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[{"key": "dc.contributor.advisor", "value": "Sj\u00f6gren, Tuulikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Korpi, Hilkka", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Lietz\u00e9n, Sauli", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2023-01-11T07:35:02Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2023-01-11T07:35:02Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2023", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/84913", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4m\u00e4n pro gradu - tutkielma oli pilottitutkimus laajemmalle suoravastaanotto tutkimusprojektille. Tavoitteena oli arvioida suomenkielisen Tampa Scale for Kinesiophobia (TSK-FIN) lomakkeen reliabiliteettia ja testata internet pohjaisen tiedonkeruualustan toimivuutta. Lis\u00e4ksi tutkimuksessa oli laadullinen haastatteluosuus, jonka tarkoituksena oli selvitt\u00e4\u00e4 aineistonkeruuseen liittyvi\u00e4 edist\u00e4vi\u00e4 ja est\u00e4vi\u00e4 tekij\u00f6it\u00e4. Fysioterapeutin suoravastaanottoa on tutkittu viime vuosina laajasti, mutta Suomessa tutkimus on ollut v\u00e4h\u00e4isemp\u00e4\u00e4. Aikaisemmissa tutkimuksissa on todettu suoravastaanoton olevan taloudellisesti tehokasta ja lis\u00e4\u00e4v\u00e4n potilastyytyv\u00e4isyytt\u00e4. Fysioterapian suoravastaanotossa k\u00e4ytett\u00e4vien mittareiden luotettavuutta, eik\u00f6 tutkimuksen aineistonkeruuseen vaikuttavia tekij\u00f6it\u00e4 ei ole tutkittu riitt\u00e4v\u00e4sti suomalaisessa kontekstissa.\nPilottitutkimuksessa TSK-FIN lomakkeen reliabiliteettia testattiin kahden asiakasryhm\u00e4n v\u00e4lill\u00e4, suoravastaanotto (SVO) ja l\u00e4hetepohjainen vastaanotto, yhdell\u00e4 seurantakerralla. Lis\u00e4ksi tutkimuksessa kysyttiin tutkimuksessa mukana olleiden fysioterapeuttien aineistonkeruuseen liittyvi\u00e4 kokemuksia teemallisten avoimen s\u00e4hk\u00f6postikyselyn avulla 1) Kuvaa, mink\u00e4 koit haastavaksi ja miksi potilaiden rekrytoimisessa mukaan tutkimukseen? 2) Kerro my\u00f6s ajatuksesi siit\u00e4, saitko tarpeeksi ohjausta ja tietoa tutkimuksesta. Jos et, mit\u00e4 olisit kaivannut lis\u00e4\u00e4? 3) Mit\u00e4 muuta haluaisit sanoa suoravastaanottoon liittyv\u00e4st\u00e4 ty\u00f6st\u00e4si ja/tai tutkimuksestasi ty\u00f6paikallasi. Lomaketutkimuksessa oli mukana yhteens\u00e4 12 koehenkil\u00f6\u00e4 ja laadulliseen kyselyyn vastastasi nelj\u00e4 fysioterapeuttia. Mittarin reliabiliteetti analysoitiin Chronbachin Alfa ja Pearsonin korrelaatiokertoimen avulla. Kvalitatiivinen aineisto analysoitiin teemoittelemalla.\nTSK-FIN reliabiliteetti oli eritt\u00e4in korkea, l\u00e4hes t\u00e4ydellinen yhtenev\u00e4isyys (Chronbachin Alfa = 0,903; Pearsonin korrelaatiokerroin = 0,966, p= 0,007) ja verkkopohjainen tiedonkeruualusta toimi suunnitellusti. SVO ja LVO ryhm\u00e4 eiv\u00e4t eronneet fysioterapian tulosten pohjalta ja ilmoitettu fysioterapeutin apu liikkeen pelkoon oli tilastollisesti merkitsev\u00e4 molemmilla ryhmill\u00e4 (p = 0,001). SVO ryhm\u00e4 p\u00e4\u00e4si merkitt\u00e4v\u00e4sti nopeammin vastaanotolle (p = 0,002). Fysioterapeuttien kirjoituksissa nousi kaksi teemaaesiin, jotka molemmat liittyiv\u00e4t potilaiden rekrytointiongelmiin: ensimm\u00e4inen teema oli tutkimukseen sopimaton potilasryhm\u00e4 vastaanotolla ja toinen oli fysioterapeuttien puutteellinen tiet\u00e4mys suoravastaanottotoiminnasta.\nTulokset ovat pienen aineison vuoksi suuntaa antavia, mutta ne tukevat TSK-FIN mittarin ja internet pohjaisen tiedonkeruualustan k\u00e4ytt\u00f6\u00e4 laajemmassa SVO-tutkimusprojektissa. Suoravastaanotto vaikuttaisi olevan yht\u00e4 vaikuttavaa liikkeen pelkoon kuin perinteinen vastaanotto. Jotta jatkossa kliiniset tutkimuksiin liittyv\u00e4 rekrytoinnit onnistuisivat, on t\u00e4rke\u00e4\u00e4 varmistaa, ett\u00e4 kliiniset ty\u00f6ntekij\u00e4t jotka rekrytoivat potilaita ovat motivoituneita tutkimukseen liittyv\u00e4\u00e4n toimintaan ja paremmin tietoisia tutkimuksen kokonaisuudesta. Tulosten perusteella n\u00e4ytt\u00e4\u00e4 silt\u00e4, ett\u00e4 kliinisess\u00e4 tutkimuksessa tulee kiinnitt\u00e4\u00e4 erityist\u00e4 huomiota vapaaehtoisiin ja motivoituneiden kliinikoiden k\u00e4ytt\u00f6\u00f6n. Tulevaisuudessa tutkimusta tulisi tehd\u00e4 enemm\u00e4n fysioterapian tehokkuuden n\u00e4k\u00f6kulmasta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "This master\u2019s thesis was a pilot study for a larger direct access study project. Goal was to review the reliability of Finnish version of Tampa Scale of Kinesiophobia (TSK-FIN) and test the functionality of internet-based data collecting devices. In addition, the study included a qualitative data that was collected to find out more about factors effecting data collection. Physiotherapy direct access has been the focus of physiotherapy studies in recent years, but little studies have been made in Finland. Studies have shown improved cost efficacy and patient complacence. The reliability of measurement tools, that are used in the direct access physiotherapy, or the factors affecting the patient recruiting in direct access studies have not been studied enough in Finland.\nIn the pilot study TSK-FIN questionnaire reliability was tested between two groups, direct access (DA) and access with referral from doctor (RB) with a follow up. In addition, the physiotherapists who did the patient recruiting were also asked for their experiences. Three questions were delivered via email. 1) Explain what you found challenging, and why in patient recruiting process? 2) Did you receive enough information about the study process? If not, what would you have wanted more? 3) What else would you like to talk about your job in direct access physiotherapy and research in your workplace? In total 12 patients (5 to the DA group and 8 to the RB group) of the 20 who met the inclusion criteria were recruited into the internet-based survey and four answers were received in total to the qualitative survey. Four answers to the qualitative survey were received. The kinesiophobia tool reliability results were analyzed using Cronbach\u2019s alpha and Pearson\u2019s correlation. Qualitative data was analyzed using thematic analysis.\nTSK-FIN tool has a very high reliability, almost perfect internal consistency (Cronbach\u2019s Alfa = 0,903; Pearson\u2019s coefficient = 0,966, p= 0,007) and the internet-based data collecting device functioned as intended. The DA and RB group did not show statistical differences in outcomes, and physiotherapy was effective in self-reported help to fear of movement (p = 0,001). In DA the time waited for appointment was significantly smaller (p = 0,002). Qualitative study mate-rial was analyzed by thematic analysis and two themes were found to answer the question: \u201cwhy did the patient recruiting fail?\u201d First theme was that the patient material of clinicians did not match the inclusion criteria in the study. Second theme was the lack of information regarding direct access physiotherapy.\nBecause of small sample sizes these results directive at best, but they support using the TSK-FIN and internet-based data collection tools in the larger study project. Direct access physiotherapy seems to be as effective as referral-based physiotherapy when measured with effect in kinesiophobia. In order to make successful clinical trials clinicians doing the patient recruiting should be better informed about the study, motivated to take part in the process and should understand the goal of the study well. In the light of these findings a few more focus should be put to using voluntary and motivated clinicians when conducting a study. In the future more studies should be done from the efficacy of physiotherapy point of view.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2023-01-11T07:35:02Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2023-01-11T07:35:02Z (GMT). No. of bitstreams: 0\n Previous issue date: 2023", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "47", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": null, "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "fysioterapeutin suoravastaanotto", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "TSK-FIN", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Tampa Scale of Kinesiophoby", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "mixed methods", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Liikkeen pelkoa mittaavan lomakkeen reliabiliteetti suoravastaanotolla ja asiakkaiden rekrytointiin liittyv\u00e4t tekij\u00e4t fysioterapian suoravastaanottotutkimuksessa : monimenetelm\u00e4tapaustutkimus", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202301111246", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.collaborator", "value": "public", "language": "", "element": "contractresearch", "qualifier": "collaborator", "schema": "yvv"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "university", "language": "", "element": "contractresearch", "qualifier": "initiative", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "restrictedAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "physiotherapy", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/collections/archival-workstation).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/kokoelmat/arkistotyoasema..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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