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Do physiotherapy staff record treatment time accurately? An observational study
Pam Bagley1, Mary Hudson, John Green
1Division of Physiotherapy and Occupational Therapy, School of Health Studies, University of Bradford, 25 Trinity Road, Bradford, West Yorkshire BD5 0BB, UK. p.j.bagley@bradford.ac.uk
Physiotherapy staff overestimated stroke patient treatment times compared to video recordings. This indicates that manual time tracking by staff is unreliable for accurately measuring therapy duration in stroke rehabilitation.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Measurement
Background:
- Accurate measurement of treatment duration is crucial for evaluating the efficacy of physiotherapy interventions in stroke rehabilitation.
- Previous studies have highlighted potential discrepancies in time recording within healthcare settings.
Purpose of the Study:
- To evaluate the reliability of treatment time duration recorded by physiotherapy staff compared to objective video recordings in early-stage stroke patients.
- To identify systematic biases in physiotherapy staff's time estimations.
Main Methods:
- A randomized trial involving 39 early-stage stroke patients and 26 physiotherapy staff was conducted in a rehabilitation stroke unit.
- Physiotherapy staff's recorded treatment times were contemporaneously compared with precise video recordings.
- Statistical analysis included intraclass correlation and the Bland and Altman method to assess agreement.
Main Results:
- Physiotherapy staff recorded a mean treatment time of 32 minutes, while video recordings showed a mean of 25 minutes.
- A significant mean difference of -6 minutes was observed, with staff overestimating duration.
- The intraclass correlation coefficient was 0.50, indicating moderate agreement.
Conclusions:
- Physiotherapy staff's recorded duration of treatment time for stroke patients is unreliable.
- Staff consistently overestimated the actual treatment time compared to objective video measures.
- Findings suggest a need for improved methods for accurately documenting therapy sessions in stroke rehabilitation.
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