Evidence map›Paper›PMID 42634928›Full record

SynthesisPhysiotherapy research international : the journal for researchers and clinicians in physical therapy2026

Physiotherapy in Mental Health: A Mixed Methods Systematic Review of Practitioner and Student Knowledge, Attitudes, and Perceptions.

Farahdina Bachtiar, Chiara Mastrogiovanni, Grace McKeon, Davy Vancampfort, Holly Seale, Dicky C Pelupessy, Afsana Anwar, Hilmi Zadah Faidullah, Brendon Stubbs, Simon Rosenbaum

Abstract readSystematic Review
In one paragraph

Synthesis in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2026. 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.

Farahdina BachtiarNutrition, Exercise & Social Equity (NExuS) Research Group, Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0003-3113-8638
Chiara MastrogiovanniNutrition, Exercise & Social Equity (NExuS) Research Group, Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0002-5197-6412
Grace McKeonNutrition, Exercise & Social Equity (NExuS) Research Group, Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0003-4722-1639
Davy VancampfortDepartment of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-4592-8625
Holly SealeSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0002-1877-5395
Dicky C PelupessyFaculty of Psychology, Universitas Indonesia, Kampus UI Depok, Jawa Barat, Indonesia.ORCID https://orcid.org/0000-0002-1760-2863
Afsana AnwarNutrition, Exercise & Social Equity (NExuS) Research Group, Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0003-3209-6644
Hilmi Zadah FaidullahUniversitas 'Aisyiyah Yogyakarta, Sleman Regency, DI Yogyakarta, Indonesia.ORCID https://orcid.org/0000-0003-3397-2028
Brendon StubbsInstitute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0001-7387-3791
Simon RosenbaumNutrition, Exercise & Social Equity (NExuS) Research Group, Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0002-8984-4941

Funding

Lembaga Pengelola Dana Pendidikan 202401220800156
6 · The paper itself

Abstract

background and purposeMental health physiotherapy is increasingly recognised as a specialised area of practice. Adequate knowledge and positive attitudes are essential for ensuring safe evidence-based care and for directly influencing the quality of services delivered. Despite this, research on mental health literacy and attitudes within physiotherapy remains fragmented. This study aims to synthesise evidence on the knowledge, attitudes and perceptions of physiotherapists and physiotherapy students regarding roles in mental health practice.

methodsA mixed-methods systematic review was conducted and registered in PROSPERO (CRD42024611691). An initial search of Embase (via Ovid), PubMed, PsycINFO, Scopus, CINAHL and Google Scholar was performed from inception to November 2024, followed by an updated search of the same databases in January 2026. Empirical studies examining knowledge, attitudes or perceptions related to mental health were included. Study quality was appraised using the mixed method appraisal tool (MMAT). Findings were synthesised narratively for quantitative data and thematically for qualitative data, with integration through a convergent segregated approach.

resultsA total of 42 studies were included, comprising 2780 physiotherapists and 2715 students. Participants generally demonstrated positive attitudes towards people with mental illness, whereas reported mental health knowledge varied from limited to good across studies and populations. Experiential learning through direct client interaction appeared to be associated with a more integrated understanding of mental health in physiotherapy and greater confidence, comfort, empathy and reflective capacity. However, the included studies were methodologically heterogeneous, and psychometric properties of the assessment instruments were often insufficiently documented. DISCUSSION: Participants recognised the importance of mental health support and held positive attitudes, but may not have been prepared to address mental health concerns in physiotherapy practice. Limited education, clinical exposure and role clarity may have contributed to this lack of readiness. These findings support the consideration of more targeted mental health education and structured training initiatives.

trial registrationThe protocol for this review was registered in the PROSPERO database (CRD42024611691).

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeMental DisordersMental HealthPhysical TherapistsPhysical Therapy ModalitiesStudents, Health OccupationsHumansattitudesknowledgemental healthphysiotherapy

Identifiers

PMID42634928
PMCPMC13501346

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.