ArticlePhysiotherapy research international : the journal for researchers and clinicians in physical therapy2025
Establishing a Research Agenda for Physiotherapy in Portugal: A Delphi Study.
Article in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAs physiotherapy research advances, identifying knowledge gaps and setting priorities is crucial for enhancing its efficiency in national and international collaborations. This study aimed to establish a physiotherapy research agenda in Portugal by integrating perspectives from physiotherapists and users of physiotherapy services.
methodsAn online two-round Delphi study was conducted from April to August 2024 with two panels: physiotherapists and users of physiotherapy services. Participants rated 66 research priorities in the two rounds using a four-point Likert scale (1 = not important, 4 = very important), with 13 new priorities introduced in the second round. These priorities were organized into nine research categories identified from a prior scoping review: (1) (cost)effectiveness; (2) service delivery; (3) education, professional development and quality; (4) measurement instruments; (5) mechanisms behind disability, physiotherapy treatments and patient classification; (6) patients' needs, expectations, experience and context; (7) prognostic outcomes and responses to therapy; (8) decision-making strategies; and (9) technology and big data. Consensus was defined as a cut-off median score of ≥ 3.25.
resultsA total of 479 physiotherapists and 70 users of physiotherapy services participated in Round 1 with final retention rates of 64% and 43%, respectively. The final 'Top 10' priorities focused on three research categories: researching optimal service delivery models, structures, and processes (n = 5); establishing the (cost)effectiveness of different physiotherapy interventions (n = 3); and exploring the best models of physiotherapy education, professional development, and quality (n = 2).
conclusionsThis study established a physiotherapy research agenda for Portugal, focusing on (cost)effectiveness, service delivery, education, professional development, and quality, integrating the perspectives of physiotherapists and users of physiotherapy services. The final priorities provide a foundation for future research and policy development.
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