van Westerhuis Charlotte, Sanders Astrid F, Aarden Jesse J, Major Mel E, de Leeuwerk Marijke E, Florisson Nadine, Wijbenga Miriam H, van der Schaaf Marike, van der Leeden Marike, van Egmond Maarten A
Physiotherapy Department, Faculty of Health, Sport and Physical Activity, Amsterdam University of Applied Sciences, Tafelbergweg 51, Amsterdam, 1105 BD, Netherlands, 31 634853608.
Ageing & Vitality, Amsterdam Movement Sciences, Amsterdam, Netherlands.
JMIR Rehabil Assist Technol. 2024 Oct 24;11:e56432. doi: 10.2196/56432.
Telemonitoring (TM), as part of telehealth, allows physiotherapists to monitor and coach their patients using remotely collected data. The use of TM requires a different approach compared with face-to-face treatment. Although a telehealth capability framework exists for health care professionals, it remains unclear what specific capabilities are required to use TM during physiotherapy treatments.
This study aims to identify the capabilities required to use TM in physiotherapy treatment.
An exploratory qualitative study was conducted following a constructivist semistructured grounded theory approach. Three heterogeneous focus groups were conducted with 15 lecturers of the School of Physiotherapy (Bachelor of Science Physiotherapy program) from the Amsterdam University of Applied Sciences. Focus group discussions were audiotaped and transcribed verbatim. Capabilities for using TM in physiotherapy treatment were identified during an iterative process of data collection and analysis, based on an existing framework with 4 different domains. Team discussions supported further conceptualization of the findings.
Sixteen capabilities for the use of TM in physiotherapy treatment were found addressing 3 different domains. Four capabilities were identified in the "digital health technologies, systems, and policies" domain, 7 capabilities in the "clinical practice and application" domain, and 5 capabilities in the "data analysis and knowledge creation" domain. No capabilities were identified in the "system and technology implementation" domain.
The use of TM in physiotherapy treatment requires specific skills from physiotherapists. To best use TM in physiotherapy treatment, it is important to integrate these capabilities into the education of current and future physiotherapists.
远程监测(TM)作为远程医疗的一部分,使物理治疗师能够利用远程收集的数据对患者进行监测和指导。与面对面治疗相比,TM的使用需要不同的方法。尽管存在针对医疗保健专业人员的远程医疗能力框架,但在物理治疗中使用TM需要哪些具体能力仍不明确。
本研究旨在确定在物理治疗中使用TM所需的能力。
采用建构主义半结构化扎根理论方法进行探索性定性研究。对阿姆斯特丹应用科学大学物理治疗学院(物理治疗理学学士课程)的15名讲师进行了3个不同类型的焦点小组访谈。焦点小组讨论进行了录音并逐字转录。基于一个具有4个不同领域的现有框架,在数据收集和分析的迭代过程中确定了在物理治疗中使用TM的能力。团队讨论支持了研究结果的进一步概念化。
发现了在物理治疗中使用TM的16项能力,涉及3个不同领域。在“数字健康技术、系统和政策”领域确定了4项能力,在“临床实践与应用”领域确定了7项能力,在“数据分析与知识创造”领域确定了5项能力。在“系统与技术实施”领域未确定能力。
在物理治疗中使用TM需要物理治疗师具备特定技能。为了在物理治疗中最佳地使用TM,将这些能力整合到当前和未来物理治疗师的教育中很重要。