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Physiotherapists’ experiences with a blended osteoarthritis intervention: a mixed methods study.
Kloek, C.J.J., Bossen, D., Vries, H.J. de, Bakker, D.H. de, Veenhof, C., Dekker, J. Physiotherapists’ experiences with a blended osteoarthritis intervention: a mixed methods study. Physiotherapy: Theory and Practice: 2020, 36(5), p. 572-579.
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Introduction
E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists’ experiences and determinants related to the usage of e-Exercise.
Methods
An explanatory sequential mixed methods design embedded in a randomized controlled trial comparing e-Exercise with usual physiotherapy in patients with hip/knee osteoarthritis. Usage of e-Exercise was based on recruitment rates of 123 physiotherapists allocated to e-Exercise and objective web-based application usage data. Experiences and determinants related to e-Exercise usage were investigated with a questionnaire and clarified with semi-structured interviews.
Results
Of the 123 physiotherapists allocated to e-Exercise, 54 recruited more than one
eligible patient, of whom 10 physiotherapists continued using e-Exercise after the study
period. Physiotherapists had mixed experiences with e-Exercise. Determinants related to
intervention usage were appropriateness, added value, time, workload, professional
autonomy, environmental factors, and financial consequences. Physiotherapists
recommended to improve the ability to tailor e-Exercise to the individual needs of the
patient patients’ individual needs.
Discussion
Determinants related to the usage of e-Exercise provided valuable information for the implementation of e-Exercise on broader scale. Most importantly, the flexibility of e-Exercise needs to be improved. Next, there is a need for education on how to integrate an online program within physiotherapy.
E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists’ experiences and determinants related to the usage of e-Exercise.
Methods
An explanatory sequential mixed methods design embedded in a randomized controlled trial comparing e-Exercise with usual physiotherapy in patients with hip/knee osteoarthritis. Usage of e-Exercise was based on recruitment rates of 123 physiotherapists allocated to e-Exercise and objective web-based application usage data. Experiences and determinants related to e-Exercise usage were investigated with a questionnaire and clarified with semi-structured interviews.
Results
Of the 123 physiotherapists allocated to e-Exercise, 54 recruited more than one
eligible patient, of whom 10 physiotherapists continued using e-Exercise after the study
period. Physiotherapists had mixed experiences with e-Exercise. Determinants related to
intervention usage were appropriateness, added value, time, workload, professional
autonomy, environmental factors, and financial consequences. Physiotherapists
recommended to improve the ability to tailor e-Exercise to the individual needs of the
patient patients’ individual needs.
Discussion
Determinants related to the usage of e-Exercise provided valuable information for the implementation of e-Exercise on broader scale. Most importantly, the flexibility of e-Exercise needs to be improved. Next, there is a need for education on how to integrate an online program within physiotherapy.
Introduction
E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists’ experiences and determinants related to the usage of e-Exercise.
Methods
An explanatory sequential mixed methods design embedded in a randomized controlled trial comparing e-Exercise with usual physiotherapy in patients with hip/knee osteoarthritis. Usage of e-Exercise was based on recruitment rates of 123 physiotherapists allocated to e-Exercise and objective web-based application usage data. Experiences and determinants related to e-Exercise usage were investigated with a questionnaire and clarified with semi-structured interviews.
Results
Of the 123 physiotherapists allocated to e-Exercise, 54 recruited more than one
eligible patient, of whom 10 physiotherapists continued using e-Exercise after the study
period. Physiotherapists had mixed experiences with e-Exercise. Determinants related to
intervention usage were appropriateness, added value, time, workload, professional
autonomy, environmental factors, and financial consequences. Physiotherapists
recommended to improve the ability to tailor e-Exercise to the individual needs of the
patient patients’ individual needs.
Discussion
Determinants related to the usage of e-Exercise provided valuable information for the implementation of e-Exercise on broader scale. Most importantly, the flexibility of e-Exercise needs to be improved. Next, there is a need for education on how to integrate an online program within physiotherapy.
E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists’ experiences and determinants related to the usage of e-Exercise.
Methods
An explanatory sequential mixed methods design embedded in a randomized controlled trial comparing e-Exercise with usual physiotherapy in patients with hip/knee osteoarthritis. Usage of e-Exercise was based on recruitment rates of 123 physiotherapists allocated to e-Exercise and objective web-based application usage data. Experiences and determinants related to e-Exercise usage were investigated with a questionnaire and clarified with semi-structured interviews.
Results
Of the 123 physiotherapists allocated to e-Exercise, 54 recruited more than one
eligible patient, of whom 10 physiotherapists continued using e-Exercise after the study
period. Physiotherapists had mixed experiences with e-Exercise. Determinants related to
intervention usage were appropriateness, added value, time, workload, professional
autonomy, environmental factors, and financial consequences. Physiotherapists
recommended to improve the ability to tailor e-Exercise to the individual needs of the
patient patients’ individual needs.
Discussion
Determinants related to the usage of e-Exercise provided valuable information for the implementation of e-Exercise on broader scale. Most importantly, the flexibility of e-Exercise needs to be improved. Next, there is a need for education on how to integrate an online program within physiotherapy.