Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.

<h4>Objective</h4>To assess Australian physiotherapists' knowledge about, attitudes towards, and self-reported use of shared decision making, as well as perceived barriers to its implementation in practice.<h4>Methods</h4>Physiotherapists registered for a national Austra...

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Autores principales: Tammy Hoffmann, Elizabeth Gibson, Christopher Barnett, Christopher Maher
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/a46a7ea804594514afcaf6a70192d870
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spelling oai:doaj.org-article:a46a7ea804594514afcaf6a70192d8702021-12-02T20:04:00ZShared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.1932-620310.1371/journal.pone.0251347https://doaj.org/article/a46a7ea804594514afcaf6a70192d8702021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251347https://doaj.org/toc/1932-6203<h4>Objective</h4>To assess Australian physiotherapists' knowledge about, attitudes towards, and self-reported use of shared decision making, as well as perceived barriers to its implementation in practice.<h4>Methods</h4>Physiotherapists registered for a national Australian physiotherapy conference were invited via email and the conference app to complete a self-administered online questionnaire about shared decision making, including: a) knowledge, b) attitude to and reported approach in practice, c) behaviours used, d) barriers, e) previous training and future training interest. Responses were analysed descriptively and open-ended questions synthesised narratively.<h4>Results</h4>372 physiotherapists (71% female, mean age 45 years, mean experience 23 years) completed the survey. Respondents had a good level of knowledge on most questions, with correct responses ranging from 39.5% to 98.5% of participants, and a generally positive attitude towards shared decision making, believing it useful to most practice areas. Sixty percent indicated they make decisions with their patients and there was general agreement between how decisions should be made and how they are actually made. The behaviour with the lowest reported occurrence was explaining the relevant research evidence about the benefits and harms of the options. The main perceived barriers were patient knowledge and confidence, consequent fewer physiotherapy sessions, and time constraints. Most (79%) were keen to learn more about shared decision making.<h4>Conclusions</h4>Shared decision making is of growing importance to all health professions and rarely studied in physical therapy. This sample of Australian physiotherapists had a generally positive attitude to shared decision making and learning more about it. Opportunities for providing such skills training at the undergraduate level and in continuing professional development should be explored. This training should ensure that the communicating evidence component of shared decision making is addressed as well as debunking myths about perceived barriers to its implementation.Tammy HoffmannElizabeth GibsonChristopher BarnettChristopher MaherPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251347 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Tammy Hoffmann
Elizabeth Gibson
Christopher Barnett
Christopher Maher
Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.
description <h4>Objective</h4>To assess Australian physiotherapists' knowledge about, attitudes towards, and self-reported use of shared decision making, as well as perceived barriers to its implementation in practice.<h4>Methods</h4>Physiotherapists registered for a national Australian physiotherapy conference were invited via email and the conference app to complete a self-administered online questionnaire about shared decision making, including: a) knowledge, b) attitude to and reported approach in practice, c) behaviours used, d) barriers, e) previous training and future training interest. Responses were analysed descriptively and open-ended questions synthesised narratively.<h4>Results</h4>372 physiotherapists (71% female, mean age 45 years, mean experience 23 years) completed the survey. Respondents had a good level of knowledge on most questions, with correct responses ranging from 39.5% to 98.5% of participants, and a generally positive attitude towards shared decision making, believing it useful to most practice areas. Sixty percent indicated they make decisions with their patients and there was general agreement between how decisions should be made and how they are actually made. The behaviour with the lowest reported occurrence was explaining the relevant research evidence about the benefits and harms of the options. The main perceived barriers were patient knowledge and confidence, consequent fewer physiotherapy sessions, and time constraints. Most (79%) were keen to learn more about shared decision making.<h4>Conclusions</h4>Shared decision making is of growing importance to all health professions and rarely studied in physical therapy. This sample of Australian physiotherapists had a generally positive attitude to shared decision making and learning more about it. Opportunities for providing such skills training at the undergraduate level and in continuing professional development should be explored. This training should ensure that the communicating evidence component of shared decision making is addressed as well as debunking myths about perceived barriers to its implementation.
format article
author Tammy Hoffmann
Elizabeth Gibson
Christopher Barnett
Christopher Maher
author_facet Tammy Hoffmann
Elizabeth Gibson
Christopher Barnett
Christopher Maher
author_sort Tammy Hoffmann
title Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.
title_short Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.
title_full Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.
title_fullStr Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.
title_full_unstemmed Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.
title_sort shared decision making in australian physiotherapy practice: a survey of knowledge, attitudes, and self-reported use.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/a46a7ea804594514afcaf6a70192d870
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