Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study

Objective This study investigates Saudi Arabian physiotherapists’ perspectives on direct access to physiotherapy (DAPT) services, focusing on perceived benefits, barriers and implementation in clinical practice.Methods A cross-sectional observational study design was used. Data collection occurred b...

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Main Authors: Hosam Alzahrani, Razaz Shaheen, Osama Mohammed, Elaf Marouf
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/2/e089601.full
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author Hosam Alzahrani
Razaz Shaheen
Osama Mohammed
Elaf Marouf
author_facet Hosam Alzahrani
Razaz Shaheen
Osama Mohammed
Elaf Marouf
author_sort Hosam Alzahrani
collection DOAJ
description Objective This study investigates Saudi Arabian physiotherapists’ perspectives on direct access to physiotherapy (DAPT) services, focusing on perceived benefits, barriers and implementation in clinical practice.Methods A cross-sectional observational study design was used. Data collection occurred between December 2022 and June 2023 via an online structured questionnaire distributed through email and text messages. The DAPT section comprised items on awareness, endorsement, obstacles/barriers to implementation in Saudi Arabia, perceived benefits and expected benefits of various resources to guide evidence-based practice for physiotherapists. This section featured closed-ended questions using a 5-point Likert scale. The study included licensed physiotherapists currently working in Saudi Arabia.Results The study included 401 participants, with a nearly equal distribution of 203 males (50.6%) and 198 females (49.4%). The most common age group was 25–34 years, comprising 70.6% of the participants. A significant proportion (61.6%) were aware of DAPT, and 88% acknowledged its potential to reduce delays in care. However, 49.9% had not engaged with relevant literature. The primary barriers to DAPT identified were laws and regulations (mean=3.69, SD=1.21), physician support (mean=3.59, SD=0.99), entry-level education (mean=3.45, SD=1.17), patient beliefs (mean=3.38, SD=1.24), self-confidence (mean=3.35, SD=1.15) and professional autonomy (mean=3.34, SD=1.22).Conclusion Physiotherapists in Saudi Arabia demonstrate substantial awareness of direct access. Organisational initiatives and increased awareness are essential to promote direct access. This study highlights that direct patient access to physiotherapists offers significant benefits to patients, healthcare workers and the broader community.
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spelling doaj-art-be4217bd13434d0daec4904186bbc18d2025-02-09T04:30:09ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-089601Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional studyHosam Alzahrani0Razaz Shaheen1Osama Mohammed2Elaf Marouf3Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi ArabiaDepartment of Public Health & Preventive Care, Loma Linda University, Loma Linda, California, USADepartment of Physical Therapy, Armed Forces Hospitals, Taif, Saudi ArabiaEradah & Mental Health Complex - Eradah Services, Jeddah, Saudi ArabiaObjective This study investigates Saudi Arabian physiotherapists’ perspectives on direct access to physiotherapy (DAPT) services, focusing on perceived benefits, barriers and implementation in clinical practice.Methods A cross-sectional observational study design was used. Data collection occurred between December 2022 and June 2023 via an online structured questionnaire distributed through email and text messages. The DAPT section comprised items on awareness, endorsement, obstacles/barriers to implementation in Saudi Arabia, perceived benefits and expected benefits of various resources to guide evidence-based practice for physiotherapists. This section featured closed-ended questions using a 5-point Likert scale. The study included licensed physiotherapists currently working in Saudi Arabia.Results The study included 401 participants, with a nearly equal distribution of 203 males (50.6%) and 198 females (49.4%). The most common age group was 25–34 years, comprising 70.6% of the participants. A significant proportion (61.6%) were aware of DAPT, and 88% acknowledged its potential to reduce delays in care. However, 49.9% had not engaged with relevant literature. The primary barriers to DAPT identified were laws and regulations (mean=3.69, SD=1.21), physician support (mean=3.59, SD=0.99), entry-level education (mean=3.45, SD=1.17), patient beliefs (mean=3.38, SD=1.24), self-confidence (mean=3.35, SD=1.15) and professional autonomy (mean=3.34, SD=1.22).Conclusion Physiotherapists in Saudi Arabia demonstrate substantial awareness of direct access. Organisational initiatives and increased awareness are essential to promote direct access. This study highlights that direct patient access to physiotherapists offers significant benefits to patients, healthcare workers and the broader community.https://bmjopen.bmj.com/content/15/2/e089601.full
spellingShingle Hosam Alzahrani
Razaz Shaheen
Osama Mohammed
Elaf Marouf
Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study
BMJ Open
title Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study
title_full Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study
title_fullStr Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study
title_full_unstemmed Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study
title_short Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study
title_sort physiotherapists perspectives on the implementation of direct access to physiotherapy services in saudi arabia a cross sectional study
url https://bmjopen.bmj.com/content/15/2/e089601.full
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