{"title":"\"一种融入未来的感觉\":物理治疗师对髋关节和膝关节骨关节炎数字化一线治疗经验的定性研究。","authors":"Anna Cronström, Catharina Sjödahl Hammarlund","doi":"10.1080/09593985.2024.2380478","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Digital options for osteoarthritis (OA) treatment are increasingly available with high patient satisfaction and acceptability. Little is, however, known about physical therapists' (PT) perception of this treatment modality.</p><p><strong>Objective: </strong>To investigate PT's experience of delivering digital treatment for hip and knee OA using a smart-phone application.</p><p><strong>Method: </strong>Nine PTs (mean age 36 years, women <i>n</i> = 5) with 3-24 months experience of delivering digital OA treatment were interviewed using a semi-structured interview guide. The interviews were transcribed verbatim and analyzed using content analysis.</p><p><strong>Results: </strong>Four main categories arose; 1) A feeling of being part of the future, 2) Making an osteoarthritis diagnosis in a digital setting, 3) Facilitators and barriers of digital OA management and 4) Where to go from here? PTs were in general positive for digital treatment delivery but felt that a lack of visual assessments and physical examinations to enhance exercise evaluations and diagnosis accuracy was sometimes a disadvantage.</p><p><strong>Conclusion: </strong>Digital treatment delivery was in general perceived as a time-efficient way of providing high-quality care that may increase patient motivation and adherence without violating the therapeutic alliance. Future implementations of digital OA treatment programs should consider the possibility of including real-time video calls for visual assessment.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"\\\"A feeling of being part of the future\\\": a qualitative study on physical therapists' experiences of delivering digital first-line treatment for hip and knee osteoarthritis.\",\"authors\":\"Anna Cronström, Catharina Sjödahl Hammarlund\",\"doi\":\"10.1080/09593985.2024.2380478\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Digital options for osteoarthritis (OA) treatment are increasingly available with high patient satisfaction and acceptability. Little is, however, known about physical therapists' (PT) perception of this treatment modality.</p><p><strong>Objective: </strong>To investigate PT's experience of delivering digital treatment for hip and knee OA using a smart-phone application.</p><p><strong>Method: </strong>Nine PTs (mean age 36 years, women <i>n</i> = 5) with 3-24 months experience of delivering digital OA treatment were interviewed using a semi-structured interview guide. The interviews were transcribed verbatim and analyzed using content analysis.</p><p><strong>Results: </strong>Four main categories arose; 1) A feeling of being part of the future, 2) Making an osteoarthritis diagnosis in a digital setting, 3) Facilitators and barriers of digital OA management and 4) Where to go from here? PTs were in general positive for digital treatment delivery but felt that a lack of visual assessments and physical examinations to enhance exercise evaluations and diagnosis accuracy was sometimes a disadvantage.</p><p><strong>Conclusion: </strong>Digital treatment delivery was in general perceived as a time-efficient way of providing high-quality care that may increase patient motivation and adherence without violating the therapeutic alliance. Future implementations of digital OA treatment programs should consider the possibility of including real-time video calls for visual assessment.</p>\",\"PeriodicalId\":48699,\"journal\":{\"name\":\"Physiotherapy Theory and Practice\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-07-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Theory and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09593985.2024.2380478\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2024.2380478","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
导言:骨关节炎(OA)的数字化治疗方法越来越多,患者的满意度和接受度也越来越高。然而,人们对物理治疗师(PT)对这种治疗方式的看法知之甚少:调查物理治疗师使用智能手机应用程序对髋关节和膝关节 OA 进行数字化治疗的经验:采用半结构化访谈指南,对九名具有 3-24 个月数字 OA 治疗经验的 PT(平均年龄 36 岁,女性 5 人)进行了访谈。对访谈内容进行了逐字记录和内容分析:结果:访谈内容主要分为四类:1)感觉自己是未来的一部分;2)在数字化环境中进行骨关节炎诊断;3)数字化 OA 管理的促进因素和障碍;4)何去何从?康复治疗师普遍对数字化治疗持积极态度,但认为缺乏可视化评估和体格检查来提高运动评估和诊断的准确性有时是一个不利因素:结论:数字化治疗被普遍认为是提供高质量护理的一种省时方式,可在不破坏治疗联盟的情况下提高患者的积极性和依从性。未来在实施数字化 OA 治疗项目时,应考虑是否可能加入实时视频通话以进行可视化评估。
"A feeling of being part of the future": a qualitative study on physical therapists' experiences of delivering digital first-line treatment for hip and knee osteoarthritis.
Introduction: Digital options for osteoarthritis (OA) treatment are increasingly available with high patient satisfaction and acceptability. Little is, however, known about physical therapists' (PT) perception of this treatment modality.
Objective: To investigate PT's experience of delivering digital treatment for hip and knee OA using a smart-phone application.
Method: Nine PTs (mean age 36 years, women n = 5) with 3-24 months experience of delivering digital OA treatment were interviewed using a semi-structured interview guide. The interviews were transcribed verbatim and analyzed using content analysis.
Results: Four main categories arose; 1) A feeling of being part of the future, 2) Making an osteoarthritis diagnosis in a digital setting, 3) Facilitators and barriers of digital OA management and 4) Where to go from here? PTs were in general positive for digital treatment delivery but felt that a lack of visual assessments and physical examinations to enhance exercise evaluations and diagnosis accuracy was sometimes a disadvantage.
Conclusion: Digital treatment delivery was in general perceived as a time-efficient way of providing high-quality care that may increase patient motivation and adherence without violating the therapeutic alliance. Future implementations of digital OA treatment programs should consider the possibility of including real-time video calls for visual assessment.
期刊介绍:
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.