Bennell Kim L, Lawford Belinda J, Metcalf Ben, Mackenzie David, Russell Trevor, van den Berg Maayken, Finnin Karen, Crowther Shelley, Aiken Jenny, Fleming Jenine, Hinman Rana S
Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Melbourne, Australia.
Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Melbourne, Australia.
J Physiother. 2021 Jul;67(3):201-209. doi: 10.1016/j.jphys.2021.06.009. Epub 2021 Jun 9.
What were the experiences of physiotherapists and patients who consulted via videoconference during the COVID-19 pandemic and how was it implemented?
Mixed methods study with cross-sectional national online surveys and qualitative analysis of free-text responses.
A total of 207 physiotherapists in private practice or community settings and 401 patients aged ≥ 18 years who consulted (individual and/or group) via videoconference from April to November 2020.
Separate customised online surveys were developed for physiotherapists and patients. Data were collected regarding the implementation of videoconferencing (cost, software used) and experience with videoconferencing (perceived effectiveness, safety, ease of use and comfort communicating, each scored on a 4-point ordinal scale). Qualitative content analysis was performed of physiotherapists' free-text responses about perceived facilitators, barriers and safety issues.
Physiotherapists gave moderate-to-high ratings for the effectiveness of and their satisfaction with videoconferencing. Most intended to continue to offer individual consultations (81%) and group classes (60%) via videoconferencing beyond the pandemic. For individual consultations and group classes, respectively, most patients had moderately or extremely positive perceptions about ease of technology use (94%, 91%), comfort communicating (96%, 86%), satisfaction with management (92%, 93%), satisfaction with privacy/security (98%, 95%), safety (99% both) and effectiveness (83%, 89%). Compared with 68% for group classes, 47% of patients indicated they were moderately or extremely likely to choose videoconferencing for individual consultations in the future. Technology was predominant as both a facilitator and barrier. Falls risk was the main safety factor.
Patients and physiotherapists had overall positive experiences using videoconferencing for individual consultations and group classes. The results suggest that videoconferencing is a viable option for the delivery of physiotherapy care in the future.
在新冠疫情期间，通过视频会议进行咨询的物理治疗师和患者有哪些体验，以及视频会议是如何实施的？
采用混合方法研究，进行全国性横断面在线调查，并对自由文本回复进行定性分析。
共有207名在私人诊所或社区环境工作的物理治疗师，以及401名年龄≥18岁、在2020年4月至11月期间通过视频会议进行咨询（个体和/或团体）的患者。
为物理治疗师和患者分别设计了定制的在线调查问卷。收集了有关视频会议实施情况（成本、使用的软件）以及视频会议体验（感知效果、安全性、易用性和沟通舒适度，每项按4级顺序量表评分）的数据。对物理治疗师关于感知到的促进因素、障碍和安全问题的自由文本回复进行了定性内容分析。
物理治疗师对视频会议的有效性和满意度给予了中等到高度评价。大多数人打算在疫情之后继续通过视频会议提供个体咨询（81%）和团体课程（60%）。对于个体咨询和团体课程，大多数患者分别对技术易用性（94%，91%）、沟通舒适度（96%，86%）、管理满意度（92%，93%）、隐私/安全满意度（98%，95%）、安全性（两者均为99%）和有效性（83%，89%）有中度或极其积极的看法。与团体课程的68%相比，47%的患者表示他们未来中度或极其可能选择视频会议进行个体咨询。技术既是主要的促进因素，也是主要的障碍。跌倒风险是主要的安全因素。
患者和物理治疗师在使用视频会议进行个体咨询和团体课程方面总体体验良好。结果表明，视频会议在未来提供物理治疗服务方面是一个可行的选择。
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