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116 APPENDICES Physiotherapy KCE reports vol. B chance to be selected in the sample. Indeed, the random property is indispensable to obtain results that are representative of the whole source population, and not merely of one part of it.
KCE reports vol. 40 APPENDICES Physiotherapy 117 1.1.2 Questionnaire Questionnaire development The design of the survey has been achieved in collaboration with two physiotherapists associations, namely the AKRW (Association des Kinésithérapeutes de la Région de Wavre) and the WVVK (Wetenschappelijke Vereniging voor Vlaamse Kinesitherapeuten). A French first version of the questionnaire has been developed by the team of the Université catholique de Louvain and the Federal Health Care Knowledge Centre (KCE). This version has been submitted to 15 ambulatory physiotherapists of the AKRW. They were asked to fill in the questionnaire as well as a grid to assess its relevance and layout. A meeting was subsequently organised to discuss the physiotherapists comments/suggestions. The questionnaire was then adapted and translated in Dutch. This version was submitted to ambulatory physiotherapists of the WVVK and discussed following the same procedure as described above. The French and Dutch final versions of the questionnaire are respectively presented in the appendixes 4A and 4B. Nature of the collected information An initial page presented the purpose of the questionnaire and the guaranty that the anonymity of the respondents would be preserved. The questionnaire itself collected information of several types: Some demographic information of the respondents: physiotherapist s post code (to determine the Belgian province), age, sex, and date of the degree in physiotherapy and rehabilitation. The sessions performed by the physiotherapists during one working day (from Monday to Friday). The day was randomly imposed on each respondent to avoid that the physiotherapists choose a day with a lot of sessions or, conversely, with few sessions. Moreover, an interaction effect between days and type of pathology may be present as the Monday, Wednesday, and Friday are preferentially kept to conditions requiring a treatment 3 times a week. For each session, the following information was requested: patient s age and sex, Belgian nomenclature code of the session, and reason(s) for treatment. The treatment modalities applied for five common conditions requiring physical therapy as part of treatment. The following conditions were selected: acute low back pain (without radiating pain), total knee replacement, hemiplegia/hemiparesis, gait disorders in elderly people, and bronchiolitis in infants and children. These five conditions were selected as (1) they are, a priori, frequently encountered in ambulatory physiotherapy (bronchiolitis is probaly less common than other conditions but was nevertheless added to include a paediatric condition), (2) they include different types of pathologies (low back pain = musculoskeletal condition / C list; total knee replacement = orthopaedic condition / FA list; hemiplegia/hemiparesis = neurological condition / E list; gait disorders in elderly people = general condition / FB list; bronchiolitis = respiratory condition / C list), and (3) they cover different age brackets (from infants and children with bronchiolitis to elderly people with gait disorders). Note that separate pages were provided for each condition. Only physiotherapists who have treated, last week, at least one patient suffering from the specified condition were asked to select among a preestablished list the treatment modalitie(s) applied for the last patient seen for this condition. The respondents had the possibility to specify the electrophysiotherapeutic modalities and other treatment modalities not included in the pre-established list. They were also asked to indicate the patient s age and sex as well as the delay between the beginning of his/her condition and the beginning of the treatment by the physiotherapist. The clinical tests and functional assessment tools used to determine the evolution of patients suffering from the five conditions described just above. All physiotherapists were asked to select among a preestablished list the functional tests that they are using for each specified condition. The respondents had the possibility to specify functional tests not included in the pre-established list. The key element on which the physiotherapists go to establish their treatment planning. The suggested responses were the medical prescription, the number of prescribed sessions, or the patient s functional status on the basis of a physiotherapeutic assessment. The knowledge / non-knowledge of the concepts of the International Classification of Functioning, Disability, and Health (ICF) proposed by the World Health Organization and the use / non-use of the ICF concepts in the physiotherapeutic practice (e.g., to define the objectives of the treatment or to determine the patient s evolution).
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