A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation
Background To facilitate person-centered physical therapy for patients with intermittent claudication, we introduced a preference elicitation tool to Dutch physical therapists. The tool is designed to support the patient-therapist dialogue and enhance collaborative treatment planning. Successful int...
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2540022 |
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| author | Laura H. M. Marcellis Katrien M. Rutgers Steffie Spruijt Joep A. W. Teijink Philip J. van der Wees Thomas J. Hoogeboom |
| author_facet | Laura H. M. Marcellis Katrien M. Rutgers Steffie Spruijt Joep A. W. Teijink Philip J. van der Wees Thomas J. Hoogeboom |
| author_sort | Laura H. M. Marcellis |
| collection | DOAJ |
| description | Background To facilitate person-centered physical therapy for patients with intermittent claudication, we introduced a preference elicitation tool to Dutch physical therapists. The tool is designed to support the patient-therapist dialogue and enhance collaborative treatment planning. Successful integration of this tool into practice requires a thorough understanding of factors that influenced therapists’ (non)adoption.Objectives To evaluate whether therapists adopted the preference elicitation tool, assess the tool’s reach, and identify perceived barriers and facilitators by therapists that influenced adoption.Methods A multi-method process evaluation was conducted following a series of implementation activities. Routinely collected quantitative data were used to assess adoption and reach. Adoption was measured by the percentage of therapists who completed the tool’s e-learning module and the percentage of therapists who started using the tool. Reach was measured by the percentage of eligible patients with whom therapists actually used the tool. To identify barriers and facilitators, qualitative semi-structured interviews with eleven therapists were conducted and deductively analysed using the Tailored Implementation for Chronic Diseases framework.Results Of the 1,130 therapists eligible to use the preference elicitation tool, 64% completed the e-learning. Among these, 45% started using the tool in clinical practice. Therapists used the tool with 38% of eligible patients. In total, 39 barriers and 37 facilitators for tool adoption were identified. Barriers included time investment, discomfort with the formal communication setting, and conflicts with activity-oriented role perceptions. Facilitators included the tool’s user-friendliness, flexible use of the tool, and enhanced patient engagement.Conclusion Modest adoption and reach rates indicate opportunities for improving uptake and sustainable implementation of the preference elicitation tool. Therapists’ decisions to adopt the tool were influenced by various factors. Providing therapists with strategies to maintain a flexible approach to using the tool could address key barriers. Future research should explore patients’ perspectives on the preference elicitation tool. |
| format | Article |
| id | doaj-art-ddaa3710f5f54b28a067a3939ccd0280 |
| institution | Matheson Library |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-ddaa3710f5f54b28a067a3939ccd02802025-08-04T17:04:42ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2540022A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluationLaura H. M. Marcellis0Katrien M. Rutgers1Steffie Spruijt2Joep A. W. Teijink3Philip J. van der Wees4Thomas J. HoogeboomIQ Health science department, Radboud university medical center, Nijmegen, The NetherlandsPhysique Preventiecentrum B.V, Arnhem, The NetherlandsChronisch ZorgNet, Eindhoven, The NetherlandsDepartment of Surgery, Catharina Hospital, Eindhoven, The NetherlandsIQ Health science department, Radboud university medical center, Nijmegen, The NetherlandsBackground To facilitate person-centered physical therapy for patients with intermittent claudication, we introduced a preference elicitation tool to Dutch physical therapists. The tool is designed to support the patient-therapist dialogue and enhance collaborative treatment planning. Successful integration of this tool into practice requires a thorough understanding of factors that influenced therapists’ (non)adoption.Objectives To evaluate whether therapists adopted the preference elicitation tool, assess the tool’s reach, and identify perceived barriers and facilitators by therapists that influenced adoption.Methods A multi-method process evaluation was conducted following a series of implementation activities. Routinely collected quantitative data were used to assess adoption and reach. Adoption was measured by the percentage of therapists who completed the tool’s e-learning module and the percentage of therapists who started using the tool. Reach was measured by the percentage of eligible patients with whom therapists actually used the tool. To identify barriers and facilitators, qualitative semi-structured interviews with eleven therapists were conducted and deductively analysed using the Tailored Implementation for Chronic Diseases framework.Results Of the 1,130 therapists eligible to use the preference elicitation tool, 64% completed the e-learning. Among these, 45% started using the tool in clinical practice. Therapists used the tool with 38% of eligible patients. In total, 39 barriers and 37 facilitators for tool adoption were identified. Barriers included time investment, discomfort with the formal communication setting, and conflicts with activity-oriented role perceptions. Facilitators included the tool’s user-friendliness, flexible use of the tool, and enhanced patient engagement.Conclusion Modest adoption and reach rates indicate opportunities for improving uptake and sustainable implementation of the preference elicitation tool. Therapists’ decisions to adopt the tool were influenced by various factors. Providing therapists with strategies to maintain a flexible approach to using the tool could address key barriers. Future research should explore patients’ perspectives on the preference elicitation tool.https://www.tandfonline.com/doi/10.1080/07853890.2025.2540022Peripheral arterial diseaseintermittent claudicationphysical therapyimplementationshared decision-makingpreference elicitation |
| spellingShingle | Laura H. M. Marcellis Katrien M. Rutgers Steffie Spruijt Joep A. W. Teijink Philip J. van der Wees Thomas J. Hoogeboom A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation Annals of Medicine Peripheral arterial disease intermittent claudication physical therapy implementation shared decision-making preference elicitation |
| title | A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation |
| title_full | A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation |
| title_fullStr | A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation |
| title_full_unstemmed | A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation |
| title_short | A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation |
| title_sort | guideline based preference elicitation tool to enhance shared decision making in supervised exercise therapy for patients with intermittent claudication a process evaluation |
| topic | Peripheral arterial disease intermittent claudication physical therapy implementation shared decision-making preference elicitation |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2540022 |
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