The objective was to develop a new educational framework enhancing Japanese therapists’ consultation skills, utilizing the advisory project as a proof of concept.
Fifteen physical therapists participated in the study. The advisory project process included consultation with the care manager, during which therapists asked questions to clarify issues, care managers responded, and therapists offered advice. All communications were email-based. The therapists uploaded documents for every process, while mentors monitored and provided feedback. All communication between the therapists, mentor, and client was shared with the participants. The protocol was initiated between July and October 2024, during which 11 consultations were completed. On September 12th, a meeting was held to exchange feedback, and a questionnaire was distributed to gather participants’ opinions on the project.
Fourteen therapists participated in the meeting, and 13 completed the questionnaire. During the meeting, one therapist described "scooping the needs of both the client and the care-receiver, carefully choosing the words of advice, and interacting in a way that does not burden the other person" as being "heavy", referring to responsibilities not generally encountered in a hospital setting, which was agreed by all participants. However, all participants commented that participating in the project would be beneficial for hospital work. They highlighted that advice from other therapists and the mentors’ comments were useful for advising patients, families, and colleagues. This feedback provided new perspectives and encouraged an approach beyond focusing solely on physical function improvement. The questionnaire results revealed that 13 participants viewed the project as valuable for both the care-receiver and the local community. In the free comments section, nine participants recognized that the project improved the quality of life for care receivers by influencing the care manager's viewpoint and enhancing care management services.
The new educational framework for consultation skills aims to enhance physiotherapists’ ability to inspire patients/families and collaborate with colleagues through these processes. Continuous verification will be required in the future.
Advancing this educational system may affect both the efficiency of therapist training and advisory projects. This is significant due to the increasing demand for in-community therapists, owing to the continued lack of home support resources, and the need to contribute to a sustainable society in Japan.
Physiotherapist education
Care management assistance
