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Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical
Philip J van der Wees1, Cor A M Zagers, Sara E de Die
1Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. p.vanderwees@iq.umcn.nl
BMC Health Services Research
|May 2, 2013
Summary
A new questionnaire helps identify barriers to implementing the Dutch COPD guideline for physical therapists. Key barriers include time investment and financial constraints, guiding future implementation strategies.
Area of Science:
- Healthcare Implementation Science
- Physical Therapy Practice
- Respiratory Medicine
Background:
- Clinical practice guidelines aim to aid healthcare decision-making.
- Effective implementation requires identifying barriers to guideline uptake.
- This study focused on barriers to the Dutch COPD guideline for physical therapists.
Purpose of the Study:
- To develop a questionnaire for identifying barriers to implementing the Dutch COPD guideline.
- To assess perceived barriers among physical therapists regarding the COPD guideline and its measurement tools.
Main Methods:
- A questionnaire was constructed based on existing instruments.
- A cross-sectional study involving 246 chest physical therapists assessed questionnaire construct.
- Factor analysis explored underlying dimensions, and psychometric properties were analyzed using Cronbach's alpha.
Main Results:
- 139 physical therapists (57% response rate) participated.
- Factor analysis identified 4-5 underlying domains, explaining 36-39% variance.
- Main barriers identified were time investment and financial constraints; therapists had a positive attitude towards the guideline.
Conclusions:
- The developed questionnaire effectively identifies barriers and facilitators for COPD guideline implementation.
- The tool is adaptable for different target groups and can be used by various healthcare professionals.
- Further research is needed to develop prospective barrier identification methods and tailored interventions.
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