Trial document




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  DRKS00004884

Trial Description

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Title

Perceived factors that influence the decision- making process of German expert physiotherapists when treating patients with musculoskeletal problems

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Trial Acronym

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URL of the Trial

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Brief Summary in Lay Language

Aim:
To identify perceived factors that influence the decision- making process of German expert physiotherapists when providing treatment for patients with musculoskeletal problems.

Objectives:
To gain in- depth insight into the decision- making process of German expert physiotherapists.
To identify a variety of factors influencing the decision- making process.
To inform practice about factors that influence a high- quality decision- making process.

Participants:
In order to identify a variety of influencing factors and in order to offer an exemplary decision- making process, participants should be experts in the field of musculoskeletal physiotherapy. For this reason an OMT- degree is the inclusion criteria. Furthermore, participants have to be German physiotherapists, as the clinical question refers to physiotherapy in Germany.

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Brief Summary in Scientific Language

Clinical decision- making and clinical reasoning are described as interrelated processes. Clinical decision- making is the process of choosing a course of action, it is both, a component and an outcome of clinical reasoning. Clinical decision- making as part of evidence- based physiotherapy is described as a complex process that is informed by professional knowledge of the therapist, high quality research and patient preferences. When analysing and synthesizing relevant information, clinical decision- making depends on clinical reasoning.

There are two different forms of clinical reasoning: Cognitive and interactive reasoning. In order to understand the problem of the patient, both forms of reasoning are necessary. Cognitive reasoning involves diagnostic reasoning in order to identify physical impairments, pathophysiological processes or pain mechanisms. Interactive reasoning involves understanding context, meaning and experience of the problem for the patient.
Diagnostic reasoning is important in order to identify severe pathologies, and in order to improve treatment outcome. Interactive reasoning enhances patient satisfaction.
It is recommended to use these forms of reasoning for assessment as well as for treatment and management.

It is questionable if musculoskeletal physiotherapists use this form of reasoning, there is evidence that the biopsychosocial approach of physiotherapists from the musculoskeletal field is less broad than the approach of physiotherapists from other specialist fields. Furthermore, this approach to clinical reasoning is common in anglo- saxon health- care cultures, and it is questionable in how far this approach is known and used in other health- care cultures.

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Organizational Data

  •   DRKS00004884
  •   2013/04/19
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  •   yes
  •   Approved
  •   037/13, School of Health & Social Care Research Governance and Ethics Committee Health and Social Care Institute P1.18 Parkside West Offices Teesside University Middlesbrough Tees Valley TS1 3BA UK
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Secondary IDs

  •   U1111-1141-5518 
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Health Condition or Problem studied

  •   No study of health condition or problem, study of the clinical decision- making process of physiotherapists
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Interventions/Observational Groups

  •   Physiotherapists with OMT- degree will be interviewed about their clinical decision- making.
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Characteristics

  •   Non-interventional
  •   Other
  •   Single arm study
  •   Open (masking not used)
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  •   Uncontrolled/Single arm
  •   Other
  •   Single (group)
  •   N/A
  •   N/A
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Primary Outcome

Identification of factors that influence the decision making process.

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Secondary Outcome

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

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Recruitment

  •   Actual
  •   2013/05/01
  •   8
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   no minimum age
  •   no maximum age
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Additional Inclusion Criteria

German physiotherapists with an OMT- degree

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Exclusion Criteria

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Addresses

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    • Teesside University School of Health & Social Care
    • Centuria Building
    • TS1 3BA  Middlesbrough
    • United Kingdom
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    •   00441642384110
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    • Teesside University School of Health & Social Care
    • Mr.  Dr  Nigel  Hanchard 
    • Centuria Building
    • TS1 3BA  Middlesbrough
    • United Kingdom
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    • Teesside University School of Health & Social Care
    • Mr.  Dr  Nigel  Hanchard 
    • Centuria Building
    • TS1 3BA  Middlesbrough
    • United Kingdom
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Sources of Monetary or Material Support

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    • Teesside University School of Health & Social Care
    • Centuria Building
    • TS1 3BA  Middlesbrough
    • United Kingdom
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Status

  •   Recruiting complete, follow-up continuing
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Trial Publications, Results and other Documents

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