Guideline Implementation in Physiotherapy (GIPhT)
Recruitment status was Recruiting
The purpose of this study is 1) to develop an intervention strategy to increase physiotherapists' adherence to evidence-based practice guidelines, 2) to try out this intervention on a small scale to determine what efficacy may be expected from it, and 3) to determine the value of a planned, systematic and theory-based approach that was followed in developing and implementing the intervention.
|Study Design:||Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Development and Pilot Testing of an Implementation Strategy to Increase Physiotherapists'Adherence to Evidence-based Guideline for Patients With Low Back Pain: a Planned, Systematic and Theory-based Approach|
- Guideline adherence [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Determinants of guideline adherence [ Time Frame: 3 months ] [ Designated as safety issue: No ]
|Study Start Date:||July 2009|
|Estimated Study Completion Date:||December 2009|
|Estimated Primary Completion Date:||December 2009 (Final data collection date for primary outcome measure)|
|Experimental: Quality improvement program||
Other: Behavioral and managerial
The quality improvement program is a multi-level intervention program to increase adherence to the Dutch physical therapy Guidelines for Low Back Pain. It consists of two program parts, one for practice quality managers and the other for individual therapists. The management part aims to increase commitment amongst practice owners towards high quality of care, including the appropriate use of guidelines, and addresses the structure and the culture of the physical therapy practice. This part of the program is based on the INK management model and the colour model of De Caluwé. The individual part of the intervention is aimed at increasing physical therapists' guideline adherence by raising awareness and improving recording and clinical reasoning. This part of the intervention is based on psychosocial and educational theories and especially on the principles of Self Regulation.
|Experimental: Electronic patient device (EPD)||
Other: Behavioral and IT
The interventions makes use of an improved EPD for physical therapists. Compared to the existing EPDs, the EPD for the present study presents decision information for physical therapists. This decision information is directly based on the recently revised physical therapy guidelines for Low Back Pain and attached to the subsequent steps of clinical reasoning that are inherent to the diagnostic and treatment stages of the usual process of physical therapy care.
Other Name: FysioDesk EPD.
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|Contact: Geert Rutten, MPH||+31 24 361 firstname.lastname@example.org|
|Contact: Janneke Harting, PhD||+31 24 361 email@example.com|
|IQ healthcare / Radboud UMCN||Recruiting|
|Contact: Janneke Harting, PhD +31 24 361 0591 firstname.lastname@example.org|
|Study Director:||Rob Oostendorp, Professor||University Medical Center St Radboud Nijmegen|