ArticleArchives of rehabilitation research and clinical translation2025
Evaluating Physical and Occupational Therapists' and Assistants' Experiences Implementing an Electronic Health Record-Based Intervention to Support Perioperative Patients' Use of Nonpharmacological Pain Management Techniques.
Article in Archives of rehabilitation research and clinical translation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
- Patients' peri-operative experiences with non-pharmacologic pain care techniques: a secondary qualitative analysis of the NOHARM trial.BMC complementary medicine and therapies · 2025Observational
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Authors and funding
6 authors.
Funding
Abstract
Objective: To explore barriers and facilitators experienced by therapists (physical therapists/assistants and occupational therapists/assistants) supporting the implementation of the electronic health record (EHR)-based Healing After Surgery (HAS) initiative, which used clinical decision support (CDS) elements to support therapists in providing perioperative education and support to patients for the use of evidence-based nonpharmacological pain care (NPPC) techniques as part of a health system-wide clinical trial. Design: A cross-sectional web-based survey. Setting: Three academic and 3 community-based hospitals from the same health system. Participants: Therapists (N=236) who delivered the EHR-based HAS initiative. Interventions: Not applicable. Main Outcome Measures: Barriers and facilitators that therapists experienced implementing the EHR-based HAS initiative. Results: We received survey responses from therapists (34.6% response rate). Using a numerical rating scale (1=not at all, 10=a great deal), therapists reported the highest agreement to questions regarding understanding the goal of the initiative (mean ± SD, 7.3±2.4) and alignment of the initiative with therapy practice (mean ± SD, 7.2±2.4), followed by alignment with patient needs (mean ± SD, 6.7±2.4). Ratings were slightly lower for understanding of their role (mean ± SD, 6.5±2.3), leadership support (mean ± SD, 6.3±2.4), and adequacy of training (mean ± SD, 6.2±2.4). Therapists rated the helpfulness of CDS elements at the midpoint of the scale, with mean ratings ranging from 5.0 to 5.1. Only 27% of therapists felt equipped to educate patients on all NPPC techniques. Conclusions: The EHR-based HAS initiative was perceived to align with standard therapy care. However, many therapists did not feel equipped to support all NPPC techniques. Similar future efforts should address additional training needs and CDS refinement.
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