Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies

Wijma, Amarins J; Bletterman, A.N.; Clark, Jacqui; Vervoort, Sigrid C. J. M.; Beetsma, Anneke; Keizer, Doeke; Nijs, Jo; Wilgen, C.P. van

doi:10.1080/09593985.2017.1357151

Cited by 129 publications

(86 citation statements)

References 34 publications

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“…In addition, PCC is understood as being a moral philosophy for health professionals seeking to provide the highest quality health care [3]. Despite the significance of PCC as an approach to care, there is no clear consensus regarding the definition of the same, nor its underlying dimensions [1,[4][5][6][7][8][9]. Thus, a number of definitions are found for PCC and its components.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, several authors have described certain characteristics of the therapeutic relationship as a means for establishing PCC. Thus, Constand et al [15] speak of communication and partnership; Zimmermann et al [9] highlight interactions and relationships, considering it important for professionals to be friendly and attentive; Hobbs [8] refers to "therapeutic engagement" and trust; Castro et al [4] underline empathy, trust, and individualized treatment; Rathert et al [5] establish the importance of respect, information, education, communication and emotional support; Wijma et al [6] mention trust, verbal communication adapted to the patient, nonverbal communication, and active listening; Scholl et al [16] highlight the importance of a reciprocal relationship characterized by constancy, trust, connection, mutual care, mutual knowledge, construction of a positive relationship and mutual understanding of roles and responsibilities.…”

Section: Introductionmentioning

confidence: 99%

“…Despite this, the PCC concept in physiotherapy is still poorly understood [6], and there is a lack of means for evaluating the established therapeutic relationship [21,23,24]. To construct an instrument that measures patient perceptions, content validity is the most important measurement property [25].…”

Section: Introductionmentioning

confidence: 99%

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Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

et al. 2020

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This study sought to develop a tool for evaluating person-centered therapeutic relationships within physiotherapy services, and to examine the content validity of the same. Methods A mixed qualitative and quantitative study was performed in three distinct phases: 1) the items were generated based on a literature review and a content analysis of focus groups of patients and physiotherapists; 2) an e-Delphi survey process was performed based on three rounds to select and refine the proposed questionnaire; 3) two rounds of cognitive interviews were conducted to evaluate the comprehension of items, the clarity of language and the appropriateness and relevance of content. Results Thirty-one items were generated based on the seven domains identified after the analysis of four focus groups of physiotherapists and four patient focus groups. Nine experts participated in the e-Delphi survey. Fifty-five patients participated in the two rounds of the cognitive pre-tests. Participating patients were from public and private physical therapy services. Based on the participants' suggestions, four items were removed, and four were added, whereas 16 were reworded.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

et al. 2020

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“…Dies steht im Widerspruch zu einem patientenzentrierten Vorgehen. Frühere Studien stellten jedoch die Relevanz eines patientenzentrierten Vorgehens im Hinblick auf die Patientenzufriedenheit und das Behandlungsergebnis fest [5][6][7][8].…”

Section: Schlussfolgerungenunclassified

“…Frühere Studien zeigten, dass die Interaktion einen positiven Einfluss auf die Adhärenz der Patienten, Depressionssymptome, Behandlungszufriedenheit und körperliche Funktionsfähigkeit bei Patienten mit muskuloskelettalen Beschwerden haben kann [5,6]. Die im Zusammenhang mit einer positiven Interaktion beschriebenen Attribute entsprechen dem Verständnis eines patientenorientierten Vorgehens [7,8]. Hierzu gehören z.…”

Section: Introductionunclassified

Der physiotherapeutische Takt

Grafe

Behrens

2019

physioscience

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Zusammenfassung Hintergrund Die Interaktion zwischen Patienten und Therapeuten gilt als unspezifischer Wirkfaktor in der physiotherapeutischen Behandlung. Neben praktischen, interpersonalen und kommunikativen Fähigkeiten beeinflussen organisatorische Rahmenbedingungen die Interaktion. Ziel In dieser Arbeit erfolgte eine handlungsfeldspezifische Analyse der Interaktion zwischen Patienten und Therapeuten in ambulanten Physiotherapiepraxen. Dabei wurde der Frage nachgegangen, welche Merkmale die Interaktion in der ambulanten Praxis charakterisieren und welche Bedeutung die Rahmenbedingungen der ambulanten Praxis in diesem Zusammenhang haben. Methode Die Studie wurde gemäß der Grounded Theory nach Corbin und Strauss konzipiert 1 2. Das Datenmaterial umfasste Videoaufzeichnungen von Behandlungen, Protokolle des lauten Denkens der aufgezeichneten Behandlungen, Feldprotokolle von Beobachtungen und Transkriptionen von Interviews. Nach dem Prinzip des Contrast Samplings wurden nach Rahmenbedingungen und Therapeutenmerkmalen differenzierte Situationen aufgenommen. Das Datenmaterial wurde transkribiert und interpretativ-kodierend ausgewertet. In die Studie waren insgesamt 9 in ambulanten Praxen arbeitende Therapeuten eingeschlossen. Ergebnisse Der Takt der ambulanten Physiotherapiepraxis wurde ausgehend von der zentralen Anforderung „immer im Takt bleiben“ definiert. Organisatorisch-strukturelle, therapeutisch-inhaltsbezogene und beziehungsbezogene Aufgaben sind Dimensionen dieses Takts. Sie verdeutlichen, dass pauschale Zeitvorgaben einem situationsspezifischen und patientenzentriertem Vorgehen entgegenstehen. Schlussfolgerung Der Takt der ambulanten Physiotherapiepraxis eröffnet eine Perspektive auf Anforderungen in der ambulanten Praxis. Dieser stellt ein heuristisches Modell dar, welches den gelungenen Umgang mit den Widersprüchlichkeiten beschreibt und insbesondere die situations- und beziehungsbezogenen Aspekte berücksichtigt.

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A qualitative systematic review of the views, experiences and perceptions of Pilates‐trained physiotherapists and their patients

Giannakou

Gaskell

2020

Musculoskeletal Care

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Objectives A review of qualitative studies exploring Pilates‐trained physiotherapists and their patients' perspectives and experiences of Pilates, aiming to improve practice and provide a deeper insight into the way this method is being utilized along with its effects on participants. Design Qualitative evidence synthesis using meta‐ethnography. Data sources A comprehensive search strategy, limited to English language articles, was conducted to MEDLINE (PubMed), EMBASE, CINAHL, PEDro and Cochrane Central for the period of January 2000 (inception) to June 2020. This was supplemented by identification of Grey literature through Google Scholar, website searching and reference lists. Study selection Qualitative studies reporting experiences and perceptions of patients' or Pilates‐trained physiotherapists' regarding the efficacy of Pilates for the management of chronic musculoskeletal conditions. After a process of exclusion, eight studies were included in the synthesis. Data extraction The textual data were analysed by a qualitative software program. Studies were critically appraised independently by two reviewers. Data synthesis Articles were synthesized using a technique of meta‐ethnography. Three themes emerged from the process of reciprocal translation: (1) Benefits of the Pilates approach; (2) most effective ways to utilize and most beneficial parameters and (3) risks, precautions, contraindications and indications. Conclusion This is the first qualitative evidence synthesis of practitioners' and patients' perspectives of Pilates. Findings support evidence for the various benefits of this approach and provide fresh insight into the way this method can be practiced to maximize efficiency and focus on the patients' needs. Key recommendations Pilates‐trained physiotherapists identified that Pilates can be tailored to individual requirements, preferences and needs, to promote self‐management to facilitate clinical and cost‐effective care.

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Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies

Cited by 129 publications

References 34 publications

Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

Construction and content validation of a measurement tool to evaluate person-centered therapeutic relationships in physiotherapy services

Der physiotherapeutische Takt

A qualitative systematic review of the views, experiences and perceptions of Pilates‐trained physiotherapists and their patients

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