Corelien J J Kloek1,2,3,4, Daniël Bossen5, Herman J de Vries2,6,7,8, Dinny H de Bakker1,2, Cindy Veenhof3,4, Joost Dekker9. 1. School of Social and Behavioral Sciences, Tilburg University , Tilburg, The Netherlands. 2. Netherlands Institute for Health Services Research (NIVEL) , Utrecht, the Netherlands. 3. Department of Rehabilitation, Physical Therapy Science & Sports, Brain Center Rudolf Magnus, University Medical Center Utrecht , Utrecht, the Netherlands. 4. Research Group Innovation of Human Movement Care, Utrecht University of Applied Sciences , Utrecht, The Netherlands. 5. ACHIEVE Centre of Expertise, Faculty of Health, Amsterdam University of Applied Sciences , Amsterdam, The Netherlands. 6. Professorship Personalised Digital Health, Hanze University of Applied Sciences , Groningen, The Netherlands. 7. Department of Human Behaviour & Organisational Innovation, TNO , Soesterberg, The Netherlands. 8. Research Institute SHARE, University Medical Center Groningen , Groningen, The Netherlands. 9. Department of Rehabilitation Medicine & Department of Psychiatry, EMGO Institute, VU University Medical Center Amsterdam , Amsterdam, the Netherlands.
Abstract
INTRODUCTION:E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists' experiences and determinants related to the usage of e-Exercise. Methods: An explanatory sequential mixed methods design embedded in a randomized controlled trial comparing e-Exercise with usual physiotherapy in patients with hip/knee osteoarthritis. Usage of e-Exercise was based on recruitment rates of 123 physiotherapists allocated to e-Exercise and objective web-based application usage data. Experiences and determinants related to e-Exercise usage were investigated with a questionnaire and clarified with semi-structured interviews. Results: Of the 123 physiotherapists allocated to e-Exercise, 54 recruited more than one eligible patient, of whom 10 physiotherapists continued using e-Exercise after the study period. Physiotherapists had mixed experiences with e-Exercise. Determinants related to intervention usage were appropriateness, added value, time, workload, professional autonomy, environmental factors, and financial consequences. Physiotherapists recommended to improve the ability to tailor e-Exercise to the individual needs of the patient patients' individual needs. Discussion: Determinants related to the usage of e-Exercise provided valuable information for the implementation of e-Exercise on broader scale. Most importantly, the flexibility of e-Exercise needs to be improved. Next, there is a need for education on how to integrate an online program within physiotherapy.
RCT Entities:
INTRODUCTION: E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists' experiences and determinants related to the usage of e-Exercise. Methods: An explanatory sequential mixed methods design embedded in a randomized controlled trial comparing e-Exercise with usual physiotherapy in patients with hip/knee osteoarthritis. Usage of e-Exercise was based on recruitment rates of 123 physiotherapists allocated to e-Exercise and objective web-based application usage data. Experiences and determinants related to e-Exercise usage were investigated with a questionnaire and clarified with semi-structured interviews. Results: Of the 123 physiotherapists allocated to e-Exercise, 54 recruited more than one eligible patient, of whom 10 physiotherapists continued using e-Exercise after the study period. Physiotherapists had mixed experiences with e-Exercise. Determinants related to intervention usage were appropriateness, added value, time, workload, professional autonomy, environmental factors, and financial consequences. Physiotherapists recommended to improve the ability to tailor e-Exercise to the individual needs of the patientpatients' individual needs. Discussion: Determinants related to the usage of e-Exercise provided valuable information for the implementation of e-Exercise on broader scale. Most importantly, the flexibility of e-Exercise needs to be improved. Next, there is a need for education on how to integrate an online program within physiotherapy.
Authors: Merel A Timmer; Corelien J J Kloek; Piet de Kleijn; Isolde A R Kuijlaars; Roger E G Schutgens; Cindy Veenhof; Martijn F Pisters Journal: J Med Internet Res Date: 2020-06-19 Impact factor: 5.428
Authors: Corelien J J Kloek; Johanna M van Dongen; Dinny H de Bakker; Daniël Bossen; Joost Dekker; Cindy Veenhof Journal: BMC Public Health Date: 2018-08-31 Impact factor: 3.295
Authors: Tjarco Koppenaal; Remco M Arensman; Johanna M van Dongen; Raymond W J G Ostelo; Cindy Veenhof; Corelien J J Kloek; Martijn F Pisters Journal: BMC Musculoskelet Disord Date: 2020-04-22 Impact factor: 2.362
Authors: Mark L van Tilburg; Corelien J J Kloek; Martijn F Pisters; J Bart Staal; Johanna M van Dongen; Marjolein de Weerd; Raymond W J G Ostelo; Nadine E Foster; Cindy Veenhof Journal: BMC Musculoskelet Disord Date: 2021-02-05 Impact factor: 2.362
Authors: Martin Stevens; Inge van den Akker-Scheek; Sjoukje E Bouma; Juliette F E van Beek; Ron L Diercks; Lucas H V van der Woude Journal: BMJ Open Date: 2022-02-01 Impact factor: 2.692