title: Patient satisfaction and perception of change following single physiotherapy consultations in a hospital's outpatient clinic for people with multiple sclerosis.
abstract: The aim of this study was to investigate satisfaction with physiotherapy and perception of change following single physiotherapy consultations in a hospital's outpatient service for people with multiple sclerosis (MS) (PwMS). The consultation included assessment, exploration of treatment, information, and instruction in self-assisted exercises based on the British guidelines for PwMS. Seventy-two PwMS were consecutively included, 54 women and 18 men with a mean age 45 (range 26-80). The Outpatient Experience Questionnaire (OPEQ) was used to record satisfaction; the Patient Global Impression of Change (PGIC) and the Borg's Rating Scale of Perceived Exertion (BRSPE) were used to investigate perceived changes in standing up, sitting down, and walking following the consultation. Sixty-four patients (89%) returned the OPEQ. The results showed strong satisfaction with physiotherapy regarding both interpersonal and clinical skills (mean 9.4, SD 1.0, best score 10) and no significant differences regarding the level of ambulatory independence, gender, or age. The PGIC indicated perceived short-term improvement for 35 (57%) patients, with no patients reporting deterioration. The BRSPE showed a significantly lower perception of exertion during walking after the consultation (Wilcoxon signed-rank test, Z-2.58, p = 0.010). The study indicates a high level of satisfaction regarding interpersonal and clinical skills, information, and instruction in self-assisted exercises and indicates that perceptions of short-term improvement may occur after single consultations. The study suggests an important role for physiotherapy in hospital outpatient services for PwMS, but further studies are necessary to deepen our understanding.
authors.affiliation: Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, Norway. britt.normann@uit.no
authors.forename: Britt
authors.initials: B
authors.lastname: Normann
authors.forename: Siri
authors.initials: S
authors.lastname: Moe
authors.forename: Rolf
authors.initials: R
authors.lastname: Salvesen
authors.forename: Knut W
authors.initials: KW
authors.lastname: Sørgaard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D009664:Norway; D010043:Outcome and Process Assessment, Health Care; D010044:Outpatient Clinics, Hospital; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D010465:Perception; D026741:Physical Therapy Modalities; D011369:Professional-Patient Relations; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome