Swinkels Raymond A H M, Meerhoff Guus M, Custers Jan W H, van Peppen Roland P S, Beurskens Anna J H M, Wittink Harriet
Department of Physical Therapy; Research Centre for Autonomy and Participation for Persons with a Chronic Illness, Zuyd University of Applied Sciences, Heerlen.
Department of Science, Royal Dutch Society for Physical Therapy, Amersfoort; Scientific Institute for Quality of Healthcare, Radboud University Medical Centre, Nijmegen.
Physiother Can. 2015 Fall;67(4):357-64. doi: 10.3138/ptc.2014-28.
To describe the development of an educational programme for physiotherapists in the Netherlands, two toolkits of measurement instruments, and the evaluation of an implementation strategy.
The study used a controlled pre- and post-measurement design. A tailored educational programme for the use of outcome measures was developed that consisted of four training sessions and two toolkits of measurement instruments. Of 366 invited physiotherapists, 265 followed the educational programme (response rate 72.4%), and 235 randomly chosen control physiotherapists did not (28% response rate). The outcomes measured were participants' general attitude toward measurement instruments, their ability to choose measurement instruments, their use of measurement instruments, the applicability of the educational programme, and the changes in physiotherapy practice achieved as a result of the programme.
Consistent (not occasional) use of measurement instruments increased from 26% to 41% in the intervention group; in the control group, use remained almost the same (45% vs 48%). Difficulty in choosing an appropriate measurement instrument decreased from 3.5 to 2.7 on a 5-point Likert-type scale. Finally, 91% of respondents found the educational programme useful, and 82% reported that it changed their physiotherapy practice.
The educational programme and toolkits were useful and had a positive effect on physiotherapists' ability to choose among many possible outcome measures.
描述为荷兰物理治疗师制定的一项教育计划、两个测量仪器工具包的开发过程以及一项实施策略的评估。
该研究采用了对照前后测量设计。开发了一个针对使用结局测量指标的定制教育计划，包括四次培训课程和两个测量仪器工具包。在366名受邀的物理治疗师中，265名参加了教育计划（回复率72.4%），235名随机选择的对照物理治疗师未参加（回复率28%）。所测量的结果包括参与者对测量仪器的总体态度、他们选择测量仪器的能力、他们对测量仪器的使用、教育计划的适用性以及该计划在物理治疗实践中所带来的变化。
干预组中测量仪器的持续（而非偶尔）使用率从26%提高到了41%；对照组的使用率几乎保持不变（45%对48%）。在5点李克特量表上，选择合适测量仪器的难度从3.5降至2.7。最后，91%的受访者认为该教育计划有用，82%的人报告说它改变了他们的物理治疗实践。
该教育计划和工具包很有用，对物理治疗师在众多可能的结局测量指标中进行选择的能力有积极影响。
