语言能提高物理治疗师遵循"明智选择"建议的意愿吗? 一个最好的-最坏的缩放研究
Priti Kharel1, Joshua R Zadro1, Giovanni Ferreira1
1Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, Australia; School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Brazilian journal of physical therapy
|August 19, 2023
概括
医疗保健建议中的语言问题. 物理治疗师更有可能遵循更详细的指导方针,并建议低价值护理的替代方案,提高医疗保健质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 物理疗法物理治疗
- 基于证据的实践.
背景情况:
- 选择明智的建议旨在减少物理治疗中的低价值护理.
- 了解影响遵守这些建议的因素对于有效实施至关重要.
研究的目的:
- 确定"明智选择"建议中的特定语言特征是否影响物理治疗师采用这些建议的意愿.
- 调查细节,框架和建议替代方案对遵守建议的影响.
主要方法:
- 采用最佳-最差规模调查,修改澳大利亚理疗协会 (APA) 根据语言变异的选择明智的建议.
- 物理治疗师评价了他们遵循修改后的建议的意愿,使用多项逻辑回归分析数据.
主要成果:
- 提供更详细的建议 (边际偏好得分:1.1) 和建议低价值护理的替代方案 (1.3) 增加了遵循的意愿.
- 负面框架降低了意愿 (-1.3),而语言的强度 (合格与不合格) 没有显著的影响.
- 治疗师表现出更高的愿意遵循建议,反对用于腰部疼痛的成像治疗 (3.9) 和用于腰部疼痛的电疗法 (3.8).
结论:
- 选择明智建议的措辞方式显著影响物理治疗师的遵守.
- 有积极框架和可行的替代方案的详细建议更有可能被遵循,有助于减少低价值的物理治疗.
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