Journal
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY
Volume 49, Issue 7, Pages 501-+Publisher
J O S P T
DOI: 10.2519/jospt.2019.8676
Keywords
clinical practice; Delphi; evidence-based care; knowledge translation; priority ranking; quality indicators
Categories
Funding
- National Health and Medical Research Council (Centres of Research Excellence) [1079078]
- Australian Government Research Training Program
- Australian Research Council Future Fellowship [FT130100175]
- Centres of Research Excellence
- Collaboration for Leadership in Applied Health Research and Care West Midlands
- Knowledge Mobilisation Research Fellowship from the National Institute for Health Research [KMRF 2014-03-002]
- National Health and Medical Research Council Research Fellowship [1058440]
- University of Melbourne
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BACKGROUND: Physical therapists are key providers of conservative management for hip and/or knee osteoarthritis (OA), yet not all guideline recommendations are tailored to their scope of practice. OBJECTIVE: To identify and prioritize the most important recommendations relevant to physical therapy practice for hip and/or knee OA. METHODS: International physical therapists (n = 132) were invited to participate in an online modified Delphi survey, followed by a priority-ranking exercise. A total of 63 recommendations were extracted from 2 recent high-quality clinical guidelines. In 3 Delphi rounds, the panel identified those recommendations they considered to be most relevant to physical therapy practice for hip and knee OA. Any new recommendations were ascertained. For a recommendation to be included, at least 70% of respondents had to rate the recommendation as 7 or above on a numeric rating scale (0 is not important and 10 is extremely important). The panel prioritized recommendations that remained after the final round using decision-making software. RESULTS: Of 132 therapists from 14 countries, 62 completed round 1, 52 completed round 2, 45 completed round 3, and 35 completed the priority-ranking exercise. From an initial list of 70 potential recommendations (including 7 new recommendations), 30 were included in the priority-ranking exercise. The top recommendations were related to providing education and prescribing exercise and weight loss as core treatments, followed by individualized OA assessment and treatment and communication strategies. CONCLUSION: This study identified and ranked the most important recommendations relevant to physical therapy practice for hip and/or knee OA.
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