Liem Sophie I E, Vliet Vlieland Theodora P M, van de Ende Cornelia H, Dittmar Sonja, Schriemer Marisca R, Bodegom-Vos Leti van, Peter Wilfred F H, Vries-Bouwstra Jeska K de
Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.
Musculoskeletal Care. 2023 Mar;21(1):45-55. doi: 10.1002/msc.1664. Epub 2022 Jun 11.
This study aimed to develop recommendations for communication and postgraduate education regarding primary care physical therapy for systemic sclerosis (SSc) patients.
A virtual Nominal Group Technique was used with tasks forces for communication (n = 18) and education (n = 21). Both included rheumatologists, physical therapists (PTs) in primary, secondary or tertiary care, rheumatology nurses, advanced nurse practictioners and patient representatives. Three online meetings were organised for each task force to discuss (1) current bottlenecks; (2) potential solutions; and (3) the resulting draft recommendations. After the final adjustments, participants rated their level of agreement with each recommendation on a scale from 0 (not at all agree) to 100 (totally agree), using an online questionnaire.
19 and 34 recommendations were formulated for communication and education, respectively. For communication the main recommendations concerned the provision of an overview of primary care physical therapists with expertise in rheumatic and musculoskeletal diseases to patients and rheumatologists, the inclusion of the indication by the rheumatologist in the referral to the physical therapist and low-threshold communication with the rheumatologist in case of questions or concerns of the physical therapist. For postgraduate education three types of "on demand" educational offerings were recommended with varying levels of content and duration, to match the competencies and preferences of individual primary care physical therapists.
Using a systematic qualitative approach, two multi-stakeholder task forces developed practical recommendations for primary care physical therapists' communication with hospital-based care providers and postgraduate education regarding the treatment of SSc patients.
本研究旨在针对系统性硬化症（SSc）患者的初级保健物理治疗，制定有关沟通和研究生教育的建议。
采用虚拟名义群体技术，组建了沟通（n = 18）和教育（n = 21）两个工作组。成员包括风湿病学家、初级、二级或三级护理机构的物理治疗师（PT）、风湿病护士、高级护理从业者和患者代表。为每个工作组组织了三次在线会议，以讨论：（1）当前的瓶颈问题；（2）潜在的解决方案；（3）由此产生的建议草案。在进行最终调整后，参与者通过在线问卷，对每项建议的同意程度进行评分，评分范围为0（完全不同意）至100（完全同意）。
分别就沟通和教育制定了19项和34项建议。关于沟通的主要建议包括向患者和风湿病学家提供具有风湿性和肌肉骨骼疾病专业知识的初级保健物理治疗师的概况，风湿病学家在转介物理治疗师时注明适应症，以及物理治疗师在有问题或疑虑时与风湿病学家进行低门槛沟通。对于研究生教育，建议提供三种不同内容和时长的“按需”教育课程，以匹配个体初级保健物理治疗师的能力和偏好。
通过系统的定性方法，两个多利益相关方工作组为初级保健物理治疗师与医院护理提供者的沟通以及SSc患者治疗的研究生教育制定了实用建议。
