{"id":"https://openalex.org/W7225244192","doi":"https://doi.org/10.1177/17589983261500129","title":"Use of patient-reported outcome measures for upper limb musculoskeletal conditions among physiotherapists in Tamil Nadu, India: a mixed-methods study","display_name":"Use of patient-reported outcome measures for upper limb musculoskeletal conditions among physiotherapists in Tamil Nadu, India: a mixed-methods study","publication_year":2026,"publication_date":"2026-11-03","ids":{"openalex":"https://openalex.org/W7225244192","doi":"https://doi.org/10.1177/17589983261500129","pmid":"https://pubmed.ncbi.nlm.nih.gov/42991369","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13735769"},"language":"en","primary_location":{"id":"doi:10.1177/17589983261500129","doi":"https://doi.org/10.1177/17589983261500129","is_oa":true,"landing_page_url":"https://doi.org/10.1177/17589983261500129","pdf_url":null,"source":{"id":"https://openalex.org/S170355759","display_name":"Hand Therapy","issn_l":"1758-9983","issn":["1758-9983","1758-9991"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand Therapy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1177/17589983261500129","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007916348","display_name":"Veeragoudhaman T.S.","orcid":"https://orcid.org/0000-0002-8365-3685","observed_orcids":["https://orcid.org/0000-0002-8365-3685"]},"institutions":[{"id":"https://openalex.org/I145286018","display_name":"SRM Institute of Science and Technology","ror":"https://ror.org/050113w36","country_code":"IN","type":"education","lineage":["https://openalex.org/I145286018"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Veeragoudhaman T S","raw_affiliation_strings":["SRM Institute of Science and Technology"],"raw_orcid":"https://orcid.org/0000-0002-8365-3685","affiliations":[{"raw_affiliation_string":"SRM Institute of Science and Technology","institution_ids":["https://openalex.org/I145286018"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033493720","display_name":"Vinitha Arasu","orcid":"https://orcid.org/0000-0001-9732-2441","observed_orcids":["https://orcid.org/0000-0001-9732-2441"]},"institutions":[{"id":"https://openalex.org/I145286018","display_name":"SRM Institute of Science and Technology","ror":"https://ror.org/050113w36","country_code":"IN","type":"education","lineage":["https://openalex.org/I145286018"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Vinitha Arasu","raw_affiliation_strings":["SRM Institute of Science and Technology"],"raw_orcid":"https://orcid.org/0000-0001-9732-2441","affiliations":[{"raw_affiliation_string":"SRM Institute of Science and Technology","institution_ids":["https://openalex.org/I145286018"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001093556","display_name":"Cynthia Swarnalatha Srikesavan","orcid":"https://orcid.org/0000-0002-3540-8052","observed_orcids":["https://orcid.org/0000-0002-3540-8052"]},"institutions":[{"id":"https://openalex.org/I23923803","display_name":"University of Exeter","ror":"https://ror.org/03yghzc09","country_code":"GB","type":"education","lineage":["https://openalex.org/I23923803"]},{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Cynthia Swarnalatha","raw_affiliation_strings":["University of Exeter","University of Oxford"],"raw_orcid":"https://orcid.org/0000-0002-3540-8052","affiliations":[{"raw_affiliation_string":"University of Exeter","institution_ids":["https://openalex.org/I23923803"]},{"raw_affiliation_string":"University of Oxford","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051870161","display_name":"Faizan Zaffar Kashoo","orcid":"https://orcid.org/0000-0002-8272-674X","observed_orcids":["https://orcid.org/0000-0002-8272-674X","https://orcid.org/0000-0003-3866-9351","https://orcid.org/0000-0003-3138-1056"]},"institutions":[{"id":"https://openalex.org/I145286018","display_name":"SRM Institute of Science and Technology","ror":"https://ror.org/050113w36","country_code":"IN","type":"education","lineage":["https://openalex.org/I145286018"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Balamurugan Janakiraman","raw_affiliation_strings":["SRM Institute of Science and Technology"],"raw_orcid":"https://orcid.org/0000-0003-3866-9351","affiliations":[{"raw_affiliation_string":"SRM Institute of Science and Technology","institution_ids":["https://openalex.org/I145286018"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5007916348"],"corresponding_institution_ids":["https://openalex.org/I145286018"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":{"value":4150,"currency":"USD","value_usd":4150},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.90577417,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"17589983261500129","last_page":"17589983261500129"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.6342999935150146,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.6342999935150146,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13946","display_name":"Musculoskeletal Disorders and Rehabilitation","score":0.16670000553131104,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13986","display_name":"Medical Practices and Rehabilitation","score":0.09860000014305115,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-reported-outcome-measures","display_name":"patient-reported outcome measures","score":1.0},{"id":"https://openalex.org/keywords/physiotherapists","display_name":"physiotherapists","score":0.9179999828338623},{"id":"https://openalex.org/keywords/shoulder-disorders","display_name":"shoulder disorders","score":0.9380000233650208},{"id":"https://openalex.org/keywords/physical-therapy-education","display_name":"physiotherapy education","score":0.5950000286102295},{"id":"https://openalex.org/keywords/workplace-policies","display_name":"workplace policies","score":0.746999979019165},{"id":"https://openalex.org/keywords/tamil-nadu","display_name":"Tamil Nadu","score":0.8240000009536743}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8241000175476074},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.7366999983787537},{"id":"https://openalex.org/C2777364248","wikidata":"https://www.wikidata.org/wiki/Q1150737","display_name":"Prom","level":2,"score":0.573199987411499},{"id":"https://openalex.org/C2776660947","wikidata":"https://www.wikidata.org/wiki/Q841423","display_name":"Upper limb","level":2,"score":0.5666999816894531},{"id":"https://openalex.org/C140688305","wikidata":"https://www.wikidata.org/wiki/Q5885","display_name":"Tamil","level":2,"score":0.46369999647140503},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4165000021457672},{"id":"https://openalex.org/C60465272","wikidata":"https://www.wikidata.org/wiki/Q494478","display_name":"Range of motion","level":2,"score":0.41589999198913574},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.41519999504089355},{"id":"https://openalex.org/C2779517570","wikidata":"https://www.wikidata.org/wiki/Q7144954","display_name":"Patient-reported outcome","level":3,"score":0.37689998745918274},{"id":"https://openalex.org/C65067816","wikidata":"https://www.wikidata.org/wiki/Q2295139","display_name":"Computer-assisted web interviewing","level":2,"score":0.35929998755455017},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.35260000824928284},{"id":"https://openalex.org/C2993471631","wikidata":"https://www.wikidata.org/wiki/Q4116663","display_name":"Musculoskeletal pain","level":2,"score":0.3262999951839447},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.31189998984336853},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3043999969959259},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.303600013256073},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.2971999943256378},{"id":"https://openalex.org/C2778063842","wikidata":"https://www.wikidata.org/wiki/Q325253","display_name":"Osteopathy","level":3,"score":0.296099990606308},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.28380000591278076},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.272599995136261},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.26570001244544983}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1177/17589983261500129","doi":"https://doi.org/10.1177/17589983261500129","is_oa":true,"landing_page_url":"https://doi.org/10.1177/17589983261500129","pdf_url":null,"source":{"id":"https://openalex.org/S170355759","display_name":"Hand Therapy","issn_l":"1758-9983","issn":["1758-9983","1758-9991"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand Therapy","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13735769","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735769/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735769/pdf/10.1177_17589983261500129.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand Ther","raw_type":"Text"},{"id":"pmid:42991369","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42991369","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand therapy","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1177/17589983261500129","doi":"https://doi.org/10.1177/17589983261500129","is_oa":true,"landing_page_url":"https://doi.org/10.1177/17589983261500129","pdf_url":null,"source":{"id":"https://openalex.org/S170355759","display_name":"Hand Therapy","issn_l":"1758-9983","issn":["1758-9983","1758-9991"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand Therapy","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320317486","display_name":"SRM Institute of Science and Technology","ror":"https://ror.org/037skf023"},{"id":"https://openalex.org/F4320337083","display_name":"Faculty of Medicine and Health, University of Sydney","ror":null}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225244192.pdf","grobid_xml":"https://content.openalex.org/works/W7225244192.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W124963830","https://openalex.org/W2001470921","https://openalex.org/W2021691581","https://openalex.org/W2060785344","https://openalex.org/W2103707707","https://openalex.org/W2297967409","https://openalex.org/W2524597629","https://openalex.org/W2770182735","https://openalex.org/W2788662166","https://openalex.org/W2968636118","https://openalex.org/W3047067706","https://openalex.org/W4232977219","https://openalex.org/W4310535466","https://openalex.org/W4323265910","https://openalex.org/W4323654545","https://openalex.org/W4385779344","https://openalex.org/W4386467404","https://openalex.org/W4386776402","https://openalex.org/W4387189822","https://openalex.org/W4393345967","https://openalex.org/W4401910625","https://openalex.org/W4405740140","https://openalex.org/W4409192149","https://openalex.org/W4411569991","https://openalex.org/W4412021648","https://openalex.org/W4412570374","https://openalex.org/W4412749365","https://openalex.org/W4412775091","https://openalex.org/W4412817212"],"related_works":["https://openalex.org/W7170340606","https://openalex.org/W4401910625","https://openalex.org/W2981995251","https://openalex.org/W4323654545","https://openalex.org/W3166083710","https://openalex.org/W2021691581","https://openalex.org/W2060785344","https://openalex.org/W2969762014","https://openalex.org/W7155167536","https://openalex.org/W6980480544"],"abstract_inverted_index":{"Background:":[0],"Patient-reported":[1],"outcome":[2],"measures":[3],"(PROMs)":[4],"are":[5,214,224],"widely":[6],"recommended":[7],"to":[8,36,76,226,233],"evaluate":[9],"function":[10],"and":[11,79,109,123,153,164,167,184,194,210,230],"participation":[12],"among":[13,217],"individuals":[14],"with":[15,44,73,150,155,212],"upper":[16,45],"limb":[17,46],"musculoskeletal":[18,47],"conditions.":[19],"There":[20],"is":[21],"scarce":[22],"evidence":[23],"about":[24],"the":[25,88,130,168,198,206],"use":[26,40,207,236],"of":[27,87,120,129,158,170,190,208],"PROMs":[28,41,171,209],"in":[29,32,42,49,81,162,172,187,219,239],"physiotherapy":[30],"practice":[31,232],"India.":[33,52,240],"We":[34],"aimed":[35],"understand":[37],"how":[38],"physiotherapists":[39,218,238],"patients":[43],"conditions":[48,108],"Tamil":[50,173,220],"Nadu,":[51],"Methods:":[53],"A":[54],"sequential":[55],"explanatory":[56],"mixed-methods":[57],"study":[58],"was":[59,64,93],"conducted.":[60],"An":[61],"online":[62],"survey":[63,131,146],"completed":[65],"by":[66,70,237],"158":[67],"physiotherapists,":[68],"followed":[69],"semistructured":[71],"interviews":[72],"12":[74],"participants":[75,89,97,132,141,147],"explore":[77],"experiences":[78],"perceptions":[80],"depth.":[82],"Results:":[83],"The":[84],"mean":[85],"age":[86,101],"(n":[90],"=":[91],"158)":[92],"31.8":[94],"years.":[95],"Twelve":[96],"were":[98,148,174,197],"interviewed":[99],"(median":[100],"35":[102],"years).":[103],"Participants":[104],"predominantly":[105],"treated":[106],"shoulder":[107],"relied":[110],"mainly":[111],"on":[112],"impairment-based":[113],"assessments":[114],"such":[115,180],"as":[116,181],"pain":[117,151],"(76%),":[118],"range":[119],"motion":[121],"(70%),":[122],"muscle":[124],"strength":[125],"(59%).":[126],"While":[127],"38%":[128],"reported":[133,142,176,199],"rarely":[134],"or":[135],"never":[136],"using":[137],"PROMs,":[138,166,191],"all":[139],"interview":[140],"occasional":[143],"use.":[144],"Most":[145],"familiar":[149],"scales":[152],"unfamiliar":[154],"PROMs.":[156],"Lack":[157],"time,":[159],"knowledge,":[160],"confidence":[161],"selecting":[163],"administering":[165],"non-availability":[169],"commonly":[175],"barriers.":[177],"Patient-related":[178],"challenges":[179],"literacy,":[182],"language,":[183],"cooperation":[185],"emerged":[186],"interviews.":[188],"Availability":[189],"therapist":[192],"training,":[193],"workplace":[195],"policies":[196],"facilitators.":[200],"Conclusions:":[201],"Our":[202],"findings":[203],"indicate":[204],"that":[205],"familiarity":[211],"them":[213],"reportedly":[215],"low":[216],"Nadu.":[221],"Larger":[222],"surveys":[223],"needed":[225],"guide":[227],"policy,":[228],"education,":[229],"professional":[231],"facilitate":[234],"PROM":[235]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-05T00:00:00"}
