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Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline

BACKGROUND: Clinical practice guidelines have been developed to assist healthcare practitioners in clinical decision making. Publication of clinical practice guidelines does not automatically lead to their uptake and barrier identification has been recognized as an important step in implementation p...

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Autores principales: van der Wees, Philip J, Zagers, Cor AM, de Die, Sara E, Hendriks, Erik JM, Nijhuis-van der Sanden, Maria WG, de Bie, Rob A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3645972/
https://www.ncbi.nlm.nih.gov/pubmed/23631555
http://dx.doi.org/10.1186/1472-6963-13-159
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author van der Wees, Philip J
Zagers, Cor AM
de Die, Sara E
Hendriks, Erik JM
Nijhuis-van der Sanden, Maria WG
de Bie, Rob A
author_facet van der Wees, Philip J
Zagers, Cor AM
de Die, Sara E
Hendriks, Erik JM
Nijhuis-van der Sanden, Maria WG
de Bie, Rob A
author_sort van der Wees, Philip J
collection PubMed
description BACKGROUND: Clinical practice guidelines have been developed to assist healthcare practitioners in clinical decision making. Publication of clinical practice guidelines does not automatically lead to their uptake and barrier identification has been recognized as an important step in implementation planning. This study aimed at developing a questionnaire to identify perceived barriers for implementing the Dutch COPD guideline for physical therapists and its recommended measurement instruments. METHODS: An overall questionnaire, based on two existing questionnaires, was constructed to identify barriers and facilitators for implementing the COPD guideline. The construct of the questionnaire was assessed in a cross-sectional study among 246 chest physical therapists. Factor analysis was conducted to explore underlying dimensions. Psychometric properties were analyzed using Cronbach’s alpha. Barriers and facilitators were assessed using descriptive statistics. RESULTS: Some 139 physical therapists (57%) responded. Factor analysis revealed 4-factor and 5-factor solutions with an explained variance of 36% and 39% respectively. Cronbach’s alpha of the overall questionnaire was 0.90, and varied from 0.66 to 0.92 for the different factors. Underlying domains of the 5-factor solution were characterized as: attitude towards using measurement instruments, knowledge and skills of the physical therapist, applicability of the COPD guideline, required investment of time & money, and patient characteristics. Physical therapists showed a positive attitude toward using the COPD guideline. Main barriers for implementation were required time investment and financial constraints. CONCLUSIONS: The construct of the questionnaire revealed relevant underlying domains for the identification of barriers and facilitators for implementing the COPD guideline. The questionnaire allowed for tailoring to the target group and may be used across health care professionals as basis for in-depth analysis of barriers to specific recommendations in guidelines. The results of the questionnaire alone do not provide sufficient information to inform the development of an implementation strategy. The infrastructure for developing the guideline can be used for addressing key barriers by the guideline development group, using the questionnaire as well as in-depth analysis such as focus group interviews. Further development of methods for prospective identification of barriers and consequent tailoring of implementation interventions is required.
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spelling pubmed-36459722013-05-07 Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline van der Wees, Philip J Zagers, Cor AM de Die, Sara E Hendriks, Erik JM Nijhuis-van der Sanden, Maria WG de Bie, Rob A BMC Health Serv Res Research Article BACKGROUND: Clinical practice guidelines have been developed to assist healthcare practitioners in clinical decision making. Publication of clinical practice guidelines does not automatically lead to their uptake and barrier identification has been recognized as an important step in implementation planning. This study aimed at developing a questionnaire to identify perceived barriers for implementing the Dutch COPD guideline for physical therapists and its recommended measurement instruments. METHODS: An overall questionnaire, based on two existing questionnaires, was constructed to identify barriers and facilitators for implementing the COPD guideline. The construct of the questionnaire was assessed in a cross-sectional study among 246 chest physical therapists. Factor analysis was conducted to explore underlying dimensions. Psychometric properties were analyzed using Cronbach’s alpha. Barriers and facilitators were assessed using descriptive statistics. RESULTS: Some 139 physical therapists (57%) responded. Factor analysis revealed 4-factor and 5-factor solutions with an explained variance of 36% and 39% respectively. Cronbach’s alpha of the overall questionnaire was 0.90, and varied from 0.66 to 0.92 for the different factors. Underlying domains of the 5-factor solution were characterized as: attitude towards using measurement instruments, knowledge and skills of the physical therapist, applicability of the COPD guideline, required investment of time & money, and patient characteristics. Physical therapists showed a positive attitude toward using the COPD guideline. Main barriers for implementation were required time investment and financial constraints. CONCLUSIONS: The construct of the questionnaire revealed relevant underlying domains for the identification of barriers and facilitators for implementing the COPD guideline. The questionnaire allowed for tailoring to the target group and may be used across health care professionals as basis for in-depth analysis of barriers to specific recommendations in guidelines. The results of the questionnaire alone do not provide sufficient information to inform the development of an implementation strategy. The infrastructure for developing the guideline can be used for addressing key barriers by the guideline development group, using the questionnaire as well as in-depth analysis such as focus group interviews. Further development of methods for prospective identification of barriers and consequent tailoring of implementation interventions is required. BioMed Central 2013-05-01 /pmc/articles/PMC3645972/ /pubmed/23631555 http://dx.doi.org/10.1186/1472-6963-13-159 Text en Copyright © 2013 Van der Wees et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
van der Wees, Philip J
Zagers, Cor AM
de Die, Sara E
Hendriks, Erik JM
Nijhuis-van der Sanden, Maria WG
de Bie, Rob A
Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline
title Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline
title_full Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline
title_fullStr Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline
title_full_unstemmed Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline
title_short Developing a questionnaire to identify perceived barriers for implementing the Dutch physical therapy COPD clinical practice guideline
title_sort developing a questionnaire to identify perceived barriers for implementing the dutch physical therapy copd clinical practice guideline
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3645972/
https://www.ncbi.nlm.nih.gov/pubmed/23631555
http://dx.doi.org/10.1186/1472-6963-13-159
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