Impact of an interactive workshop on specialist physiotherapists' practice when implementing a new clinical care pathway for people with musculoskeletal conditions.

Attitude of Health Personnel Critical Pathways Humans Musculoskeletal Diseases / therapy Physical Therapists Surveys and Questionnaires
Interactive educational workshop Pathway of care Specialist musculoskeletal physiotherapist

Journal

Musculoskeletal science & practice
ISSN: 2468-7812
Titre abrégé: Musculoskelet Sci Pract
Pays: Netherlands
ID NLM: 101692753

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 17 11 2020
revised: 08 10 2021
accepted: 11 10 2021
pubmed: 7 11 2021
medline: 26 3 2022
entrez: 6 11 2021
Statut: ppublish

Résumé

A new pathway of care proposes early comprehensive assessment and targeted management by specialist musculoskeletal clinicians for people with musculoskeletal conditions at risk of poor outcomes. Adoption of this care pathway is likely to be influenced by beliefs and behaviours of specialist musculoskeletal clinicians. To evaluate the effect of an interactive educational workshop about the proposed clinical care pathway on knowledge, beliefs and practice of specialist musculoskeletal physiotherapists. Mixed methods. Fifty specialist musculoskeletal physiotherapists participated in a 2-day interactive educational workshop. Knowledge, beliefs and clinical practice behaviours were assessed immediately before the workshop and 3 months' later using surveys. Knowledge about key guideline messages improved and were maintained at follow-up. Most participants agreed to provide more targeted interventions to patients at risk of poor outcome (92%, 95% CI: 81%-98%) and utilise prognostic screening tools (84%, 95% CI: 71 to 93). However, only 56% (95% CI: 39%-68%) of participants believed implementing a shared care pathway was easy. At follow-up, participants' beliefs were more aligned with the proposed care pathway (i.e., shared care: 83%, 95% CI: 68%-93%). With respect to clinical practice, there were 16% more referrals back to the primary physiotherapist at 3 months than before the workshop. Barriers (practitioner, patient and system factors) to implementation of the care pathway were discussed. An interactive educational workshop influenced specialist musculoskeletal physiotherapists' knowledge, beliefs and clinical practice, but barriers need to be overcome to facilitate widespread implementation.

Sections du résumé

BACKGROUND BACKGROUND
A new pathway of care proposes early comprehensive assessment and targeted management by specialist musculoskeletal clinicians for people with musculoskeletal conditions at risk of poor outcomes. Adoption of this care pathway is likely to be influenced by beliefs and behaviours of specialist musculoskeletal clinicians.
OBJECTIVE OBJECTIVE
To evaluate the effect of an interactive educational workshop about the proposed clinical care pathway on knowledge, beliefs and practice of specialist musculoskeletal physiotherapists.
DESIGN METHODS
Mixed methods.
METHODS METHODS
Fifty specialist musculoskeletal physiotherapists participated in a 2-day interactive educational workshop. Knowledge, beliefs and clinical practice behaviours were assessed immediately before the workshop and 3 months' later using surveys.
RESULTS RESULTS
Knowledge about key guideline messages improved and were maintained at follow-up. Most participants agreed to provide more targeted interventions to patients at risk of poor outcome (92%, 95% CI: 81%-98%) and utilise prognostic screening tools (84%, 95% CI: 71 to 93). However, only 56% (95% CI: 39%-68%) of participants believed implementing a shared care pathway was easy. At follow-up, participants' beliefs were more aligned with the proposed care pathway (i.e., shared care: 83%, 95% CI: 68%-93%). With respect to clinical practice, there were 16% more referrals back to the primary physiotherapist at 3 months than before the workshop. Barriers (practitioner, patient and system factors) to implementation of the care pathway were discussed.
CONCLUSION CONCLUSIONS
An interactive educational workshop influenced specialist musculoskeletal physiotherapists' knowledge, beliefs and clinical practice, but barriers need to be overcome to facilitate widespread implementation.

Identifiants

DOI: 10.1016/j.msksp.2021.102466 PMID: 34742051
pubmed: 34742051
pii: S2468-7812(21)00150-8
doi: 10.1016/j.msksp.2021.102466
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102466

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Kwangil Kang (K)

The University of Sydney, Faculty of Medicine and Health, Sydney School of Health Sciences, Sydney, Australia. Electronic address: kwangil.kang@sydney.edu.au.

Kerrie Evans (K)

The University of Sydney, Faculty of Medicine and Health, Sydney School of Health Sciences, Sydney, Australia; Healthia Limited, Brisbane, Australia.

Milena Simic (M)

The University of Sydney, Faculty of Medicine and Health, Sydney School of Health Sciences, Sydney, Australia.

Paulo Ferreira (P)

The University of Sydney, Faculty of Medicine and Health, Sydney School of Health Sciences, Sydney, Australia.

Aila Nica Bandong (AN)

University of the Philippines, College of Allied Medical Professions, Manila, Philippines.

Sonia Coates (S)

The University of Sydney, Faculty of Medicine and Health, Sydney School of Health Sciences, Sydney, Australia.

Darren Beales (D)

Curtin University, School of Physiotherapy and Exercise Science, Western Australia, Australia.

Trudy Rebbeck (T)

The University of Sydney, Faculty of Medicine and Health, Sydney School of Health Sciences, Sydney, Australia.

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Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude du personnel soignant › Impact of an interactive workshop on...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Planification des soins du patient › Programme clinique › Impact of an interactive workshop on...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Impact of an interactive workshop on...
questionsmedicales.fr › Maladies ostéomusculaires › Impact of an interactive workshop on...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Kinésithérapeutes › Impact of an interactive workshop on...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Impact of an interactive workshop on...