Show simple item record

dc.contributor.authorHolden, Melanie Annen
dc.contributor.authorWhittle, Rebeccaen
dc.contributor.authorWaterfield, Jackieen
dc.contributor.authorChesterton, Lindaen
dc.contributor.authorCottrell, Elizabethen
dc.contributor.authorQuicke, Jonathan Georgeen
dc.contributor.authorMallen, Christian Daviden
dc.date.accessioned2019-08-12T11:10:33Z
dc.date.available2019-08-12T11:10:33Z
dc.date.issued2018-08-17
dc.identifier.citationHolden, M. A., Whittle, R., Waterfield, J., Chesterton, L., Cottrell, E., Quicke, J. G. & Mallen, C. D. (2019) A mixed methods exploration of physiotherapist’s approaches to analgesic use among patients with hip osteoarthritis. Physiotherapy, 105(3), pp. 328-337.en
dc.identifier.issn0031-9406en
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9902
dc.identifier.urihttps://doi.org/10.1016/j.physio.2018.08.003
dc.descriptionJackie Waterfield - ORCID 0000-0001-9004-7125 https://orcid.org/0000-0001-9004-7125en
dc.description.abstractObjective To explore how physiotherapists currently address analgesic use among patients with hip osteoarthritis, and their beliefs about the acceptability of prescribing for these patients.en
dc.description.abstractMethods A cross-sectional questionnaire was mailed to 3126 UK-based physiotherapists. Approaches to analgesic use among patients with hip osteoarthritis were explored using a case vignette. Semi-structured telephone interviews were undertaken with 21 questionnaire responders and analysed thematically.
dc.description.abstractSetting UK.
dc.description.abstractParticipants Physiotherapists who had treated a patient with hip osteoarthritis in the previous 6 months.
dc.description.abstractResults Questionnaire response: 53% (n = 1646). One thousand one hundred forty eight physiotherapists reported treating a patient with hip osteoarthritis in the last 6 months (applicable responses), of whom nine (1%) were non-medical prescribers. Nearly all physiotherapists (98%) reported that they would address analgesic use for the patient with hip osteoarthritis, most commonly by signposting them to their GP (83%). Fifty six percent would discuss optimal use of current medication, and 33%, would discuss use of over-the-counter medications. Interviews revealed that variations in physiotherapists’ approaches to analgesic use were influenced by personal confidence, patient safety concerns, and their perceived professional remit. Whilst many recognised the benefits of analgesia prescribing for both patients and GP workload, additional responsibility for patient safety was a perceived barrier.
dc.description.abstractConclusions How physiotherapists currently address analgesic use with patients with hip osteoarthritis is variable. Although the potential benefits of independent prescribing were recognised, not all physiotherapist want the additional responsibility. Further guidance supporting optimisation of analgesic use among patients with hip OA may help better align care with best practice guidelines and reduce GP referrals.
dc.description.sponsorshipThis study was funded by the Arthritis Research UK Centre in Primary Care grant (grant number: 18139). MAH was funded by the National Institute for Health Research (NIHR) School for Primary Care Research. CDM is funded by the NIHR Collaborations for Leadership in Applied Health Research and Care West Midlands, the NIHR School for Primary Care Research and a NIHR Research Professorship in General Practice (NIHR-RP-2014-04-026). EC is funded by an NIHR Academic Clinical Lectureship in Primary Care. JQ is funded by an NIHR Academic Clinical Lectureship in Physiotherapy, awarded as part of CDM’s NIHR Research Professorship (NIHR-RP-2014-026). The funders did not influence the study design or the writing of this article. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.en
dc.description.urihttps://doi.org/10.1016/j.physio.2018.08.003en
dc.format.extent328-337en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.ispartofPhysiotherapyen
dc.subjectPhysiotherapyen
dc.subjectPrescribingen
dc.subjectHip Osteoarthritisen
dc.subjectAnalgesicsen
dc.subjectMixed Methodsen
dc.titleA mixed methods exploration of physiotherapist’s approaches to analgesic use among patients with hip osteoarthritisen
dc.typeArticleen
dcterms.dateAccepted2018-08-10
dc.description.volume105en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2018-08-17
refterms.dateEmbargoEnd2019-08-17
refterms.dateFCD2019-08-12
refterms.depositExceptionNAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorWaterfield, Jackieen
dc.description.statuspub
dc.description.number3en
refterms.versionNAen
refterms.dateDeposit2019-08-12


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record