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Prioridades de Investigação em Fisioterapia músculo-esquelética em Portugal utilizando o método modificado de Delphi
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| 1.46 MB | Adobe PDF |
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Abstract(s)
Introdução e Objetivos: Nos últimos anos tem existido uma crescente ênfase na necessidade dos profissionais realizarem a sua prática informada pela evidência (PIE) científica. De forma a promover a PIE, a integração das questões e necessidades da prática clínica nas prioridades da investigação científica têm sido recomendadas. O objetivo principal deste estudo foi identificar as prioridades de investigação em fisioterapia na área da músculo-esquelética em Portugal.
Metodologia: Foi utilizado o método modificado de Delphi para a identificação das prioridades de investigação através do consenso nacional. Foram convidados 360 potenciais participantes, divididos por cinco painéis: experts, docentes, educadores clínicos e mestres em fisioterapia músculo-esquelética, e indivíduos com uma condição clínica na mesma área Na ronda 1 foi pedido que fossem identificadas entre 3-5 prioridades de investigação, e após análise de conteúdo foram identificados os temas. Na ronda 2 e 3 foi pedido aos participantes que graduassem a importância dos temas numa escala de Likert de 1-5. O grau de consenso foi obtido com a média≥ 4, mediana≥ 4, coeficiente de variação≤ 30%, e ≥ 80% de consenso. Foi utilizado o coeficiente de concordância de Kendall para avaliar o consenso.
Resultados: A percentagem de resposta nas três rondas variou entre 28,8- 32,7%. Na ronda 1 (n=116) foram identificados os tópicos de investigação, que após a análise de conteúdo foram categorizados em 21 temas. Na ronda 2 identificaram-se 18 temas como sendo os mais importantes, tendo reduzido para 10 a ronda 3. O coeficiente de concordância de Kendall foi de 0,100 e 0,112 na ronda 2 e 3, respetivamente.
Conclusões: A partir de um processo de consenso nacional envolvendo fisioterapeutas de condições músculo-esqueléticas e utentes com estas condições foram identificados e graduados temas de investigação em fisioterapia. Os temas de investigação identificados representam áreas em evolução de importância para a fisioterapia músculo-esquelética maximizando o foco no desenvolvimento da base de evidências.
Introduction and Objectives: Over the past years, there has been an increasing emphasis on the need for physiotherapist to take an evidence-based practice (EPB). In order to promote EBP the integration of clinical practice issues and needs into the priorities of scientific research have been recommended. The study’s main objective is to identify musculoskeletal physiotherapy research priorities in Portugal. Methodology: The modified Delphi method was used to identify research priorities through the national consensus. 360 participants were invited, divide into five panels: experts, teachers, clinical educators and masters in musculoskeletal physiotherapy, and individuals with a clinical condition in the same area. In round 1 request to identify 3-5 research priorities, and after content analysis the themes were identified. In round 2 and 3 the participants were asked to grade the themes importance on a 1-5 Likert scale. Level of consensus was established with a mean rating≥4, median≥4, coefficient of variation ≤30%, e ≥80% agreement. Consensus across participants was evaluated using Kendall’s coefficient of concordance (W). Results: The response rate in the three rounds ranged from 28,8-32,7%. In round 1 (n=116), research topics were identified, which after the content analysis categorized into 21 themes. In round 2, 18 themes were identified as being the most important, having reduced to 10 in round 3. The Kendall’s coefficient of concordance was 0.100 and 0.112 in round 2 and 3, respectively. Conclusions: From a national consensus process involving stakeholders – musculoskeletal physiotherapist and users, research topics in physiotherapy were identified and graded. The identified research topics represent important areas for musculoskeletal physiotherapy, maximizing the focus on the development of evidence base.
Introduction and Objectives: Over the past years, there has been an increasing emphasis on the need for physiotherapist to take an evidence-based practice (EPB). In order to promote EBP the integration of clinical practice issues and needs into the priorities of scientific research have been recommended. The study’s main objective is to identify musculoskeletal physiotherapy research priorities in Portugal. Methodology: The modified Delphi method was used to identify research priorities through the national consensus. 360 participants were invited, divide into five panels: experts, teachers, clinical educators and masters in musculoskeletal physiotherapy, and individuals with a clinical condition in the same area. In round 1 request to identify 3-5 research priorities, and after content analysis the themes were identified. In round 2 and 3 the participants were asked to grade the themes importance on a 1-5 Likert scale. Level of consensus was established with a mean rating≥4, median≥4, coefficient of variation ≤30%, e ≥80% agreement. Consensus across participants was evaluated using Kendall’s coefficient of concordance (W). Results: The response rate in the three rounds ranged from 28,8-32,7%. In round 1 (n=116), research topics were identified, which after the content analysis categorized into 21 themes. In round 2, 18 themes were identified as being the most important, having reduced to 10 in round 3. The Kendall’s coefficient of concordance was 0.100 and 0.112 in round 2 and 3, respectively. Conclusions: From a national consensus process involving stakeholders – musculoskeletal physiotherapist and users, research topics in physiotherapy were identified and graded. The identified research topics represent important areas for musculoskeletal physiotherapy, maximizing the focus on the development of evidence base.
Description
Relatório do Projeto de Investigação apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Fisioterapia. Área de especialização em Fisioterapia em Condições Músculo-Esqueléticas
Keywords
Prioridades de Investigação Fisioterapia Músculo-Esquelética Método Modificado de Delphi Research Priorities Musculoskeletal Physiotherapy Modified Delphi Method
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde