A Qualitative Study of Barriers to the Implementation of a Rheumatoid Arthritis Guideline Among Generalist and Specialist Physical Therapists

Leti van Bodegom-Vos; John Verhoef; Margot Dickmann; Marjon Kleijn; Ingrid van Vliet; Emalie Hurkmans; Philip van der Wees; Thea Vliet Vlieland

doi:10.2522/ptj.20110097

A Qualitative Study of Barriers to the Implementation of a Rheumatoid Arthritis Guideline Among Generalist and Specialist Physical Therapists

Leti van Bodegom-Vos, John Verhoef, Margot Dickmann, Marjon Kleijn, Ingrid van Vliet, Emalie Hurkmans, Philip van der Wees, Thea Vliet Vlieland

DOI: 10.2522/ptj.20110097 Published 1 October 2012

Leti van Bodegom-Vos

L. van Bodegom-Vos, MSc, PhD, Department of Medical Decision Making, Leiden University Medical Center, J10-S, PO Box 9600, 2300 RC Leiden, the Netherlands.

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John Verhoef

J. Verhoef, PT, PhD, Department of Physical Therapy, Faculty of Health, University of Applied Sciences, Leiden, the Netherlands, and Department of Physiotherapy, Leiden University Medical Center, Leiden, the Netherlands.

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Margot Dickmann

M. Dickmann, PT, MPT, Department of Physical Therapy, Faculty of Health, University of Applied Sciences, and Institute of Physical Therapy, Sport Medisch Centrum Oegstgeest, Oegstgeest, the Netherlands.

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Marjon Kleijn

M. Kleijn, PT, MPT, Department of Physical Therapy, Faculty of Health, University of Applied Sciences, and Department of Rehabilitation, Academic Medical Center, Amsterdam, the Netherlands.

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Ingrid van Vliet

I. van Vliet, PT, MPT, Department of Physical Therapy, Faculty of Health, University of Applied Sciences, and Institute of Physical Therapy, Ommedijk, Leiderdorp, the Netherlands.

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Emalie Hurkmans

E. Hurkmans, PT, MSc, PhD, Department of Rheumatology, Leiden University Medical Center.

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Philip van der Wees

P. van der Wees, PT, MSc, PhD, Royal Dutch Society for Physical Therapy, Amersfoort, the Netherlands; Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands; CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, the Netherlands; and Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.

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Thea Vliet Vlieland

T. Vliet Vlieland, PT, MD, PhD, Department of Rheumatology, Leiden University Medical Center, and Department of Orthopaedics, Leiden University Medical Center.

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Appendix.

Topic Guide

Tables

Table 1.

Characteristics of Participants in a Focus Group Study of a Guideline for the Management of Rheumatoid Arthritis (RA) by Physical Therapists

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Table 2.

Barriers Reported by Generalist and Specialist Physical Therapists (PTs)^{^a}

↵^a Grouped according to the categorization in the framework of Cabana et al.¹¹ Representative remarks are shown in parentheses. KNGF=Royal Dutch Society for Physical Therapy.
^b Barrier is unique to generalist physical therapists.
^c Barrier is unique to specialist physical therapists.

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Vol 92 Issue 10 Table of Contents

Issue highlights

Back Pain Beliefs and Impact of Low Back Pain in 17-Year-Olds
Perceived Effort of Walking
Comparison of Robotic-Assisted Stepping
Barriers to Implementation of a Rheumatoid Arthritis Guideline Among Physical Therapists
Experiences of Physical Therapists in Workers' Compensation
Initial Support in Tandem Stance Tests of Balance
Reliability of a Communicating Vessels Volumeter to Measure Wrist-Hand Volume
Dynamic Strengthening and Aerobic Capacity Exercises for Rheumatoid Arthritis
Interpretation of Reliability and Diagnostic Test Threshold Change Values
Physical Therapy and Stress Management for Chronic Neck Pain

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