Facilitators and barriers to using neurological outcome measures in different income level countries

Shah, Akash and Solomon, John M (2017) Facilitators and barriers to using neurological outcome measures in different income level countries. Physiotherapy Canada. Physiotherapie Canada, 69 (4). pp. 303-312. ISSN 0300-0508

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Background: In physiotherapy, the use of standardized outcome measures is crucial to assess individuals with neurological deficits, as part of good clinical practice. However, use of outcome measures may vary between countries of different income levels. Aim: To identify and compare facilitators and barriers related to the use of neurological outcome measures in physical therapy practice in lower middle- and high-income countries. Methods: A self-administered web-based questionnaire on the factors influencing the use of outcome measures was sent by e-mail to physical therapists working in neurology in Canada and India. The questionnaire consisted of 16 questions about facilitators and barriers to the use of neurological outcome measures. Frequencies and proportions (%) of responses to each question were computed. Differences between countries were assessed using two-proportion z-tests. Results: For India and Canada, the main facilitators of using outcome measures were similar: known reliability and validity, recommended in clinical practice guidelines, learned during professional training, and rapid and ease to administer. For both countries, lack of assessment time was identified as the most important barrier to using standardized outcome measures. Differences between countries were also noted in the barriers limiting the use of standardized outcome measures: cost and availability for India, and lack of knowledge on the selection and administration of an outcome measure for Canada. Conclusions: The identification of the factors influencing to the use of outcome measures by physical therapist working in neurology practice could help to tailor implementation strategies.

Item Type: Article
Uncontrolled Keywords: Outcome measures; evidence-based practice; rehabilitation; neurology. India.
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Depositing User: KMC Library
Date Deposited: 16 Jan 2019 11:03
Last Modified: 16 Jan 2019 11:03
URI: http://eprints.manipal.edu/id/eprint/153013

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