ArticleJMIR rehabilitation and assistive technologies2023
Blended Care in Patients With Knee and Hip Osteoarthritis in Physical Therapy: Delphi Study on Needs and Preconditions.
Article in JMIR rehabilitation and assistive technologies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Usability and Acceptability of an App-Based Approach to Treat Low Back Pain: Preplanned Secondary Analysis of a Randomized Controlled Trial.JMIR formative research · 2025Trial
- Usability and preliminary effectiveness of an app-based physical activity and education program for people with hip or knee osteoarthritis - a pilot randomized controlled trial.Arthritis research & therapy · 2024Trial
- [Digital rehabilitation methods in orthopaedics-Current status, evidence, and perspectives].Orthopadie (Heidelberg, Germany) · 2026Review
- App-assisted rehabilitation concept for geriatric patients after proximal femur fractures (PROGRES(S)): a qualitative study.BMC geriatrics · 2026Article
- Quantitative perspectives of patients and healthcare professionals to inform the co-design of an mHealth application for knee osteoarthritis management.BMC medical informatics and decision making · 2026Article
- Design and development of an eHealth intervention to support self-management in people with musculoskeletal disorders: 'eHealth: it's TIME'.Clinical rehabilitation · 2024Article
- Usage, Attitudes, Facilitators, and Barriers Toward Digital Health Technologies in Musculoskeletal Care: Survey Among Primary Care Physiotherapists in Norway.JMIR rehabilitation and assistive technologies · 2024Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoarthritis is a major public health concern. Despite existing evidence-based treatment options, the health care situation remains unsatisfactory. Digital care options, especially when combined with in-person sessions, seem to be promising.
objectiveThe aim of this study was to investigate the needs, preconditions, barriers, and facilitators of blended physical therapy for osteoarthritis.
methodsThis Delphi study consisted of interviews, an online questionnaire, and focus groups. Participants were physical therapists, patients with hip and/or knee osteoarthritis with or without experience in digital care, and stakeholders of the health care system. In the first phase, interviews were conducted with patients and physical therapists. The interview guide was based on the Consolidated Framework For Implementation Research. The interviews focused on experiences with digital and blended care. Furthermore, needs, facilitators, and barriers were discussed. In the second phase, an online questionnaire and focus groups served the process to confirm the needs and collect preconditions. The online questionnaire contained statements drawn by the results of the interviews. Patients and physical therapists were invited to complete the questionnaire and participate in one of the three focus groups including (1) patients; (2) physical therapists; and (3) a patient, a physical therapist, and stakeholders from the health care system. The focus groups were used to determine concordance with the results of the interviews and the online questionnaire.
resultsNine physical therapists, seven patients, and six stakeholders confirmed that an increase of acceptance of the digital care part by physical therapists and patients is crucial. One of the most frequently mentioned facilitators was conducting regular in-person sessions. Physical therapists and patients concluded that blended physical therapy must be tailored to the patients' needs. Participants of the last focus group stated that the reimbursement of blended physical therapy needs to be clarified.
conclusionsMost importantly, it is necessary to strengthen the acceptance of patients and physical therapists toward digital care. Overall, for development and usage purposes, it is crucial to take the needs and preconditions into account.
trial registrationGerman Clinical Trials Register DRKS00023386; https://drks.de/search/en/trial/DRKS00023386.
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