Electronic health record data extraction: Physical therapists' documentation of physical activity assessments and prescriptions for patients with chronic low back pain.

Background: Despite physical activity being a major component of managing chronic low back pain, < 50% of patients receive physical activity interventions. Electronic Health Records can deepen our understanding about this clinical gap. Objective: We aimed to: 1) develop and test a data abstraction f...

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Publicado en:Physiotherapy Theory & Practice Vol. 40; no. 11; pp. 2540 - 2550
Autores principales: Wingood, Mariana, Vincenzo, Jennifer, Gell, Nancy
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
      vid: 40
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2023.2274385
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        atl: Electronic health record data extraction: Physical therapists' documentation of physical activity assessments and prescriptions for patients with chronic low back pain.
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        au:
          Wingood, Mariana
          Vincenzo, Jennifer
          Gell, Nancy
        affil: Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA
      sug:
        subj:
          Low Back Pain Therapy
          Chronic Pain Rehabilitation
          Physical Activity
          Therapeutic Exercise Methods
          Documentation Methods
          Electronic Health Records
          Information Retrieval
          Prescriptions, Non-Drug
          Human
          Male
          Female
          Adult
          Middle Age
          Nonexperimental Studies
          Physical Therapists
          Practice Guidelines
          Interrater Reliability
          Descriptive Statistics
          kappa Statistic
          Funding Source
          Questionnaires
          Scales
          Resource Databases
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Despite physical activity being a major component of managing chronic low back pain, < 50% of patients receive physical activity interventions. Electronic Health Records can deepen our understanding about this clinical gap. Objective: We aimed to: 1) develop and test a data abstraction form that captures physical activity documentation; and 2) explore physical therapists' documentation of physical activity assessments and interventions. Methods: We developed a data abstraction form using previously published practice guidelines. After identifying the forms' inter-rater reliability, we used it to explore physical therapists' documentation related to physical activity assessments and interventions for patients with chronic low back pain. Results: The final data abstraction form included information about physical activity history, assessments, interventions, general movement discussion, and plan. Our inter-rater reliability was high. Of the 18 patients, 66.7% had documentation about their PA history. Across the 56 encounters, 14 (25.0%) included an assessment, 18 (32.1%) an intervention, 18 (32.1%) a general movement discussion, and 12 (21.4%) included a plan. Conclusion: Using our reliable data abstraction form we identified a lack of documentation about physical activity assessments and interventions among patients with chronic low back pain. A larger study is needed to examine the generalizability of these results.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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