Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice

Purpose This study investigated the implementation of a risk profiling process for physiotherapy clients with a compensable musculoskeletal problem. Implementation targeted personal (clinician) and external (organisational) factors to facilitate behavioural change with regard to the use of formal, q...

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Main Authors: Beales, Darren, McManus, L., Tan, J., Elliott, C., Mitchell, T.
Format: Journal Article
Published: Springer 2019
Online Access:http://hdl.handle.net/20.500.11937/74582
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author Beales, Darren
McManus, L.
Tan, J.
Elliott, C.
Mitchell, T.
author_facet Beales, Darren
McManus, L.
Tan, J.
Elliott, C.
Mitchell, T.
author_sort Beales, Darren
building Curtin Institutional Repository
collection Online Access
description Purpose This study investigated the implementation of a risk profiling process for physiotherapy clients with a compensable musculoskeletal problem. Implementation targeted personal (clinician) and external (organisational) factors to facilitate behavioural change with regard to the use of formal, questionnaire-based risk profiling. Methods A theoretical construct was developed for formal questionnaire-based screening to be implemented across 12 private, metropolitan physiotherapy clinics. To target personal (clinician) factors, a multimodal educational procedure was developed focused on use of the ten-item Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ-10). To target external (organisational) factors, an administrative process was enacted to ensure routine completion of the OMPSQ-10 by compensable clients. Global practice behaviour with regard to the use of formal risk profiling was complete pre- and post-implementation. Results Pre-implementation physiotherapists understood the potential usefulness of formal risk profiling, but the large majority did not routinely have clients complete these types of questionnaires. Post-implementation there was a significant positive shift in behaviour to more frequent use the OMPSQ-10 for new compensable clients. Conclusions The results provide initial support for the use of a framework to develop an implementation strategy to increase physiotherapist adherence to the use of guideline recommended risk profiling questionnaires in clinical practice.
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spelling curtin-20.500.11937-745822019-08-20T05:16:16Z Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice Beales, Darren McManus, L. Tan, J. Elliott, C. Mitchell, T. Purpose This study investigated the implementation of a risk profiling process for physiotherapy clients with a compensable musculoskeletal problem. Implementation targeted personal (clinician) and external (organisational) factors to facilitate behavioural change with regard to the use of formal, questionnaire-based risk profiling. Methods A theoretical construct was developed for formal questionnaire-based screening to be implemented across 12 private, metropolitan physiotherapy clinics. To target personal (clinician) factors, a multimodal educational procedure was developed focused on use of the ten-item Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ-10). To target external (organisational) factors, an administrative process was enacted to ensure routine completion of the OMPSQ-10 by compensable clients. Global practice behaviour with regard to the use of formal risk profiling was complete pre- and post-implementation. Results Pre-implementation physiotherapists understood the potential usefulness of formal risk profiling, but the large majority did not routinely have clients complete these types of questionnaires. Post-implementation there was a significant positive shift in behaviour to more frequent use the OMPSQ-10 for new compensable clients. Conclusions The results provide initial support for the use of a framework to develop an implementation strategy to increase physiotherapist adherence to the use of guideline recommended risk profiling questionnaires in clinical practice. 2019 Journal Article http://hdl.handle.net/20.500.11937/74582 10.1007/s10926-018-9822-6 Springer restricted
spellingShingle Beales, Darren
McManus, L.
Tan, J.
Elliott, C.
Mitchell, T.
Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice
title Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice
title_full Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice
title_fullStr Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice
title_full_unstemmed Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice
title_short Implementation of Questionnaire-Based Risk Profiling for Clients in a Workers’ Compensation Environment: An Example in Australian Physiotherapy Practice
title_sort implementation of questionnaire-based risk profiling for clients in a workers’ compensation environment: an example in australian physiotherapy practice
url http://hdl.handle.net/20.500.11937/74582