Department of Physiotherapy, University of Valencia, Valencia, Spain.
Department of Physiotherapy, University of Murcia, Murcia, Spain.
PeerJ. 2023 Oct 17;11:e16246. doi: 10.7717/peerj.16246. eCollection 2023.
Despite the growing trend in the use of digital technologies in physiotherapy, the overall adoption of both, practice management software (PMS) and electronic health records in physiotherapy clinics has been low and slow over time. In order to learn what factors determine the adoption of these technologies by physiotherapists, there is a need to examine the expectations of physiotherapists (EPs) on specific software attributes. The main aims of this study were to develop a questionnaire to measure and describe the EPs towards PMS. The knowledge of these EPs will be useful to guide PMS design in order to improve physiotherapists' satisfaction.
Instrument development study with validity and reliability testing. The development of this questionnaire was conducted in three phases: identification of attributes to be explored, development of the items, pilot study, and psychometric testing. The questionnaire was distributed to chartered physiotherapists. A total of 272 participants completed the questionnaire.
A series of analysis were conducted to assess item reduction, factor structure of the questionnaire and metric properties of multi-item scales. From the initial 43 attributes, the final version of the questionnaire consisted of 26 items on EPs, grouped in nine scales and two areas (clinical care and administrative activities). As a result, all scores had strong item-scale correlations, excellent item scaling success, and good internal consistency (Cronbach alpha coefficients of >.7). Our study also showed that current EPs were high towards most of the items, only two scales concentrated most of the attributes with the least expectations (monitoring quality of care and digital health interventions). Our study included physiotherapists with and without experience with PMS, and it showed that both groups had a similar pattern of expectations. Our study provides a valuable questionnaire of EP on PMS attributes for clinical care and administrative activities and shows a detailed development process.
尽管在物理治疗中越来越倾向于使用数字技术，但实践管理软件 (PMS) 和电子健康记录在物理治疗诊所中的总体采用率一直很低且进展缓慢。为了了解哪些因素决定了物理治疗师采用这些技术，有必要检查物理治疗师（EP）对特定软件属性的期望。本研究的主要目的是开发一种测量和描述 EP 对 PMS 的期望的问卷。了解这些 EP 将有助于指导 PMS 的设计，以提高物理治疗师的满意度。
具有有效性和可靠性测试的仪器开发研究。该问卷的开发分三个阶段进行：探索属性的识别、项目的开发、试点研究和心理测试。该问卷分发给注册物理治疗师。共有 272 名参与者完成了问卷。
进行了一系列分析，以评估项目减少、问卷的因子结构和多项目量表的度量特性。从最初的 43 个属性中，问卷的最终版本包含 26 个关于 EP 的项目，分为九个量表和两个领域（临床护理和行政活动）。结果，所有分数与量表之间都具有很强的相关性，项目评分成功度很高，内部一致性也很好（Cronbach alpha 系数>0.7）。我们的研究还表明，目前 EP 对大多数项目的期望都很高，只有两个量表集中了期望最低的属性（监测护理质量和数字健康干预）。我们的研究包括有和没有 PMS 经验的物理治疗师，结果表明这两组的期望模式相似。我们的研究为临床护理和行政活动提供了一份有价值的 EP 对 PMS 属性的问卷，并展示了一个详细的开发过程。
