Al-Muqiren Tahani N, Al-Eisa Einas S, Alghadir Ahmad H, Anwer Shahnawaz
King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
BMC Health Serv Res. 2017 Nov 21;17(1):748. doi: 10.1186/s12913-017-2693-2.
The use of standardized outcome measures (SOMs) has been recommended in the physical therapy practice guidelines to improve the patient's management and encourage the evidence based practice. However, the extent of the use of SOMs by physical therapists (PTs) in Saudi Arabia was not investigated. The present study aimed to (1) evaluate the extent of the use of SOMs by PTs in routine daily practice in Saudi Arabia; (2) explore the barriers, facilitators and perceptions in the use of SOMs during physical therapy services; (3) examine the relationship between facility settings and the PTs characteristics and the use of SOMs.
The present study used an observational design. A survey based questionnaire used and distributed to 352 PTs who were working in Saudi Arabia and was commonly involved in the management of patients within different clinical settings, either private or public.
One-hundred-eighty participants completed the questionnaires (response rate of 51%). One-hundred-eleven (62%) participants indicated that they used SOMs in their practice. The most common barriers to using the SOMs were time-consuming for patients and therapist and difficult to understand the outcome measures by the patients. Those with a Masters degree were 3.5 times more likely to use SOMs compared to PTs with diploma level qualification [Odd Ratio (95% CI) 3.5 (0.9-12.6)]. Participants with a clinical specialty were nearly 3 times more likely to use SOMs than those who do not have a specialty [Odd Ratio (95% CI) 2.9 (1.6-5.5)].
Nearly two-thirds of the participants indicated that they used SOMs in clinical practice. Time-consuming for patient and therapist, difficult to understand the SOMs by the patients were the main perceived barriers. Years of experience, professional degree, and clinical specialty had a high probability of using SOMs. The majority of the participants showed the willingness to use SOMs in the future.
物理治疗实践指南中推荐使用标准化结局测量指标（SOMs），以改善患者管理并鼓励循证实践。然而，沙特阿拉伯物理治疗师（PTs）使用SOMs的程度尚未得到调查。本研究旨在：（1）评估沙特阿拉伯PTs在日常常规实践中使用SOMs的程度；（2）探讨物理治疗服务中使用SOMs的障碍、促进因素和看法；（3）研究机构设置与PTs特征以及SOMs使用之间的关系。
本研究采用观察性设计。使用基于调查的问卷，并分发给在沙特阿拉伯工作且通常参与不同临床环境（私立或公立）患者管理的352名PTs。
180名参与者完成了问卷（回复率为51%）。111名（62%）参与者表示他们在实践中使用SOMs。使用SOMs最常见的障碍是对患者和治疗师来说耗时，以及患者难以理解结局测量指标。拥有硕士学位的PTs使用SOMs的可能性是拥有文凭水平资格的PTs的3.5倍[比值比（95%置信区间）3.5（0.9 - 12.6）]。有临床专科的参与者使用SOMs的可能性比没有专科的参与者高近3倍[比值比（95%置信区间）2.9（1.6 - 5.5）]。
近三分之二的参与者表示他们在临床实践中使用SOMs。对患者和治疗师来说耗时以及患者难以理解SOMs是主要的感知障碍。工作年限、专业学位和临床专科与使用SOMs的可能性较高相关。大多数参与者表示未来愿意使用SOMs。
