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Perception of Purposeful and Recreational Smartphone Use in Physiotherapy: Randomized Controlled Trial
Martina Bientzle1, Anne Restle2, Joachim Kimmerle1
1Leibniz-Institut für Wissensmedien, Tuebingen, Germany.
JMIR Mhealth and Uhealth
|April 21, 2021
Summary
Purposeful smartphone use by physiotherapists enhances patient perception of competence and empathy. Recreational smartphone use by either party negatively impacts attentiveness and overall treatment evaluation.
Area of Science:
- Behavioral Science
- Health Psychology
- Clinical Practice
Background:
- Smartphone use is prevalent in daily life, extending into professional and therapeutic settings.
- Both patients and healthcare providers engage in smartphone use, sometimes without clear purpose during treatment.
Purpose of the Study:
- To investigate the impact of purposeful versus recreational smartphone use on perceptions within physiotherapy.
- To evaluate how physiotherapist and patient smartphone engagement affects perceived attentiveness and treatment quality.
Main Methods:
- An online randomized controlled trial involving 118 participants.
- Participants viewed videos of physiotherapy sessions with varied smartphone use: purposeful, recreational by therapist, recreational by patient, or none.
- Post-video assessments measured perceptions of therapist competence, empathy, attentiveness, and general smartphone utility in physiotherapy.
Main Results:
- Purposeful smartphone use by physiotherapists led to higher ratings of professional competence, social competence, and empathy.
- Recreational smartphone use by either the physiotherapist or patient significantly decreased perceived attentiveness.
- Overall, purposeful smartphone use was rated more positively than recreational use or no use.
Conclusions:
- Smartphone use in physiotherapy is beneficial only when directly related to therapeutic goals.
- Non-therapeutic smartphone engagement by therapists or patients should be avoided during treatment sessions.
- Clear guidelines on appropriate smartphone use in clinical settings are warranted.

