Demers Marika, Blanchette Andréanne K, Mullick Aditi A, Shah Akash, Woo Kathleen, Solomon John, Levin Mindy F
School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.
Feil and Oberfeld Research Center, Jewish Rehabilitation Hospital, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Québec, Canada.
Physiother Res Int. 2019 Jan;24(1):e1756. doi: 10.1002/pri.1756. Epub 2018 Nov 7.
To identify and compare factors influencing the use of standardized outcome measures by neurological physical therapists working in representative developed (Canada) and developing (India) countries.
A self-administered web-based questionnaire on facilitators and barriers to using neurological outcome measures was sent by email to neurological physical therapists in Canada and India. Frequencies of responses to each question were computed. Differences between countries were assessed using two-proportion z test.
Of 317 respondents, the use of standardized outcome measures was higher for Indian (96.7%) compared with Canadian physical therapists (89.2%). Among the most highly reported facilitators, three were common for both countries (known validity and reliability, outcome measures learned in professional training, and recommended in clinical practice guidelines). Three highly reported barriers were also common for India and Canada (lack of time, relying on judgement for clinical decisions, and unavailability of the assessment tools). Nevertheless, there were differences in the percentages of barriers and facilitators between countries.
Understanding the factors influencing the uptake of outcome measures among neurological physical therapists working in a developed (Canada) and a developing country (India) can help identify whether strategies should or should not be modified to facilitate knowledge translation in different geographical, professional, or social contexts.
识别并比较在具有代表性的发达国家（加拿大）和发展中国家（印度）工作的神经物理治疗师使用标准化结局指标的影响因素。
通过电子邮件向加拿大和印度的神经物理治疗师发送一份关于使用神经学结局指标的促进因素和障碍的自填式网络问卷。计算每个问题的回答频率。使用双比例z检验评估国家间的差异。
在317名受访者中，印度物理治疗师（96.7%）使用标准化结局指标的比例高于加拿大物理治疗师（89.2%）。在报告最多的促进因素中，有三个因素在两国中都很常见（已知的效度和信度、在专业培训中学到的结局指标以及临床实践指南中推荐的指标）。印度和加拿大报告最多的三个障碍也很常见（时间不足、依靠判断做出临床决策以及评估工具不可用）。然而，两国在障碍和促进因素的百分比方面存在差异。
了解在发达国家（加拿大）和发展中国家（印度）工作的神经物理治疗师采用结局指标的影响因素，有助于确定是否应修改策略以促进在不同地理、专业或社会背景下的知识转化。
