Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/28274
Title: Supervised teaching and feedback improve physiotherapists’ reporting of the International Classification of Functioning, Disability and Health in physiotherapeutic electronic patient records: a proof-of-concept randomized controlled trial
Authors: Lamsens, Liesbeth
JANSSENS, Lotte 
Peers, Koen
Caluwe, Kim
Kiekens, Carlotte
VAN ELDERE, Johan 
Vanhaecht, Kris
Bruyneel, Luk
Issue Date: 2020
Publisher: WILEY
Source: JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 26(1), p. 357-363.
Abstract: Rationale, aims, and objectives The International Classification of Functioning, Disability and Health (ICF) is a landmark for physiotherapy to describe the full spectrum of human functioning, but ICF patient record completion could improve. In this study, we examine the effect of supervised teaching and personalized feedback on physiotherapists' completion and reporting of ICF in electronic patient records. Method In this proof‐of‐concept randomized controlled trial, the intervention group (10 physiotherapists) received supervised teaching and four rounds of personalized feedback on reporting of ICF components in electronic patient records. In the intervention group, review on patient record completion (n = 670 records) was performed at baseline, after teaching, after each of four feedback rounds, and at long‐term follow‐up. In the control group (five physiotherapists), which received no supervised teaching nor personalized feedback, review (n = 140 records) was performed at baseline, after the third feedback round of the intervention group, and at follow‐up. Results After the third round of feedback (95% vs 72% completion; β, 2.68; 95% CI, 0.62‐4.74), patient record completion was significantly higher in the intervention group. This was also true for following ICF components: “activity” (93% versus 64% completion; β, 3.03; 95% CI, 1.52‐4.54), “participation” (50% versus 14% completion; β, 3.67; 95% CI, 1.79‐5.55), and “personal factors” (35% versus 20% completion; β, 2.10; 95% CI, 0.63‐3.57). These statistically significant and clinically relevant effects persisted at long‐term follow‐up. For “environmental factors,” effects after the third round of feedback (75% vs 30% completion; β, 1.88; 95% CI, 0.63‐3.13) disappeared at follow‐up. Reporting of “body functions and structures” improved similarly across groups. Conclusions Supervised teaching and personalized feedback are active ingredients of an intervention to improve reporting of ICF components in physiotherapeutic patient records.
Keywords: behaviour therapy;Disability and Health;electronic health records;hospitals;International Classification of Functioning;randomized controlled trial
Document URI: http://hdl.handle.net/1942/28274
ISSN: 1356-1294
e-ISSN: 1365-2753
DOI: 10.1111/jep.13212
ISI #: WOS:000537991900045
Rights: Free access. 2019 John Wiley & Sons, Ltd.
Category: A1
Type: Journal Contribution
Validations: ecoom 2021
Appears in Collections:Research publications

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