Views of general practitioners toward physiotherapy management of osteoarthritis—a qualitative study

Okwera, Andrew; May, Stephen

doi:10.1080/09593985.2018.1459987

Cited by 12 publications

(34 citation statements)

References 27 publications

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“…After removal of duplicates and exclusion of articles based on title or abstract, 93 potentially relevant articles remained for full-text screening. Ultimately, 36 articles were included in the qualitative synthesis 27–62…”

Section: Resultsmentioning

confidence: 99%

“…29 53 61 ► Negative attitude towards guidelines or protocols. 46 ► Positive attitude towards LIs. 33 ► Other patient characteristics.…”

Section: Safetymentioning

confidence: 99%

“…► Patients' preferences 46 Active participation ► Low patient adherence or engagement 33 Open access can be used in reviews of mixed studies to assess the methodological quality of different study design categories: mixed-methods, qualitative and quantitative studies (randomised controlled trials, non-randomised studies and descriptive studies). 22 23 Since calculating a total score is discouraged, 23 it was chosen to present the ratings of the individual criteria.…”

Section: Treatment Expectations and Preferencesmentioning

confidence: 99%

“…Capabilities ► Low health literacy 33 37 39-41 43 44 47 49 51 52 60 61 ► Limited financial resources 41 44 ► Other responsibilities 41 45 ► High health literacy or importance of education 39 42 43 49 51 60 ► Social support 40 48 ► Health literacy 46 ► Other responsibilities 41…”

Section: Subcategory-unclear Factorsmentioning

confidence: 99%

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Barriers and facilitators perceived by healthcare professionals for implementing lifestyle interventions in patients with osteoarthritis: a scoping review

et al. 2022

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ObjectiveTo provide an overview of barriers and facilitators that healthcare professionals (HCPs) perceive regarding the implementation of lifestyle interventions (LIs) in patients with hip and/or knee osteoarthritis (OA).DesignScoping review.Data sourcesThe databases PubMed, Embase, CINAHL, PsycINFO and the Cochrane Library were searched from inception up to January 2021.Eligibility criteriaPrimary research articles with a quantitative, qualitative or mixed-methods design were eligible for inclusion if they reported: (1) perceptions of primary and/or secondary HCPs (population); (2) on implementing LIs with physical activity and/or weight management as key components (concept) and (3) on conservative management of hip and/or knee OA (context). Articles not published in English, German or Dutch were excluded.Data extraction and synthesisBarriers and facilitators were extracted by two researchers independently. Subsequently, the extracted factors were linked to a framework based on the Tailored Implementation for Chronic Diseases checklist.ResultsThirty-six articles were included. In total, 809 factors were extracted and subdivided into nine domains. The extracted barriers were mostly related to non-optimal interdisciplinary collaboration, patients’ negative attitude towards LIs, patients’ low health literacy and HCPs’ lack of knowledge and skills around LIs or promoting behavioural change. The extracted facilitators were mostly related to good interdisciplinary collaboration, a positive perception of HCPs’ own role in implementing LIs, the content or structure of LIs and HCPs’ positive attitude towards LIs.ConclusionsMultiple individual and environmental factors influence the implementation of LIs by HCPs in patients with hip and/or knee OA. The resulting overview of barriers and facilitators can guide future research on the implementation of LIs within OA care. To investigate whether factor frequency is related to the relevance of each domain, further research should assess the relative importance of the identified factors involving all relevant disciplines of primary and secondary HCPs.PROSPERO registration numberCRD42019129348.

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Section: Resultsmentioning

confidence: 99%

“…29 53 61 ► Negative attitude towards guidelines or protocols. 46 ► Positive attitude towards LIs. 33 ► Other patient characteristics.…”

Section: Safetymentioning

confidence: 99%

Section: Treatment Expectations and Preferencesmentioning

confidence: 99%

Section: Subcategory-unclear Factorsmentioning

confidence: 99%

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Barriers and facilitators perceived by healthcare professionals for implementing lifestyle interventions in patients with osteoarthritis: a scoping review

et al. 2022

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“…This is in line with a study from Okwera and May showing limited understanding of the role of physiotherapists and OA CPGs among the interviewed GPs. 48 Besides, in our sample, surgical interventions were presented as the only therapeutic options to all the interviewees. The lack of patients' awareness of the recommended treatments combined with the promotion of surgical interventions, even when not necessary, may lead to inadequate management of the disease, ultimately resulting in an increased economic burden to the healthcare system.…”

Section: Discussionmentioning

confidence: 99%

Experience of the COVID-19 pandemic as lived by patients with hip and knee osteoarthritis: an Italian qualitative study

Battista

Dell’Isola

Manoni³

et al. 2021

BMJ Open

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ObjectiveTo examine the experience of the COVID-19 pandemic as lived by people with hip and knee osteoarthritis (OA), in Italy.DesignA qualitative study based on semi-structured interviews.SettingUrban and suburban areas in northern Italy.ParticipantsA total of 11 people with OA were enrolled through a purposeful sampling and completed the study.Primary outcome measureThe experience of Italian people with OA during the COVID-19 pandemic.ResultsFour themes were brought to the forefront from the analysis of the interviews. (1) Being Stressed for the Limited Social Interactions and for the Family Members at High Risk of Infection, as the interviewees were frustrated because they could not see their loved ones or felt a sense of apprehension for their relatives. (2) Recurring Strategies to Cope with the Pandemic such as an active acceptance towards the situation. (3) Being Limited in the Possibility of Undergoing OA Complementary Treatments and Other Routine Medical Visits. (4) Being Unaware of the Importance of Physical Activity as First-Line Interventions which was an attitude already present before the pandemic.ConclusionThe COVID-19 pandemic and related restrictions impacted the quality of life and the care of individuals with hip and knee OA. The social sphere seemed to be the most hindered. However, the interviewees developed a good level of acceptance to deal with the pandemic. When it came to their care, they faced a delay of routine medical visits not related to OA and of other complementary treatments (eg, physical therapies) to manage OA. Finally, a controversial result that emerged from these interviews was that first-line interventions for OA (ie, therapeutic exercise) was not sought by the interviewees, regardless of the restrictions dictated by the pandemic. Policy-making strategies are thus necessary to support the awareness of the importance of such interventions.

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Barriers and facilitators of integrating physiotherapy into primary health care settings: A systematic scoping review of qualitative research

ShahAli,

Shahabi,

Etemadi

et al. 2023

Heliyon

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Views of general practitioners toward physiotherapy management of osteoarthritis—a qualitative study

Cited by 12 publications

References 27 publications

Barriers and facilitators perceived by healthcare professionals for implementing lifestyle interventions in patients with osteoarthritis: a scoping review

Barriers and facilitators perceived by healthcare professionals for implementing lifestyle interventions in patients with osteoarthritis: a scoping review

Experience of the COVID-19 pandemic as lived by patients with hip and knee osteoarthritis: an Italian qualitative study

Barriers and facilitators of integrating physiotherapy into primary health care settings: A systematic scoping review of qualitative research

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