The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey

BackgroundThe recognition of serious pathologies affecting the musculoskeletal (MSK) system, especially in the early stage of a disease, is an important but challenging task. The prevalence of such serious pathologies is currently low. However, in our progressing aging popula...

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Main Authors: Wolfgang Lackenbauer, Simon Gasselich, Martina Edda Lickel, Reinhard Beikircher, Christian Keip, Florian Rausch, Manfred Wieser, James Selfe, Jessie Janssen
Format: Article
Language:English
Published: JMIR Publications 2023-01-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2023/1/e43028
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author Wolfgang Lackenbauer
Simon Gasselich
Martina Edda Lickel
Reinhard Beikircher
Christian Keip
Florian Rausch
Manfred Wieser
James Selfe
Jessie Janssen
author_facet Wolfgang Lackenbauer
Simon Gasselich
Martina Edda Lickel
Reinhard Beikircher
Christian Keip
Florian Rausch
Manfred Wieser
James Selfe
Jessie Janssen
author_sort Wolfgang Lackenbauer
collection DOAJ
description BackgroundThe recognition of serious pathologies affecting the musculoskeletal (MSK) system, especially in the early stage of a disease, is an important but challenging task. The prevalence of such serious pathologies is currently low. However, in our progressing aging population, it is anticipated that serious pathologies affecting the MSK system will be on the rise. Physiotherapists, as part of a wider health care team, can play a valuable role in the recognition of serious pathologies. It is at present unknown how accurately Austrian qualified physiotherapists can detect the presence of serious pathologies affecting the MSK system and therefore determine whether physiotherapy management is indicated (keep patients) or not (refer patients to a medical doctor). ObjectiveWe will explore the current ability of Austrian qualified physiotherapists to recognize serious pathologies by using validated clinical vignettes. MethodsAs part of an electronic web-based survey, these vignettes will be distributed among a convenience sample of qualified Austrian physiotherapists working in a hospital or private setting. The survey will consist of four sections: (1) demographics and general information, (2) the clinical vignettes, (3) questions concerning the clinical vignettes, and (4) self-perceived knowledge gaps and learning preferences from the perspective of study participants. Results will further be used for (1) international comparison with similar studies from the existing literature and (2) gaining insight into the participants’ self-perceived knowledge gaps and learning preferences for increasing their knowledge level about keep-refer decision-making and detecting serious pathologies. ResultsData collection took place between May 2022 and June 2022. As of June 2022, a total of 479 Austrian physiotherapists completed the survey. Data analysis has started, and we aim to publish the results in 2023. ConclusionsThe results of this survey will provide insights into the ability of Austrian physiotherapists to make accurate keep-refer decisions and to recognize the presence of serious pathologies using clinical vignettes. The results of this survey are expected to serve as a basis for future training in this area. International Registered Report Identifier (IRRID)DERR1-10.2196/43028
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spelling doaj.art-3c063009b9c648d6843c2bee6005fc232023-08-28T23:29:06ZengJMIR PublicationsJMIR Research Protocols1929-07482023-01-0112e4302810.2196/43028The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based SurveyWolfgang Lackenbauerhttps://orcid.org/0000-0002-7469-7950Simon Gasselichhttps://orcid.org/0000-0002-2442-7442Martina Edda Lickelhttps://orcid.org/0000-0003-1687-475XReinhard Beikircherhttps://orcid.org/0000-0002-5341-689XChristian Keiphttps://orcid.org/0000-0002-5758-0136Florian Rauschhttps://orcid.org/0000-0002-0340-6685Manfred Wieserhttps://orcid.org/0000-0001-6216-2396James Selfehttps://orcid.org/0000-0001-9931-4998Jessie Janssenhttps://orcid.org/0000-0002-5961-2736 BackgroundThe recognition of serious pathologies affecting the musculoskeletal (MSK) system, especially in the early stage of a disease, is an important but challenging task. The prevalence of such serious pathologies is currently low. However, in our progressing aging population, it is anticipated that serious pathologies affecting the MSK system will be on the rise. Physiotherapists, as part of a wider health care team, can play a valuable role in the recognition of serious pathologies. It is at present unknown how accurately Austrian qualified physiotherapists can detect the presence of serious pathologies affecting the MSK system and therefore determine whether physiotherapy management is indicated (keep patients) or not (refer patients to a medical doctor). ObjectiveWe will explore the current ability of Austrian qualified physiotherapists to recognize serious pathologies by using validated clinical vignettes. MethodsAs part of an electronic web-based survey, these vignettes will be distributed among a convenience sample of qualified Austrian physiotherapists working in a hospital or private setting. The survey will consist of four sections: (1) demographics and general information, (2) the clinical vignettes, (3) questions concerning the clinical vignettes, and (4) self-perceived knowledge gaps and learning preferences from the perspective of study participants. Results will further be used for (1) international comparison with similar studies from the existing literature and (2) gaining insight into the participants’ self-perceived knowledge gaps and learning preferences for increasing their knowledge level about keep-refer decision-making and detecting serious pathologies. ResultsData collection took place between May 2022 and June 2022. As of June 2022, a total of 479 Austrian physiotherapists completed the survey. Data analysis has started, and we aim to publish the results in 2023. ConclusionsThe results of this survey will provide insights into the ability of Austrian physiotherapists to make accurate keep-refer decisions and to recognize the presence of serious pathologies using clinical vignettes. The results of this survey are expected to serve as a basis for future training in this area. International Registered Report Identifier (IRRID)DERR1-10.2196/43028https://www.researchprotocols.org/2023/1/e43028
spellingShingle Wolfgang Lackenbauer
Simon Gasselich
Martina Edda Lickel
Reinhard Beikircher
Christian Keip
Florian Rausch
Manfred Wieser
James Selfe
Jessie Janssen
The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey
JMIR Research Protocols
title The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey
title_full The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey
title_fullStr The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey
title_full_unstemmed The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey
title_short The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey
title_sort ability of austrian qualified physiotherapists to make accurate keep refer decisions and to detect serious pathologies based on clinical vignettes protocol for a cross sectional web based survey
url https://www.researchprotocols.org/2023/1/e43028
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