Le Berre Mélanie, Laberge Maude, Yousefi Farzaneh
Faculté de médecine, Université Laval, Quebec City, Quebec, Canada.
VITAM Centre de Recherche en Santé Durable, Quebec, Quebec, Canada.
BMJ Open. 2025 Jun 3;15(6):e095201. doi: 10.1136/bmjopen-2024-095201.
Physiotherapy is a recommended treatment for a wide range of conditions. However, waitlists can delay access to care, leading to poorer patient outcomes and added strain on healthcare systems. Group-based physiotherapy treatments have shown comparable clinical effectiveness to individual care and may help address these challenges. Despite this potential, their implementation in practice remains limited. Therefore, this systematic review aims to: (1) identify the determinants of use, intention to use, satisfaction, attitudes and experience with group-based treatments of patients and physiotherapy professionals, such as physiotherapists or physiotherapy technologists and (2) assess the factors that may influence patients' and professionals' preferences for group-based treatments over individual treatments.
Systematic searches were conducted on 6 September 2024 in the Medline, Embase, Web of Science, EBSCO CINAHL and Cochrane databases to identify studies published in French or English, in line with the language proficiency of the review team. Eligible studies will use quantitative, qualitative or mixed-method designs and report original data on the use or intention to use, satisfaction with, attitudes toward and experiences with group-based physiotherapy treatments, from either patients or physiotherapy professionals. Studies will be screened by two independent reviewers, with any discrepancy resolved through consensus or by involving a third reviewer. Data will be extracted from the included studies by two independent reviewers using a predefined data extraction form, with any discrepancy similarly resolved. For quantitative findings, the direction of the relationship between the outcomes and their determinants will be reported, along with the magnitude and significance of the coefficients, where available. For qualitative findings, relevant quotes will be provided to illustrate the relationship between the outcomes and their determinants. All included studies will be assessed by two independent reviewers using the Mixed Methods Appraisal Tool, with any discrepancy resolved again through consensus or by involving a third reviewer.
Ethical approval is not required for this review as it involves the collection of data from existing publications only. The findings will be disseminated through publication in a peer-reviewed scientific journal and presentations at relevant conferences.
CRD42024574513.
物理治疗是针对多种病症的推荐治疗方法。然而，等候名单可能会延迟获得治疗的机会，导致患者预后更差，并给医疗系统带来额外压力。基于小组的物理治疗已显示出与个体治疗相当的临床效果，可能有助于应对这些挑战。尽管有这种潜力，但其在实际中的应用仍然有限。因此，本系统评价旨在：（1）确定患者和物理治疗专业人员（如物理治疗师或物理治疗技术人员）对基于小组治疗的使用、使用意愿、满意度、态度和体验的决定因素；（2）评估可能影响患者和专业人员对基于小组治疗而非个体治疗的偏好的因素。
2024年9月6日在Medline、Embase、Web of Science、EBSCO CINAHL和Cochrane数据库中进行了系统检索，以识别以法语或英语发表的研究，符合综述团队的语言能力要求。符合条件的研究将采用定量、定性或混合方法设计，并报告来自患者或物理治疗专业人员关于基于小组的物理治疗的使用或使用意愿、满意度、态度和体验的原始数据。研究将由两名独立评审员进行筛选，任何差异将通过共识解决或由第三名评审员参与解决。数据将由两名独立评审员使用预定义的数据提取表从纳入的研究中提取，任何差异同样通过共识解决。对于定量结果，将报告结果与其决定因素之间关系的方向，以及系数的大小和显著性（如适用）。对于定性结果，将提供相关引用来阐明结果与其决定因素之间的关系。所有纳入的研究将由两名独立评审员使用混合方法评估工具进行评估，任何差异再次通过共识解决或由第三名评审员参与解决。
本综述无需伦理批准，因为它仅涉及从现有出版物中收集数据。研究结果将通过在同行评审的科学期刊上发表以及在相关会议上进行报告来传播。
CRD42024574513。
