M00-M99 S00-T98 G00-G99 R00-R99 J00-J99 I00-I99 Z00-Z99 E00-E90 N00-N99 C00-D48
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Physiotherapists: - Age = 18 years - Professional license in Germany - Working in outpatient or day-care settings - Excellent German language skills (level C1, C2, or native speaker according to the Common European Framework of Reference for Languages) - Informed consent to participate in the study Patients: - Age = 18 years - Physically and mentally suitable for telemedicine services according to § 125 Abs. 1 SGB V - Therapy goal is achievable regardless of treatment format (face-to-face or telemedicine) - Valid prescription for one of the following services: individual physiotherapy, group physiotherapy, physiotherapy for cystic fibrosis, neurological physiotherapy for adults (Bobath concept), manual therapy - Informed consent for anonymized data collection
Exclusion criteria
Exclusion criteria: Physiotherapists: - Working exclusively in inpatient settings - German language skills below C1 level Patients: - Physical or mental inability to participate in telemedicine services - No valid prescription for approved services
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Phase 1 – Translation and Cross-Cultural Adaptation - What: Final German version of the DBPC with demonstrated semantic, idiomatic, experiential, and conceptual equivalence to the Dutch original version - When: Forward translation (Step 1), Synthesis (Step 2), Back translation (Step 3), Expert committee review (Step 4), Cognitive interviews (Step 5), Final version & review (Step 6) - How: Documentation of translation steps (protocols of forward and back translations), expert committee review (n=11), cognitive interviews (n=30–40) using think-aloud and probing techniques, written documentation of all adaptations Phase 2 – Psychometric Testing - What: Test-retest reliability of items 1–5 (Section A) of the DBPC, measured as Cohen's Kappa (?) with 95% CI - When: T0 (baseline) and T1 (7–21 days after T0) - How: Online data collection via LimeSurvey, DBPC completion by physiotherapists together with patients using a standardized case scenario, n=150 applications at T0, n=121 at T1 | — |
Secondary
| Measure | Time frame |
|---|---|
| Phase 1 – Translation and Cross-Cultural Adaptation - What: Comprehensibility and cultural appropriateness of individual items from the perspective of physiotherapists - When: During cognitive interviews - How: Online interviews (Webex, 20–45 min), written documentation in interview protocols Phase 2 – Psychometric Testing 1) Feasibility - What: FIM score (Feasibility of Intervention Measure, 4 items, Likert 1–5) - When: T0 (once after first DBPC application) - How: Online questionnaire via LimeSurvey 2) Acceptability - What: AIM score (Acceptability of Intervention Measure, 4 items, Likert 1–5) - When: T0 (once after first DBPC application) H- ow: Online questionnaire via LimeSurvey 3) Appropriateness - What: IAM score (Intervention Appropriateness Measure, 4 items, Likert 1–5) - When: T0 (once after first DBPC application) - How: Online questionnaire via LimeSurvey 4) Application Duration - What: Time in minutes (separately for Section A and B) - When: T0 (first DBPC application) - How: Self-documentation by physiotherapists in LimeSurvey | — |
Countries
Germany
Contacts
BTU Cottbus-Senftenberg, Fachgebiet Physiotherapie