Therapeutic Alliance Between Physical Therapists and Patients With Knee Osteoarthritis Consulting Via Telephone: A Longitudinal Study

Lawford, Belinda J; Bennell, Kim L; Campbell, Penny K; Kasza, Jessica; Hinman, Rana S

doi:10.1002/acr.23890

Cited by 17 publications

(10 citation statements)

References 44 publications

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“…PTs appear to form a strong therapeutic alliance with their patients with musculoskeletal conditions. 28,29 This strong therapeutic alliance may suggest that the physical therapy setting is an ideal setting with which to address opioid misuse. An additional explanation is that media coverage 30-32 about the opioid crises in the United States could have made physical therapy patients generally aware that using prescription opioids in ways other than prescribed can lead to undesirable outcomes such as opioid use disorder, opioid overdose, and death.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perceptions of Physical Therapists Addressing Opioid Misuse

et al. 2023

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Introduction: In the US, rising numbers of patients who misuse illicit or prescribed opioids provides opportunities for physical therapists (PTs) to be engaged in their care. Prior to this engagement, it is necessary to understand the perceptions of patients who access physical therapy services about their PTs playing such a role. This project examined patients’ perceptions of PTs addressing opioid misuse. Methods: We surveyed patients, newly encountering outpatient physical therapy services in a large University-based healthcare setting, via anonymous, web-based survey. Within the survey, questions were rated on a Likert scale (1 = completely disagree to 7 = completely agree) and we evaluated responses of patients who were prescribed opioids versus those who were not. Results: Among 839 respondents, the highest mean score was 6.2 (SD = 1.5) for “It is OK for physical therapists to refer their patients with prescription opioid misuse to a specialist to address the opioid misuse.” The lowest mean score was 5.6 (SD = 1.9) for “It is OK for physical therapists to ask their patient why they are misusing prescription opioids.” Compared to those with no prescription opioid exposure while attending physical therapy, patients with prescription opioid exposure had lower agreement that it was OK for the physical therapist to refer their patients with opioid misuse to a specialist (β = −.33, 95% CI = −0.63 to −0.03). Conclusions: Patients attending outpatient physical therapy seem to support PTs addressing opioid misuse and there are differences in support based on whether the patients had exposure to opioids.

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Section: Discussionmentioning

confidence: 99%

Patients’ Perceptions of Physical Therapists Addressing Opioid Misuse

et al. 2023

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“…In particular, Lawford B. [9] investigated the therapeutic alliance between physical therapists and patients with knee osteoarthritis during telephone consultations using the Working Alliance Inventory (Short Form). Three aspects were studied: describing and comparing the assessments of the physical therapist and the patient; determine if the alliance changes over time; evaluate the relationship of certain characteristics to the alliance.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, evidence of the importance and necessity of such an alliance in achieving a positive result of physical therapy is being accumulated [7,8,9]. However, there are already results, courts suggest that for those involved in physical therapy for chronic musculoskeletal pain, having a good therapeutic alliance (physical patient therapist) can improve the outcomes of the intervention.…”

Section: Introductionmentioning

confidence: 99%

The results of the analysis of the criteria of therapeutic alliance of patients orthopedic profile of outpatient physical therapy program

Федоренко

Vitomskyi

Лазарєва

2019

HSR

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Objective: to determine the peculiarities of forming a therapeutic alliance in outpatients with disorders of orthopedic profile after completing a course of physical therapy and their physical therapists depending on the psychotype of patients.Methods of research: theoretical analysis and generalization of literary sources, method of systematization of scientific information; Working Alliance Inventory questionnaire Form SF Hatcher (WAI). Patients were grouped using the International Classification of Functioning and Disease Types. The obtained results were processed by adequate methods of mathematical statistics. The study involved 113 patients who underwent a course of physical therapy at FESCO Medical Center during 2013-2015.Results. According to the results of the statistical analysis, patients with irrational attitude to the disease (irrational psychotypes) had significantly lower scores on the eight items of the WAI questionnaire out of twelve, as well as on all three totals. In particular, the «goal» score was significantly better in patients with rational psychotypes: Me (25; 75) scores were 14 (12.75; 15) points, versus 12 (11; 14) scores among patients with irrational psychotypes (p<0,01). Similarly, the score of the "task" was 15 (13; 15) points against 12 (11; 15) points (p <0.01), and the total score of the "bond" points 16 (16; 17) points against 14 (13; 15) points (p <0.01). Thus, it can be stated that the evaluation of the “goal” items showed the lowest results, which were the farthest from the maximum values.Conclusion. The results obtained and the statistical analysis made it possible to evaluate the different sides of the level of formation of the therapeutic alliance, to identify the strengths and weaknesses and, thus, necessitated the development of ways to improve the union of the patient and the physical therapist.

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“…Core capability frameworks [102,103] for telephone-and video-delivered care have been developed to assist clinicians to identify areas of their own practice that may benefit from up-skilling and participation in professional development can help improve confidence and knowledge about delivery of videoconferencing consultations [69]. Clinicians often have reservations about their ability to establish therapeutic alliance virtually [101], despite research evidence suggesting a strong therapeutic alliance is possible [21,104]. Clinicians are also uncomfortable with the inability to touch the patient [100••, 105], perceiving this as a barrier to effective diagnosis and effective treatment.…”

Section: Challenges With Virtual Carementioning

confidence: 99%

Virtual Tools to Enable Management of Knee Osteoarthritis

Hinman

Lawford

Nelligan

et al. 2023

Curr Treat Options in Rheum

Self Cite

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Purpose of review There is increasing recognition that virtual tools, enabled by the internet and telecommunications technology, can increase access to health care. We review evidence about the clinical effectiveness and acceptability of telephone-delivered and videoconferencing clinician consultations, websites and internet-delivered programs, and SMS and mobile applications in enabling the management of people with knee osteoarthritis (OA). We discuss barriers to using virtual tools and suggest strategies to facilitate implementation in clinical settings. Recent findings An increasing number of systematic reviews, meta-analyses, and clinical trials provide evidence showing the effectiveness of virtual tools for improving knee OA management. Qualitative research shows that virtual tools increase patient access to knee OA care, are generally acceptable and convenient for patients, but can be associated with barriers to use from patient and clinician perspectives. Summary Virtual tools offer new opportunities to enable people with knee OA to manage their condition and receive care that may otherwise be difficult or not possible to access. Telephone calls and videoconferencing can be used for real-time synchronous consultations between clinicians and patients, increasing the geographic reach of health services. Websites and internet-based programs can be used to educate patients about their condition, as well as deliver exercise, weight management, and psychological interventions. Mobile apps can monitor and track OA symptoms, exercise, and physical activity, while SMS can facilitate positive behaviour changes for self-management over the long-term when sustained clinician contact may not be possible.

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Therapeutic Alliance Between Physical Therapists and Patients With Knee Osteoarthritis Consulting Via Telephone: A Longitudinal Study

Cited by 17 publications

References 44 publications

Patients’ Perceptions of Physical Therapists Addressing Opioid Misuse

Patients’ Perceptions of Physical Therapists Addressing Opioid Misuse

The results of the analysis of the criteria of therapeutic alliance of patients orthopedic profile of outpatient physical therapy program

Virtual Tools to Enable Management of Knee Osteoarthritis

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