Evidence map›Paper›PMID 41146172›Full record

Trial reportBMC medical education2025

Improving physiotherapists' ability to recognise the presence of a serious pathology with a digital educational training: a mixed methods feasibility study.

Jessie Janssen, Wolfgang Lackenbauer, Simon Gasselich, Martina Edda Lickel, Lars Schabel, Reinhard Beikircher, Christian Keip, Manfred Wieser, Bruno Mazuquin, Gillian Yeowell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Jessie JanssenInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria.
Wolfgang LackenbauerInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria. wolfgang.lackenbauer@imc.ac.at.
Simon GasselichInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria.
Martina Edda LickelHuman Medicine, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria.
Lars SchabelClinical Department of Orthopaedics and Traumatology, University Hospital Tulln, Tulln, Austria.
Reinhard BeikircherDepartment of Physiotherapy, FH Gesundheitsberufe OÖ, Wels, Austria.
Christian KeipInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria.
Manfred WieserHuman Medicine, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria.
Bruno MazuquinDepartment of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, Manchester, UK.
Gillian YeowellDepartment of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, Manchester, UK.

Funding

Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ) LS20-009
6 · The paper itself

Abstract

backgroundDue to an aging population, the incidence of musculoskeletal disorders and serious pathologies like spinal fractures and cancer is rising. Physiotherapists are ideally positioned to screen for signs and symptoms of serious pathologies (red flags) early; however, training in recognizing these signs and symptoms is limited. Additionally, evidence on the effectiveness of digital educational tools for this purpose is sparse. This study aimed to assess the feasibility of a digital educational training designed to improve physiotherapists' ability to identify serious pathologies.

methodsA randomised mixed-methods feasibility study ran from March to May 2024, involving Austrian physiotherapists recruited via email. After providing informed consent and demographic data, participants completed a structured digital educational training. This training comprised three asynchronous chapters, with Chap. 2 featuring modules in orthopaedics, oncology, and internal medicine. Various digital formats (video podcast, presentations, animations) of different durations were included to gauge user preferences. Feedback was gathered using the Feasibility of Intervention Measure (FIM) and a mixed-methods survey. Quantitative data were analysed descriptively using SPSS, and qualitative data inductively using MAXQDA.

resultsThirty-nine physiotherapists registered, and 30 completed the digital educational training. The median FIM score was 5, indicating high feasibility. Participants favoured digital materials lasting 6 to 15 min. Qualitative feedback highlighted the need for platform improvements (e.g., flexible module access) and enhancements to the digital educational training (e.g., detailed background information, more complex vignettes, varied formats). Participants appreciated the asynchronous learning possibility, progression tracking, and varied short digital formats but noted the limitations of online learning compared to in-person interactions.

conclusionsOur findings suggest that a digital educational training aimed at improving physiotherapists' ability to detect serious pathologies is feasible. Participants emphasized the importance of adaptable platforms and a variation in digital materials to enhance the training. Limitations included the need for additional complex vignettes and limited participation in face-to-face discussions. Future research should explore flexible learning options, complex scenarios, and direct feedback mechanisms.

Indexed as

Clinical CompetenceComputer-Assisted InstructionMusculoskeletal DiseasesPhysical TherapistsAdultAustriaFeasibility StudiesFemaleHumansMaleMiddle AgedAsynchronous learningDirect accessOnlinePhysical therapyRed flagsTraining

Identifiers

PMID41146172
PMCPMC12557938

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.