Use of standardised measurement instruments and technology among Flemish physiotherapists: a cross-sectional online survey on current practices, attitudes, and barriers

Abstract

Objectives The aim of this study was to investigate the current levels of use and attitudes towards standardised measurement instruments and (rehabilitation) technology among physiotherapists in Flanders, Belgium. Methods This cross-sectional study used an open, online survey, accessible to physiotherapists working in Flanders. Results 305 completed records were retrieved. Most respondents were female (73,8 %), had >11 years of clinical experience (54,1 %), and treated >10 patients per day (82,6 %). Less than half of the respondents (47,5 %) reported frequent use of standardised measurement instruments. Treating <15 patients per day and working in a rehabilitation centre were significantly associated with frequent use of measurement instruments. Lack of time and added value were most often reported as perceived barriers for systematic implementation. Regarding technology, respondents reported to lack sufficient knowledge (40,7 %), with 36,7 % using no technology in their clinical practice. Having between 3–10 years of clinical experience and frequently treating neurological disorders were significantly associated with an increased use of technology. Lack of finances, knowledge, time and skills were the most frequently perceived barriers to the use of (rehabilitation) technology. Conclusion Frequent use of measurement instruments among Flemish physiotherapists appears to be relatively low and one in ten frequently alters the standardised administration. Though attitudes toward (rehabilitation) technology are positive, its adoption in clinical practice appears to be relatively low. Identified barriers include financial constraints, lack of knowledge, time and skills. Public interest summary This study investigated how frequently physiotherapists in Flanders, Belgium use standardized measurement instruments (which assess a patient’s health status) and technology during their patients’ treatment. We surveyed 305 physiotherapists and found that fewer than half regularly use measurement instruments. Those who treated fewer patients and worked in rehabilitation centres used these tools more often. Lack of time was most often reported as a barrier for frequent use of measurement instruments. Concerning (rehabilitation) technology, many physiotherapists felt they didn't have enough knowledge about such devices and more than one in three used no technology in their clinical practice. Those with 3–10 years of professional experience and those who often treated neurological disorders were more likely to use technology. The biggest barriers to using technology were lack of money, knowledge, time, and skills. Stimulating the use of both standardised measurement instruments and rehabilitation technology could yield benefits for both therapist and patient.