as well as the impact on clinical performance, were evaluated using the Intervention Appropriate Measure, Feasibility Intervention Measure, Acceptability Intervention Measure (for these three measure, possible scores range from 4 to 20), and with a self-assessment of clinical performance (scored 0–10), respectively. The impact on learning and behavioral change was evaluated qualitatively with a directed content analysis. Results Ten physical therapists from two practices participated in this study. They rated the program with a mean of 16.5 (SD 1.9) for appropriateness, 17.1 (SD 2.2) for feasibility, and 16.4 (SD 1.5) for acceptability. Participants gave their development in clinical performance a mean score of 6.7 (SD 1.8). Participants became aware of the potential value of using outcome data and gained insight into their own routines and motivations. They changed their data collection routines, implemented data in their routine practice, and explored the impact on their clinical behavior. Conclusions This explorative study demonstrated that a quality-improvement program, using health outcomes from a national registry, is judged to be feasible. Impact statement This study provides preliminary evidence on how physical therapists may use health outcomes to improve their quality, which can be further used in initiatives to improve outcome-based care in primary physical therapy.

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Reliability, validity and discriminability of patient reported outcomes for non-specific low back pain in a nationwide physical therapy registry: A retrospective observational cohort study

Cited by 5 publications

References 48 publications

A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study

A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study

Physical therapy registries worldwide: A systematic review

Feasibility of a quality-improvement program based on routinely collected health outcomes in Dutch primary care physical therapist practice: a mixed-methods study

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