PDF(Pubmed)
Abstract：
OBJECTIVE: To identify within-stakeholder agreement and between-stakeholder differences in beliefs regarding exercise for osteoarthritis among general practitioners (GPs), physiotherapists (PTs) and people with hip and knee osteoarthritis (PwOA). A secondary objective was to explore the association between referral patterns and beliefs of PwOA.
METHODS: Cross-sectional.
METHODS: Online surveys administered to GPs, PTs and PwOA in Ireland via social media and healthcare networks.
METHODS: 421 valid responses (n=161 GPs, n=163 PTs, n=97 PwOA).
METHODS: Nine belief statements related to exercise effectiveness, safety and delivery were rated on a 5-point Likert scale and analysed for within-stakeholder consensus. χ2 tests assessed differences in agreement between groups. Multivariable linear regression models tested associations between beliefs in PwOA and referral to/attendance at physiotherapy.
RESULTS: Positive within-stakeholder consensus (>75% agreement) was reached for most statements (7/9 GPs, 6/9 PTs, 5/9 PwOA). However, beliefs of PwOA were significantly less positive compared with healthcare professionals for six statements. All stakeholders disagreed that exercise is effective regardless of the level of pain. Attendance at physiotherapy (49% of PwOA), rather than referral to physiotherapy from a GP only, was associated with positive exercise beliefs for PwOA (β=0.287 (95% CI 0.299 to 1.821)).
CONCLUSIONS: Beliefs about exercise therapy for osteoarthritis are predominantly positive across all stakeholders, although less positive in PwOA. PwOA are more likely to have positive beliefs if they have seen a PT for their osteoarthritis. Knowledge translation should highlight the effectiveness of exercise for all levels of pain and osteoarthritis disease.
METHODS: Cross-sectional.
METHODS: Online surveys administered to GPs, PTs and PwOA in Ireland via social media and healthcare networks.
METHODS: 421 valid responses (n=161 GPs, n=163 PTs, n=97 PwOA).
METHODS: Nine belief statements related to exercise effectiveness, safety and delivery were rated on a 5-point Likert scale and analysed for within-stakeholder consensus. χ2 tests assessed differences in agreement between groups. Multivariable linear regression models tested associations between beliefs in PwOA and referral to/attendance at physiotherapy.
RESULTS: Positive within-stakeholder consensus (>75% agreement) was reached for most statements (7/9 GPs, 6/9 PTs, 5/9 PwOA). However, beliefs of PwOA were significantly less positive compared with healthcare professionals for six statements. All stakeholders disagreed that exercise is effective regardless of the level of pain. Attendance at physiotherapy (49% of PwOA), rather than referral to physiotherapy from a GP only, was associated with positive exercise beliefs for PwOA (β=0.287 (95% CI 0.299 to 1.821)).
CONCLUSIONS: Beliefs about exercise therapy for osteoarthritis are predominantly positive across all stakeholders, although less positive in PwOA. PwOA are more likely to have positive beliefs if they have seen a PT for their osteoarthritis. Knowledge translation should highlight the effectiveness of exercise for all levels of pain and osteoarthritis disease.
摘要：
目的：确定利益相关者内部的协议和利益相关者之间关于全科医生（GP）中骨关节炎运动的信念差异，物理治疗师（PT）和髋关节和膝关节骨关节炎（PwOA）患者。次要目标是探索转诊模式与PwOA信念之间的关联。
方法：横断面。
方法：对全科医生进行的在线调查，通过社交媒体和医疗保健网络在爱尔兰的PT和PwOA。
方法：421个有效响应（n=161个GPs，n=163个PT，n=97PwOA)。
方法：与锻炼效果有关的九项信念陈述，安全性和交付以5分Likert量表进行评分,并分析利益相关者内部共识.χ2检验评估了组间一致性的差异。多变量线性回归模型测试了PwOA信念与转诊/参加物理治疗之间的关联。
结果：大多数声明达成了利益相关者内部的积极共识（>75％的共识）（7/9GPs，6/9PT,5/9PwOA）。然而,在6份陈述中,与医疗保健专业人员相比,PwOA的信念明显不那么积极.所有利益相关者都不同意锻炼无论疼痛程度如何都是有效的。参加物理治疗（占PwOA的49％），而不是仅从全科医生转诊到物理治疗，与PwOA的积极运动信念相关(β=0.287(95%CI0.299至1.821))。
结论：关于骨关节炎的运动疗法的信念在所有利益相关者中都是积极的，虽然PwOA的阳性程度较低。PwOA更可能有积极的信念，如果他们已经看到他们的骨关节炎的PT。知识翻译应突出运动对各级疼痛和骨关节炎疾病的有效性。
方法：横断面。
方法：对全科医生进行的在线调查，通过社交媒体和医疗保健网络在爱尔兰的PT和PwOA。
方法：421个有效响应（n=161个GPs，n=163个PT，n=97PwOA)。
方法：与锻炼效果有关的九项信念陈述，安全性和交付以5分Likert量表进行评分,并分析利益相关者内部共识.χ2检验评估了组间一致性的差异。多变量线性回归模型测试了PwOA信念与转诊/参加物理治疗之间的关联。
结果：大多数声明达成了利益相关者内部的积极共识（>75％的共识）（7/9GPs，6/9PT,5/9PwOA）。然而,在6份陈述中,与医疗保健专业人员相比,PwOA的信念明显不那么积极.所有利益相关者都不同意锻炼无论疼痛程度如何都是有效的。参加物理治疗（占PwOA的49％），而不是仅从全科医生转诊到物理治疗，与PwOA的积极运动信念相关(β=0.287(95%CI0.299至1.821))。
结论：关于骨关节炎的运动疗法的信念在所有利益相关者中都是积极的，虽然PwOA的阳性程度较低。PwOA更可能有积极的信念，如果他们已经看到他们的骨关节炎的PT。知识翻译应突出运动对各级疼痛和骨关节炎疾病的有效性。
