Leibniz-Institut für Wissensmedien, Tuebingen, Germany.
PT Akademie Tuebingen, Tuebingen, Germany.
JMIR Mhealth Uhealth. 2021 Apr 21;9(4):e25717. doi: 10.2196/25717.
Many people constantly use their smartphones in all kinds of situations. Often smartphones are used in a meaningful and targeted way, but frequently they are used as a pastime without any purpose. This also applies to patients and therapists in treatment situations.
The aim of this study was to investigate how purposeful smartphone use compared with recreational smartphone use (by a physiotherapist or by a patient) influenced the perception of a physiotherapeutic treatment situation. We examined the impact of smartphone use during a physiotherapy session on the perception of the physiotherapist, evaluation of attentiveness, and evaluation of smartphone use in physiotherapy in general.
Members of various music and sports clubs were invited to participate in an online randomized controlled trial. Participants were randomly assigned to one of four conditions. They watched a video in which a physiotherapeutic treatment was shown and in which a smartphone was used or not used in the following four different ways: (1) therapeutically purposeful use, (2) recreational use by the physiotherapist (looking at the phone from time to time with no therapeutic purpose), (3) recreational use by the patient, and (4) no smartphone use (control condition). After watching the video, the participants indicated their perception of the physiotherapist's professional competence, social competence, and empathetic behavior. They also rated the physiotherapist's and patient's attentiveness and evaluated the usage of smartphones generally in physiotherapy.
The analysis included 118 participants (63 women and 55 men). When the physiotherapist used the smartphone in a purposeful way, the physiotherapist was perceived as more professionally competent (P=.007), socially competent (P=.03), and empathetic (P=.04) than if the physiotherapist used it with no therapeutic purpose. These effects occurred because recreational smartphone use by the physiotherapist was evaluated more negatively than the behavior in the control condition (professional competence: P=.001; social competence: P=.03; empathy: P=.04). Moreover, when the physiotherapist used the smartphone in a recreational way, the physiotherapist was perceived as being less attentive (P<.001). Likewise, when the patient used the smartphone in a recreational way, the patient was perceived as being less attentive (P<.001). Finally, smartphone use in physiotherapy was rated as more positive in general when the smartphone was used in a purposeful way compared with the conditions in which the physiotherapist or patient looked at the smartphone with no therapeutic purpose (P<.001). This positive evaluation occurred because purposeful use led to a more positive rating than no smartphone use (P<.001, R=0.42).
Smartphones are only appropriate for therapists and patients if they are used directly for a therapeutic purpose. Otherwise, it is better not to use smartphones during treatment.
AsPredicted (aspredicted.org) #24740; https://aspredicted.org/blind.php?x=vv532i.
许多人在各种情况下都不断使用智能手机。通常情况下，智能手机的使用是有意义和有针对性的，但也经常会被当作一种消遣，没有任何目的。这种情况也适用于治疗环境中的患者和治疗师。
本研究旨在探讨有目的的智能手机使用（由治疗师或患者使用）与娱乐性智能手机使用（由治疗师或患者使用）如何影响对物理治疗治疗情况的看法。我们研究了在物理治疗过程中使用智能手机对治疗师的感知、注意力评估以及对一般物理治疗中智能手机使用的评估的影响。
邀请来自不同音乐和运动俱乐部的成员参加在线随机对照试验。参与者被随机分配到以下四个条件之一。他们观看了一段视频，视频中展示了一次物理治疗，治疗师在以下四种不同方式下使用或不使用智能手机：（1）有治疗目的的使用，（2）治疗师无治疗目的的娱乐性使用（偶尔看一下手机），（3）患者的娱乐性使用，（4）不使用智能手机（对照条件）。观看视频后，参与者表示他们对治疗师专业能力、社交能力和同理心的看法。他们还对治疗师和患者的注意力进行了评分，并对一般在物理治疗中使用智能手机进行了评估。
分析包括 118 名参与者（63 名女性和 55 名男性）。当治疗师有目的使用智能手机时，治疗师被认为更专业（P=.007）、更有社交能力（P=.03）和更有同理心（P=.04），而当治疗师没有治疗目的使用智能手机时，治疗师被认为更专业（P=.007）、更有社交能力（P=.03）和更有同理心（P=.04）。这些影响是因为治疗师的娱乐性智能手机使用比对照条件下的行为受到更负面的评价（专业能力：P=.001；社交能力：P=.03；同理心：P=.04）。此外，当治疗师以娱乐性方式使用智能手机时，治疗师被认为注意力不集中（P<.001）。同样，当患者以娱乐性方式使用智能手机时，患者被认为注意力不集中（P<.001）。最后，当智能手机被用于有目的的治疗时，智能手机在物理治疗中的使用被普遍认为更积极，而在治疗师或患者无治疗目的查看智能手机的情况下，智能手机的使用被普遍认为更积极（P<.001）。这种积极的评价是因为有目的的使用比不使用智能手机产生了更积极的评价（P<.001，R=0.42）。
只有当智能手机直接用于治疗目的时，它才适合治疗师和患者使用。否则，在治疗过程中最好不要使用智能手机。
