Evidence map›Paper›PMID 31985164›Full record

Observational studyMusculoskeletal care2020

Evaluation of an educational course for primary care physiotherapists on comorbidity-adapted exercise therapy in knee osteoarthritis: an observational study.

Mariëtte de Rooij, Marike van der Leeden, Martin van der Esch, Willem F Lems, Jorit J L Meesters, Wilfred F Peter, Leo D Roorda, Michel S Terbraak, Tom Vredeveld, Thea P M Vliet Vlieland and 1 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Musculoskeletal care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Mariëtte de RooijReade, Amsterdam Rehabilitation Research Centre, Amsterdam, the Netherlands.ORCID 0000-0002-8231-7399
Marike van der LeedenReade, Amsterdam Rehabilitation Research Centre, Amsterdam, the Netherlands.
Martin van der EschReade, Amsterdam Rehabilitation Research Centre, Amsterdam, the Netherlands.
Willem F LemsReade, Amsterdam Rehabilitation Research Centre, Amsterdam, the Netherlands.
Jorit J L MeestersDepartment of Orthopedics, Rehabilitation, and Physiotherapy, Leiden University Medical Center (LUMC), Leiden, the Netherlands.
Wilfred F PeterReade, Amsterdam Rehabilitation Research Centre, Amsterdam, the Netherlands.ORCID 0000-0003-1456-2429
Leo D RoordaReade, Amsterdam Rehabilitation Research Centre, Amsterdam, the Netherlands.
Michel S TerbraakACHIEVE Centre of Expertise, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands.
Tom VredeveldACHIEVE Centre of Expertise, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands.
Thea P M Vliet VlielandDepartment of Orthopedics, Rehabilitation, and Physiotherapy, Leiden University Medical Center (LUMC), Leiden, the Netherlands.
Joost DekkerDepartment of Rehabilitation Medicine, Amsterdam Movement Sciences research institute, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Reade · NLLeiden University Medical Center · NLAmsterdam University of Applied Sciences · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objectives of the present study were to: (1) evaluate the effect of an educational course on competence (knowledge and clinical reasoning) of primary care physical therapists (PTs) in treating patients with knee osteoarthritis (KOA) and comorbidity according to the developed strategy; and (2) identify facilitators and barriers for usage.

methodThe present research was an observational study with a pretest-posttest design using mixed methods. PTs were offered a postgraduate course consisting of e-learning and two workshops (blended education) on the application of a strategy for exercise prescription in patients with KOA and comorbidity. Competences were measured by questionnaire on knowledge (administered before and 2 weeks after the course), and a patient vignette to measure clinical reasoning (administered before the course and after a 6 month period of treating patients). Facilitators and barriers for using the strategy were assessed by a questionnaire and semi-structured interviews.

resultsThirty-four PTs were included. Competence (knowledge and clinical reasoning) improved significantly (p < 0.01). Fourteen out of 34 PTs had actually treated patients with KOA and comorbidity, during a 6-month period. The strategy was found to be feasible in daily practice. The main barriers included the limited number of (self-) referrals of patients, limited number of reimbursed treatment sessions by insurance companies and a suboptimal collaboration with (referring) physicians.

conclusionA blended course on exercise therapy for patients with KOA and comorbidity seems to improve PTs' competence through increasing knowledge and clinical reasoning skills. Identified barriers should be solved before large-scale implementation of exercise therapy can take place in these complex patients.

Indexed as

Osteoarthritis, KneePhysical TherapistsComorbidityExercise TherapyHumansPrimary Health Careblended educationcomorbidityexercise therapyknee osteoarthritisprimary care

Identifiers

PMID31985164
PMCPMC7318645
OpenAlexW3003063591

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.