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Physiotherapy Practice in Flemish Nursing Homes

4. Mai 2026 aktualisiert von: Joke Spildooren, Hasselt University

Physiotherapy in Flemish Nursing Homes: Insights Into Practice, Barriers, and Facilitators

The goal of this observational study is to evaluate the extent to which physiotherapy sessions in Flemish nursing homes adhere to the IAGG-GARN guidelines and to explore factors influencing clinical practice among physiotherapists.

The study targets multiple nursing homes across Flanders, with 3 to 5 centers in each of the provinces of Limburg, Antwerp, and Flemish Brabant. This selection ensures variation in geographic location and organizational context. The participants in this study are physiotherapists working in the participating nursing homes.

The main questions it aims to answer are:

  • To what extent do the physiotherapy sessions align with the IAGG-GARN guidelines?
  • Are there differences in physiotherapy session content and volume according to physiotherapist characteristics and resident characteristics?
  • What barriers and facilitators do physiotherapists experience when implementing guideline-based practice in Flemish nursing homes?

Researchers will observe physiotherapy sessions delivered as part of routine care and document session content and duration using structured observation diaries. Participating physiotherapists will also take part in focus groups discussing experiences with guideline implementation, barriers, facilitators, and clinical decision-making.

Studienübersicht

Status

Rekrutierung

Bedingungen

Intervention / Behandlung

Studientyp

Beobachtungs

Einschreibung (Geschätzt)

40

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studieren Sie die Kontaktsicherung

Studienorte

  • Belgien
    • Antwerpen
      • Deurne, Antwerpen, Belgien
        • Noch keine Rekrutierung
        • Nursing home
      • Zoersel, Antwerpen, Belgien
        • Rekrutierung
        • Nursing home
    • Limburg
      • Tongeren, Limburg, Belgien
        • Rekrutierung
        • Nursing home

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Kind
  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Ja

Probenahmeverfahren

Nicht-Wahrscheinlichkeitsprobe

Studienpopulation

The study population consists of licensed physiotherapists working in Flemish nursing homes who provide physiotherapy to older residents

Beschreibung

Inclusion Criteria:

  • None beyond being a licensed physiotherapist working in a Flemish nursing home and willing to participate.

Exclusion Criteria:

  • None

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Guideline Adherence to IAGG-GARN Recommendations
Zeitfenster: 2 weeks
Overall adherence of physiotherapy sessions in Flemish nursing homes to IAGG-GARN recommendations. Adherence is assessed through structured direct observation of the routine physiotherapy sessions. The secondary outcomes are operationalize adherence to the guideline (frequency, exercise intensity, exercise duration, exercise type and personalization)
2 weeks

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Exercise Description
Zeitfenster: 2 weeks
Narrative description of each exercise performed during a physiotherapy sessions.
2 weeks
Use of Equipment, Aids or Materials
Zeitfenster: 2 weeks
Type of equipment, aids or materials used during each exercise.
2 weeks
Exercise format
Zeitfenster: 2 weeks
Whether the exercise is performed individually or in a group setting.
2 weeks
Group Size
Zeitfenster: 2 weeks
Number of participants involved in group-based exercises.
2 weeks
Level of supervision
Zeitfenster: 2 weeks
Level of supervision provided by the physiotherapist during exercises (none, intermittent, continuous)
2 weeks
Exercise Start and End Time
Zeitfenster: 2 weeks
Start and end time of each exercise performed during physiotherapy sessions
2 weeks
Rest Periods During Exercises
Zeitfenster: 2 weeks
Rest periods during physiotherapy exercises, recorded separately as (1) rest periods instructed or allowed by the physiotherapist and (2) rest periods actually taken by the resident during exercise.
2 weeks
Exercise Category
Zeitfenster: 2 weeks
Category of each exercise performed during physiotherapy sessions (strength, endurance, mobility/flexibility, balance/coordination, or other)
2 weeks
Exercise Volume - Repetitions
Zeitfenster: 2 weeks
Number of repetitions per exercise, recorded separately as (1) repetitions prescribed by the physiotherapist and (2) repetitions actually performed by the resident during the exercise.
2 weeks
Exercise Intensity
Zeitfenster: 2 weeks
Intensity of each exercise performed during physiotherapy sessions, including whether intensity was explicitly determined during the exercise, the method used to determine intensity, the recorded intensity value, and the observer's interpretation (high, medium or low intensity).
2 weeks
Walking or Treadmill parameters
Zeitfenster: 2 weeks
Parameters during walking or treadmill exercises (incline and speed).
2 weeks
Cycling Parameters
Zeitfenster: 2 weeks
Parameters recorded during cycling exercises (rounds per minute, resistance and distance)
2 weeks
Speed of movement
Zeitfenster: 2 weeks
Speed of movement during exercises, classified according to the observed execution pace (slow, controlled or fast).
2 weeks
External Load (Resistance)
Zeitfenster: 2 weeks
External load applied during exercises (kg).
2 weeks
Contextual Factors
Zeitfenster: 2 weeks
Contextual elements influencing physiotherapy sessions, such as disturbances (e.g., noise, interruptions) and other relevant observations.
2 weeks

Andere Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Background information physiotherapists
Zeitfenster: baseline

Age, gender, year of graduation, specialization, number of years of experience as a physiotherapist, educational level (e.g., bachelor, master…), employment regime (full-time, part-time, other appointment), number of years working within the nursing home and continuing education participation

This information is pseudonymously linked to the observation data with the aim of identifying interpersonal differences in therapy approach.
baseline
Background information residents
Zeitfenster: baseline

In addition, the physiotherapeutic interventions will be linked to residents' background information to determine the extent to which the physiotherapists adapt their therapy to the specific needs of the patient. The following information will be used:

  • Age category: 65-70, 71-75, 76-80, 81-85, 86-90, 91-95, 96-100 and 100+
  • Gender: male / female / other
  • Stable medical status: yes/no
  • Cognitive status (MMSE score): 25-30 (normal), 21-24 (mild cognitive impairment), 10-20 (moderate cognitive impairment), 0-9 (severe cognitive impairment)
  • Ability to walk (maximum achievable level for resident): independent, independent with walking aid, with assistance from caregiver, wheelchair-bound, bedridden
  • Ability to transfer (maximum achievable level for resident): independent, with aid, with assistance from caregiver, with hoist
  • Following physiotherapy: yes/no
  • With which (main) physiotherapist: physiotherapist ID
baseline
Focus groups with physiotherapists
Zeitfenster: 2 days

Step 1: Center-specific After completion of the observations, a center-specific feedback session will be held at each nursing home. These sessions (60-90 minutes, 2-8 therapists) present and discuss the results with physiotherapists, focusing on their work context, its influence on care delivery, and the reasoning behind their choices.

Step 2: Validation Following the feedback sessions, a validation focus group will be organized at a neutral location (UHasselt), including 1-2 representatives per center and additional physiotherapists (10 participants, 60-90 minutes). Results from the observations and all feedback sessions will be presented anonymously. The discussion will focus on validating and deepening findings, identifying key themes and patterns, and determining priorities for further development

Digital recordings of the focus groups will be made during the session. At the end of the focus groups, the recordings will be transcribed and anonymized for analysis.
2 days

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Hasselt University

Ermittler

  • Hauptermittler: Joke Spildooren, Prof.dr, UHasselt

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

23. März 2026

Primärer Abschluss (Geschätzt)

1. Januar 2028

Studienabschluss (Geschätzt)

1. Dezember 2028

Studienanmeldedaten

Zuerst eingereicht

2. April 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

4. Mai 2026

Zuerst gepostet (Tatsächlich)

8. Mai 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

8. Mai 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

4. Mai 2026

Zuletzt verifiziert

1. Mai 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Schlüsselwörter

Andere Studien-ID-Nummern

  • B1152025000037
  • BOF25OWB11 (Andere Zuschuss-/Finanzierungsnummer: Bijzonder Onderzoekfonds (BOF))

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

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