Publication: Knowledge and adherence to osteoarthritis clinical practice guidelines among physiotherapists in Saudi Arabia: a cross sectional study
Authors
Ibrahim, Ahmed A ; Hussein, Hisham M. ; Aljulaymi, Ibrahim S. ; Dewir, Ibrahim M. ; Abdelfattah, Mostafa S. ; Albogamil, Saad Mohammed
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Publisher
Universidad de Murcia. Servicio de Publicaciones
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DOI
https://doi.org/10.6018/edumed.669931
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info:eu-repo/semantics/article
Description
Abstract
Antecedentes: Las guías de práctica clínica (GPC) son esenciales para el tratamiento eficaz de la osteoartritis (OA); sin embargo, su aplicación entre los fisioterapeutas sigue siendo inconsistente. Este estudio tuvo como objetivo evaluar el conocimiento y la adherencia de los fisioterapeutas en Arabia Saudita a las GPC sobre OA. Métodos: Se realizó un estudio transversal mediante un cuestionario en línea autoadministrado dirigido a fisioterapeutas colegiados en Arabia Saudita. La encuesta incluyó datos demográficos, una evaluación de conocimientos mediante declaraciones basadas en las GPC y una viñeta clínica para evaluar la adherencia. Los participantes se clasificaron como en cumplimiento, cumplimiento parcial o no cumplimiento según su alineamiento con las intervenciones recomendadas por las GPC. Resultados: De 384 participantes, el 69 % mostró una alta adherencia (cumplimiento), mientras que el 26,3 % no cumplió y el 4,7 % cumplió parcialmente. Una mayor adherencia se asoció con estudios de posgrado, mayor experiencia clínica, mayor exposición a casos de OA y el trabajo en centros universitarios o privados. A pesar de que el 93,5 % había leído al menos una guía práctica clínica (GPC), la adherencia varió significativamente entre los grupos. Conclusión: Si bien los fisioterapeutas tienen un alto nivel de conocimiento sobre las GPC para la artrosis, persisten lagunas en su aplicación práctica. Se necesita formación específica, apoyo en el entorno laboral e iniciativas políticas para mejorar la adherencia y la atención de la artrosis. Se recomienda que futuras investigaciones exploren las barreras para la implementación de las guías y prueben intervenciones personalizadas.
Background: Clinical practice guidelines (CPGs) are essential for the effective management of osteoarthritis (OA), yet their implementation among physiotherapists remains inconsistent. This study aimed to assess the knowledge and adherence of physiotherapists in Saudi Arabia to OA CPGs. Methods: A cross-sectional study was conducted using a self-administered online questionnaire targeting licensed physiotherapists in Saudi Arabia. The survey included demographic data, knowledge assessment through CPG-based statements, and a clinical vignette to evaluate adherence. Participants were categorized as Delivering, Partially Delivering, or Non-Delivering based on their alignment with CPG-recommended interventions. Results: Of 384 participants, 69% demonstrated high adherence (Delivering), while 26.3% were Non-Delivering and 4.7% Partially Delivering. Higher adherence was associated with postgraduate education, longer clinical experience, greater exposure to OA cases, and working in university or private centers. Despite 93.5% having read at least one CPG, adherence varied significantly across groups. Conclusion: While awareness of OA CPGs is high among physiotherapists, gaps in practical application persist. Targeted education, workplace support, and policy initiatives are needed to enhance adherence and improve OA care. Further research should explore barriers to guideline implementation and test tailored interventions.
Background: Clinical practice guidelines (CPGs) are essential for the effective management of osteoarthritis (OA), yet their implementation among physiotherapists remains inconsistent. This study aimed to assess the knowledge and adherence of physiotherapists in Saudi Arabia to OA CPGs. Methods: A cross-sectional study was conducted using a self-administered online questionnaire targeting licensed physiotherapists in Saudi Arabia. The survey included demographic data, knowledge assessment through CPG-based statements, and a clinical vignette to evaluate adherence. Participants were categorized as Delivering, Partially Delivering, or Non-Delivering based on their alignment with CPG-recommended interventions. Results: Of 384 participants, 69% demonstrated high adherence (Delivering), while 26.3% were Non-Delivering and 4.7% Partially Delivering. Higher adherence was associated with postgraduate education, longer clinical experience, greater exposure to OA cases, and working in university or private centers. Despite 93.5% having read at least one CPG, adherence varied significantly across groups. Conclusion: While awareness of OA CPGs is high among physiotherapists, gaps in practical application persist. Targeted education, workplace support, and policy initiatives are needed to enhance adherence and improve OA care. Further research should explore barriers to guideline implementation and test tailored interventions.
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Citation
Albogamil, S. M., Ibrahim, A. A., Hussein, H. M., Aljulaymi, I. S., Dewir, I. M., & Abdelfattah, M. S. (2025). Conocimiento y adherencia a las guías de práctica clínica de la osteoartritis entre fisioterapeutas en Arabia Saudita: un estudio transversal. Revista Española De Educación Médica, 6(3).
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