Physiotherapists’ perspectives on the potential role of the Assessment of Burden of Chronic Conditions (ABCC) tool in practice: a qualitative study

Background With chronic conditions and multimorbidity rising, physiotherapists play an important role in supporting patients’ well-being. However, delivering person-centered care is challenging. The Assessment of Burden of Chronic Conditions (ABCC) tool may help address this. This study explores physiotherapists’ perspectives regarding the (potential) use of the ABCC tool in primary care physiotherapy.Methods 19 interviews were conducted with physiotherapists (4 with and 15 without prior experience using the ABCC tool). Interviews explored current practice, use of and experiences with the ABCC tool, perspectives on (the applicability of) this tool, and support needs for optimal use. Interviews were transcribed verbatim and analysed using conventional and directed content analysis.Results Regardless of experience, most participants reported that existing assessments insufficiently capture the multidimensional impact of chronic conditions. While experienced users valued the ABCC tool for providing a comprehensive assessment and a visual representation that facilitates understanding, dialogue, and patient engagement, inexperienced participants anticipated similar potential benefits for clinical practice. Concerns were raised regarding the duplication of existing questionnaires and the incomplete integration into existing electronic health records. These concerns could potentially lead to an increased workload, alongside potential patient questionnaire fatigue. With regard to the training aspect, there was a divergence of needs amongst the participants.Conclusion Physiotherapists valued the ABCC tool for supporting person-centered care. Despite some practical considerations regarding implementation, experienced users reported generally positive experiences, while inexperienced participants anticipated potential benefits for clinical practice. To realise this theoretical potential in practice, it will be essential to involve key stakeholders.