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Physiotherapists' experiences with a blended osteoarthritis intervention: a mixed methods study.
Corelien J J Kloek1,2,3,4, Daniël Bossen5, Herman J de Vries2,6,7,8
1School of Social and Behavioral Sciences, Tilburg University , Tilburg, The Netherlands.
Physiotherapy Theory and Practice
|June 29, 2018
Summary
Physiotherapists reported mixed experiences with e-Exercise for hip/knee osteoarthritis. Improving flexibility and integration support are key for broader adoption of this digital health intervention.
Area of Science:
- Digital Health Interventions
- Musculoskeletal Rehabilitation
Background:
- E-Exercise is a 12-week blended intervention for hip/knee osteoarthritis, combining physiotherapy sessions with a web-based application.
- Implementation of e-Exercise requires understanding physiotherapist experiences and usage determinants.
Purpose of the Study:
- To identify physiotherapists' experiences with e-Exercise.
- To determine factors influencing the adoption and usage of e-Exercise.
Main Methods:
- Explanatory sequential mixed methods design within a randomized controlled trial.
- Data collected via questionnaires, semi-structured interviews, and objective web-based usage data.
- 123 physiotherapists allocated to e-Exercise were studied.
Main Results:
- Only 54 physiotherapists recruited patients; 10 continued using e-Exercise post-study.
- Key determinants included appropriateness, added value, time, workload, autonomy, environment, and finances.
- Physiotherapists recommended enhanced tailoring capabilities and integration support.
Conclusions:
- E-Exercise implementation requires addressing flexibility and providing education on integrating online programs.
- Improving personalization and support can enhance broader adoption of digital physiotherapy interventions.
