Patients report being satisfied with private musculoskeletal physical therapy when therapists educate effectively and facilitate shared decision making

Journal article


Nicholson, Vaughan, Tuttle, Neil, Papinniemi, Amy and Evans, Kerrie. (2023). Patients report being satisfied with private musculoskeletal physical therapy when therapists educate effectively and facilitate shared decision making. Brazilian Journal of Physical Therapy. 27(2), p. Article 100501. https://doi.org/10.1016/j.bjpt.2023.100501
AuthorsNicholson, Vaughan, Tuttle, Neil, Papinniemi, Amy and Evans, Kerrie
Abstract

Background
Overall satisfaction with physical therapy care can improve patient adherence and active involvement in their management. However, which individual factors most influence satisfaction with private practice physical therapy care is not well established.

Objective
To identify which aspects of the private practice musculoskeletal physical therapy experience best delineated “completely satisfied” and “dissatisfied patients”.

Methods
The MedRisk Instrument for Measuring Patient Satisfaction with Physical Therapy Care (MRPS) was used in a cross-sectional design within 18 Australian private musculoskeletal physical therapy practices. The area under the curve (AUC) of receiver operator characteristic curves (ROC) was used to quantify the ability of the individual patient experience questions to classify the global impressions of satisfaction and likelihood to recommend to others.

Results
1712 patients completed the survey (out of 7320 survey recipients - response rate 23%). High scores were identified for overall satisfaction (4.8/5 ± 0.61) and likelihood to recommend (4.78/5 ± 0.67). Individual items relating to education (AUC = 0.839 and 0.838) and shared decision making (AUC = 0.832 and 0.811) were the most accurate indicators of satisfaction and likelihood to recommend to others, respectively.

Conclusion
Individual questionnaire items relating to education and shared decision making were the most accurate indicators of satisfaction and likelihood to recommend in patients attending private practice musculoskeletal physical therapy in Australia. Clinicians and educators should focus on developing these skills to encourage an effective therapeutic alliance and promote greater levels of patient satisfaction.

Keywordscommunication; patient education; satisfaction; therapeutic alliance
Year2023
JournalBrazilian Journal of Physical Therapy
Journal citation27 (2), p. Article 100501
PublisherElsevier España
ISSN1413-3555
Digital Object Identifier (DOI)https://doi.org/10.1016/j.bjpt.2023.100501
PubMed ID37084573
Scopus EID2-s2.0-85152699853
PubMed Central IDPMC10172907
Page range1-8
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online19 Apr 2023
Publication process dates
Accepted27 Mar 2023
Deposited29 Apr 2025
Additional information

© 2023 Associação Brasileira de Pesquisae Pós-Graduação em Fisioterapia. Published by Elsevier España, S.L.U. All rights reserved.

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