a single group follow-up study of non-surgical patients seen by physiotherapists working in expanded roles in orthopaedic departments recall of recommendations, change in exercise and self-efficacy一组随访研究非手术病人被物理治疗师在骨科扩展角色工作部门召回建议,锻炼和自我效能感的变化.pdfVIP

MacKay et al. BMC Research Notes 2012, 5:669 /1756-0500/5/669 SHORT REPORT Open Access A single group follow-up study of non-surgical patients seen by physiotherapists working in expanded roles in orthopaedic departments: recall of recommendations, change in exercise and self-efficacy Crystal MacKay1,2*, Aileen M Davis1,2,3,4, Nizar N Mahomed1,5,6 and Elizabeth M Badley1,3,7 Abstract Background: Specially trained physiotherapists (advanced practice physiotherapists (APP)) are working in orthopaedic clinics to improve access to orthopaedic services and support chronic disease management. Little attention has been paid to the impact APPs may have on non-surgical patients. In non-surgical patients with hip or knee arthritis consulting an APP in an orthopaedic clinic, the objectives were to: 1) describe patients’ recall of APP recommendations, use of self-management strategies, and barriers to management six weeks following consultation; and, 2) compare exercise behaviour and self-efficacy at baseline and six weeks. Findings: This was a single group pre-and post-intervention study of patients who saw an APP when consulting the orthopaedic departments of two hospitals. At baseline and six weeks participants completed the adapted Stanford Exercise Behaviour Scale (response options: none, 60 minutes/week, 1–3 hours/week or 3 hours/week), and the Chronic Disease Self-efficacy Scale (range 1– 10; higher scores indicate higher self-efficacy). At follow-up participants completed questions on recall of APP recommendations, use of self-management strategies and barriers to management. Seventy three non-surgical patients with hip or knee arthritis participated, a response rate of 89% at follow-up. Seventy one percent of patients reported that the APP recommended exercise, of whom 83% reported exercising to manage their a