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Facilitators and barriers to using neurological outcome measures in developed and developing countries
Marika Demers1,2, Andréanne K Blanchette3,4, Aditi A Mullick1,2
1School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.
Summary
Indian physical therapists report higher use of standardized outcome measures than Canadian therapists. Common facilitators and barriers exist, but their prevalence differs, impacting knowledge translation strategies.
Area of Science:
- Neurology
- Physical Therapy
- Health Services Research
Background:
- Standardized outcome measures are crucial for evidence-based neurological physical therapy.
- Understanding factors influencing their adoption is vital for effective practice.
- International comparisons can reveal context-specific challenges and facilitators.
Purpose of the Study:
- To compare factors influencing the use of standardized outcome measures.
- To examine facilitators and barriers in developed (Canada) and developing (India) countries.
- To inform knowledge translation strategies in neurological physical therapy.
Main Methods:
- A web-based questionnaire was distributed to neurological physical therapists in Canada and India.
- Data on facilitators and barriers to using outcome measures were collected.
- Two-proportion z tests were used to compare responses between countries.
Main Results:
- The use of standardized outcome measures was higher in India (96.7%) than in Canada (89.2%).
- Common facilitators included known validity/reliability, training, and guidelines.
- Common barriers were lack of time, reliance on clinical judgment, and tool unavailability.
Conclusions:
- Factors influencing the uptake of outcome measures vary between developed and developing countries.
- Understanding these differences is key to tailoring knowledge translation strategies.
- Context-specific approaches are needed to optimize the use of standardized measures in neurological physical therapy.
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