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Table 2 Number and percentage of the opinions of generalist physical therapists (n = 142) with regard to addressing occupational factors within physical therapy practice in terms of awareness, attitude, social influences and self-efficacy

From: Work participation of patients with musculoskeletal disorders: is this addressed in physical therapy practice?

 

Totally disagree, n (%)

Disagree, n (%)

Neutral, n (%)

Agree, n (%)

Totally agree, n (%)

1. Awareness

Instruction: Please indicate to what extent you agree or disagree with the following statements:

 a) The border where general physical therapy ends and occupational health physical therapy starts is clear to me.

10 (7.0)

64 (45.1)

38 (26.8)

27 (19.0)

3 (2.1)

 b) I am aware of the fact that, on average, the majority of my patients have paid work.

5 (3.5)

8 (5.6)

15 (10.6)

61 (43.0)

53 (37.3)

 c) I see the way my patients work (performance) as a possible treatment option.

3 (2.1)

4 (2.8)

21 (14.8)

78 (54.9)

36 (25.4)

 d) I see the extent of work participation of my patient as a possible treatment option.

4 (2.8)

4 (2.8)

24 (16.9)

81 (57.0)

29 (20.4)

2. Attitude

Instruction: The following statements are about your opinion regarding physical therapy in general, not just about your own actions.

 a) The patient’s work should have a larger place within the physical therapy than it currently does

2 (1.4)

12 (8.5)

37 (26.1)

66 (46.5)

25 (17.6)

 b) I consider the patient’s work as a major barrier or facilitator for recovery.

3 (2.1)

5 (3.5)

14 (9.9)

81 (57.0)

39 (27.5)

 c) I consider the patient’s work as a major cause of complaints.

4 (2.8)

13 (9.2)

(46 (32.4)

58 (40.8)

21 (14.8)

 d) Addressing the patient’s work in practice has positive effects on the patient’s performance.

1 (0.7)

0

14 (9.9)

82 (57.7)

45 (31.7)

 e) Addressing the patient’s work in physical therapy practice has a positive effect on the patient’s work absenteeism.

2 (1.4)

4 (2.8)

31 (21.8)

73 (51.4)

32 (22.5)

 f) It is not important to address the patient’s work/work activities within physical therapy practice because the patients visit the physical therapist for treating his/her physical complaints.

87 (61.3)

39 (27.5)

5 (3.5)

8 (5.6)

3 (2.1)

 g) There is insufficient opportunity to address the patient’s work/work activities within the regular physical therapy treatment.

51 (35.9)

59 (41.5)

5 (10.6)

16 (11.3)

1 (0.7)

 h) Cooperation with the business community about occupational health offers a possibility to put more focus on physical therapy and create a different business model.

4 (2.8)

4 (2.8)

31 (21.8)

68 (47.9)

35 (24.6)

 i) The domain ‘work’ belongs to the company/occupational health physical therapist, whereas generalist physical therapists have little to do with it.

47 (33.1)

63 (44.4)

21 (14.8)

8 (5.6)

3 (2.1)

 j) The specific knowledge that is required in the field of occupational health is not sufficiently accessible to the generalist physical therapist.

17 (12.0)

31 (21.8)

55 (38.7)

34 (23.9)

5 (3.5)

 k) The patient’s demand of care is rarely related to his/her work.

44 (31.0)

58 (40.8)

23 (16.2)

14 (9.9)

3 (2.1)

3. Social influences

Instruction: The following statements relate to your personal situation and about your personal opinion. Please indicate to what extent you agree or disagree with the following statements:

 a) My colleagues think that I should not address the patient’s work in my practice.

69 (48.6)

49 (34.5)

20 (4.1)

4 (2.8)

0

 b) The majority of my colleagues pay sufficient attention to their patient’s work in their practice.

5 (3.5)

30 (21.1)

47 (33.1)

53 (37.3)

7 (4.9)

 c) I notice that patients like it when I discuss their work situation with them.

3 (2.1)

6 (4.2)

21 (14.8)

88 (62.0)

24 (16.9)

 d) My colleagues support me to pay attention to the work of my patient.

6 (4.2)

15 (10.6)

62 (43.7)

50 (35.2)

9 (6.3)

 e) My supervisor supports me to pay attention to the work situation of my patient.

6 (4.2)

12 (8.5)

69 (48.6)

40 (28.2)

15 (10.6)

4. Self-efficacy

Instruction: Please indicate to what extent you agree or disagree with the following statements:

 a) I am able to address the work of my patient within my practice, despite the ever-changing laws and regulations in this area.

3 (2.1)

12 (8.5)

38 (26.8)

75 (52.8)

14 (9.9)

 b) I am able to ask my patient about his/her working situation and to adapt my treatment accordingly.

1 (0.7)

3 (2.1)

16 (11.3)

96 (67.6)

26 (18.3)

 c) Based on my current knowledge, I am optimally able to treat patients who work and to advise them with regard to work tasks/work technique, workplace working hours, workload, and work absenteeism.

6 (4.2)

34 (23.0)

43 (30.3)

44 (31.0)

15 (10.6)

 d) I find it difficult to assess to what extent the patient’s complaint is work related.

14 (9.9)

61 (43.0)

29 (20.4)

36 (25.4)

2 (1.4)

 e) I am able to hold a substantive discussion about the patient with an occupational health physician or occupational health physical therapist.

2 (1.4)

14 (9.9)

28 (19.7)

71 (50.0)

27 (19.0)

 f) Based on my knowledge of the field of occupational therapy, I am able to refer patients to the occupational health physical therapist if indicated.

9 (6.3)

29 (20.4)

38 (26.8)

45 (31.7)

21 (14.8)