Department of Psychology, Springfield College, 263 Alden Street, Springfield, MA 01109, USA.
Department of Physical Education and Health Education, Springfield College, 263 Alden Street, Springfield, MA 01109, USA.
Int J Environ Res Public Health. 2022 Apr 22;19(9):5106. doi: 10.3390/ijerph19095106.
Orthopedic and sport-related injuries are a major public health concern and a common reason for referral to physical therapy. The use of psychological techniques by physical therapists has been assessed in research studies primarily with retrospective self-report questionnaires that have not been validated against concurrent assessments of the same behaviors. The primary purpose of this study was to examine the extent to which the results obtained from physical therapists' retrospective self-reports of their use of psychological techniques reflect their use of the techniques assessed concurrently. Physical therapists ( = 14) completed the Physiotherapists and Sport Psychology Questionnaire (PSPQ) at the beginning of this study and a checklist based on the PSPQ at the end of the sessions with patients ( = 306). Patients also completed the checklist at the end of the sessions. Across 12 psychological techniques, the physical therapists' retrospective (PSPQ) responses showed relatively weak correspondence (mean = 0.31) and poor concordance with their concurrent (checklist) responses. Compared to the physical therapists' checklist responses, the patients' checklist responses showed weaker correspondence (mean = 0.03) and better concordance with the physical therapists' PSPQ responses. The findings suggest that retrospective self-reports may not accurately reflect the use of psychological techniques by physical therapists and, consequently, that physical therapists should consider documenting their use of psychological techniques as close to their implementation as possible. Suggestions for improved assessment are provided.
骨科和与运动相关的损伤是一个主要的公共卫生问题，也是转介物理治疗的常见原因。物理治疗师使用心理技术已经在研究中进行了评估，主要使用回顾性自我报告问卷，这些问卷尚未针对同一行为的同时评估进行验证。这项研究的主要目的是检查物理治疗师对其使用心理技术的回顾性自我报告中获得的结果在多大程度上反映了他们同时评估的技术使用情况。物理治疗师（n=14）在本研究开始时完成了《物理治疗师和运动心理学问卷》（PSPQ），并在与患者的治疗结束时根据 PSPQ 完成了检查表（n=306）。患者也在治疗结束时完成了检查表。在 12 种心理技术中，物理治疗师的回顾性（PSPQ）反应显示出相对较弱的一致性（均值=0.31）和与同时性（检查表）反应的一致性较差。与物理治疗师检查表的反应相比，患者检查表的反应显示出较弱的一致性（均值=0.03），与物理治疗师 PSPQ 反应的一致性较好。研究结果表明，回顾性自我报告可能无法准确反映物理治疗师使用心理技术的情况，因此，物理治疗师应考虑尽可能接近其实施情况记录他们使用心理技术的情况。提供了改进评估的建议。
