Question

ICC

Question

ICC

Question

ICC

Question

ICC

Question

ICC

Question

ICC

nr.

nr.

nr.

nr.

nr.

nr.

6.1

1

9.3

1

11.`5

0.4

14.2.2

0.8

17.1.1

1

20.4

0.8

6.2

1

9.4

0.8

11.6

0.8

14.2.3

1

17.1.2

0.6

20.5

0.6

6.3

1

9.5

1

11.7

0.6

14.2.4

1

17.1.3

0.6

20.6

0.8

6.4

1

10.1

1

11.8

0.8

14.2.5

1

17.1.4

1

20.7

1

7

1

10.2

0.8

11.9

1

14.2.6

1

17.1.5

1

20.8

1

8.2

0.8

10.4

0.8

13

0.8

16.1.1

0.6

17.2.2

1

21.2

0.6

8.4

0.8

10.6

0.6

14.1.2

1

16.1.3

0.6

19

0.8

21.4

0.6

8.5

1

11.1

1

14.1.3

0.6

16.1.4

1

20.1

0.7

21.5

0.6

9.1

0.8

11.2

1

14.1.4

0.8

16.1.5

1

20.2

0.9

21.6

0.6

9.2

0.8

11.3

1

14.2.1

0.8

16.2.1

1

20.3

0.7

22

0.9

11.4

1

16.2.2

1

23

1

Table 1:Reliability questionnaire to assess manual therapists’ health model based clinical practice

Knowledge of health model shown by physiotherapists

Biomedical (n=20)

Biopsychosocial (n=83)

Cognitive-Behavioural (n=9)

Holistic (n=89)

Ecological (n=3)

Biomedical

5%

60%

44.4%

38.4%

100%

Biopsychosocial

50%

95.3%

88.9%

55.8%

100%

Cognitive-Behavioural

20%

31.8%

88.9%

27.9%

100%

Holistic

65%

52.9%

88.9%

100%

100%

Ecological

5%

7.1%

22.2%

4.7%

100%

Table 2: Knowledge of other health models related to health model based clinical practice

Designation used by physiotherapists

Biomedical (n=20)

Biopsychosocial (n=83)

Cognitive-Behavioral (n=9)

Holistic (n=89)

Ecological (n=3)

CCOS

Sick

15%

3.5%

0%

4.7%

0%

0.021

Patient

35%

30.6%

33.3%

40.7%

33.3%

User

30%

56.5%

66.7%

33.7%

33.3%

Client

20%

9.4%

0%

20.9%

33.3%

Table 3: Designation used by physiotherapists in relation to health model

Components assessed

Biomedical (n=20)

Biopsychosocial (n=83)

Cognitive-Behavioral (n=9)

Holistic (n=89)

Ecological (n=3)

Physical symptoms

100%

97.6%

100%

97.7%

100%

Clinical History

90%

94.1%

100%

96.5%

100%

Pathology cause

85%

78.8%

88.9%

87.2%

100%

Emotional condition

40%

58.8%

88.9%

58.1%

100%

Family condition

25%

35.3%

66.7%

33.7%

66.7%

Surrounding environment

45%

52.9%

66.7%

54.7%

66.7%

Social situation

20%

45.9%

55.6%

47.7%

66.7%

Psychological condition

40%

65.9%

100%

73.3%

100%

Behavior

55%

71.8%

88.9%

79.1%

100%

Table 4: Components assessed by physiotherapists in relation to health model

Biomedical (n=20)

Biopsychosocial (n=83)

Cognitive-Behavioral (n=9)

Holistic (n=89)

Ecological (n = 3)

Too much or extreme importance given to solving symptoms

90%

94.2%

55.5%

87.2%

66.6%

Some or a high level of empathy between the user and physiotherapist at intervention

85%

95.3%

100%

96.5%

100%

Too much or extreme importance given to  the surrounding environment

30%

48.3%

55.5%

50%

33.3%

Some or a high attention given to users’ behavioral changes

85%

84.7%

100%

88.3%

100%

Table 5: Physiotherapist’s attitude and behavioual analysis related to health model

I

W

I

W

I

W

I

W

I

W

Biological component

80%

75%

72.9%

83.5%

66.6%

77.8%

81.4%

87.2%

66.7%

33.3%

Physical component

95%

90%

84.7%

83.5%

44.4%

88.9%

73.3%

82.6%

100%

100%

Social component

10%

15%

31.8%

28.2%

0%

44.4%

24.4%

29.1%

0%

0%

Environmental component

10%

5%

28.2%

23.5%

11.1%

33.3%

20.9%

18.6%

0%

0%

Psychological component

10%

25%

56.5%

55.3%

77.8%

66.7%

51.2%

62.8%

0%

66.7%

Behavioral component

25%

40%

51.8%

62.4%

66.6%

55.6%

57%

52.3%

0%

33.3%

Table 6: Relationship between the components physiotherapists give more importance to or work more and the health model they base their clinical practice on Health model that fits into the clinical practice of physiotherapistswho work  in manual therapy

Model’s choice without seeing the definition - n (%)

Model choice consulting definition - n (% )

Difference between answers

p

Biomedical

20 (9.9%)

13 (6.4%)

-3.5%

Biopsychosocial

85(41.9%)

78(38.4%)

-3.5%

Cognitive-Behavioral

9(4.4%)

9(4.4%)

0%

Holistic

86(42.4%)

100 (49.3%)

+6.9%

Ecological

3(1.5%)

3(1.5%)

0%

Table 7: Agreement between perceived and real health model  on which physiotherapists base their clinical practice

Biomedical (n=20)

Biopsychosocial (n=83)

Cognitive-Behavioral (n=9)

Holistic (n=89)

Ecological (n=3)

p

Age

[20-40 years]

9.8%

42.9%

4.9%

41.3%

1.1%

0.403

More than 40 years

10.5%

31.6%

0%

52.6%

5.3%

Working years

Less than 15 years

10.4%

42.1%

4.4%

42.1%

1%

0.651

16 or more years

5%

40%

5%

45%

5%

Gender

Female

8.2%

45.9%

4.9%

39.4%

1.6%

0.573

Male

12.3%

35.9%

3.7%

46.9%

1.2%

Academic qualifications

Bachelor Degree (n=162)

9.9%

41.9%

4.7%

42.3%

1.2%

Master degree (n=10)

0%

44.4%

0%

55.6%

0%

Postgraduate (n = 31)

9.7%

41.9%

3.3%

41.9%

3.2%

Table 8: Physiotherapists’ profile related to health model