Chartered Society of Physiotherapy, 14 Bedford Row, London WC1R 4ED, UK.
Health Sciences, University of Southampton, Highfield, Southampton SO17 1BJ, UK.
Physiotherapy. 2020 Jun;107:161-168. doi: 10.1016/j.physio.2019.07.006. Epub 2019 Jul 29.
To identify unanswered questions for physiotherapy research and help set and prioritise the top 10 generic research priorities for the UK physiotherapy profession; updating previous clinical condition- specific priorities to include patient and carer perspectives, and reflect changes in physiotherapy practice, service provision and new technologies.
The James Lind Alliance (JLA) Priority Setting Partnership (PSP) methodology was adopted, utilising evidence review, survey and consensus methods.
Anyone with experience and/or an interest in UK physiotherapy: patients, carers, members of the public, physiotherapists, student physiotherapists, other healthcare professionals, researchers, educators, service providers, commissioners and policy makers.
Five hundred and ten respondents (50% patients, carers or members of the public) identified 2152 questions (termed "uncertainties"). Sixty-five indicative questions were developed from the uncertainties using peer reviewed thematic analysis. These were ranked in a second national survey (1,020 responses (62% were complete)). The top 25 questions were reviewed in a final prioritisation workshop using an adapted nominal group technique. The top 10 research priorities focused on optimisation (top priority); access; effectiveness; patient and carer knowledge, experiences, needs and expectations; supporting patient engagement and self-management; diagnosis and prediction.
This study is currently the UK's most inclusive consultation exercise to identify patients'and healthcare professionals'priorities for physiotherapy research. The exercise deliberately sought to capture generic issues relevant to all specialisms within physiotherapy. The research priorities identified a range of gaps in existing evidence to inform physiotherapy policy and practice. The results will assist research commissioning bodies and inform funding decisions and strategy.
确定物理治疗研究中尚未解决的问题,帮助确定并优先考虑英国物理治疗专业的前 10 项通用研究重点;更新以前针对特定临床病症的重点,纳入患者和照顾者的观点,并反映物理治疗实践、服务提供和新技术的变化。
采用了詹姆斯林德联盟(JLA)优先事项设定伙伴关系(PSP)方法,利用证据审查、调查和共识方法。
任何对英国物理治疗有经验和/或兴趣的人:患者、照顾者、公众、物理治疗师、学生物理治疗师、其他医疗保健专业人员、研究人员、教育工作者、服务提供者、决策者。
510 名受访者(50%为患者、照顾者或公众)确定了 2152 个问题(称为“不确定性”)。使用同行评议的主题分析,从这些不确定性中开发了 65 个指示性问题。这些问题在第二次全国调查中进行了排名(1020 名受访者(62%的回答是完整的))。在最后一次使用改编的名义小组技术的优先排序研讨会上,对前 25 个问题进行了审查。前 10 项研究重点关注优化(首要重点);获取;有效性;患者和照顾者的知识、经验、需求和期望;支持患者参与和自我管理;诊断和预测。
这项研究是目前英国最具包容性的咨询活动,旨在确定患者和医疗保健专业人员对物理治疗研究的优先事项。该活动故意试图捕捉与物理治疗所有专业都相关的通用问题。确定的研究重点反映了现有证据中的一系列差距,以告知物理治疗政策和实践。研究结果将协助研究委托机构,并为资金决策和战略提供信息。