{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:55:01Z","timestamp":1790571301393,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Physiotherapists are irreplaceable in providing safe, tailored physical activity (PA) and exercise in patients with haemophilia (PwH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Evaluating physiotherapists\u2019 knowledge, self\u2010perceived competence, confidence, role, assumptions for safety of activities and barriers regarding PA and exercise in PwH was aimed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was conducted amongst 200 physiotherapists. Knowledge was assessed via a 20\u2010item true\/false test. Assumptions for safety were assessed by rating 10 paired physical activities. Self\u2010perceptions and barriers were assessed by the level of agreement with relevant statements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants (median age\u00a0=\u00a032 years, 69.5% female) had a median of 9 years' experience, predominantly working in orthopaedics; 88% had no prior experience with PwH. Knowledge assessment revealed that the highest correct responses were for items on haemophilia not being contagious and the benefits of exercise (up to 94.5%), while the lowest were for statements regarding joint\u2010specific strengthening, disease severity and resistance training safety (12%\u201329.5%). Assumptions for safety levels varied substantially across activities. Many participants (87.5%) believe that it is a physiotherapist's duty to determine appropriate PA and exercise for PwH. However, a significant portion of participants reported that they either lack the necessary knowledge, skills or confidence. Patients' and their families' misconceptions about exercise, and insufficient cooperation amongst healthcare professionals, were the most common barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study revealed that while physiotherapist recognize their professional responsibility, they feel that they lack the necessary specialized knowledge, skills and confidence. The creation of a\u00a0specialized, multidisciplinary education program might be beneficial to address this gap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hae.70159","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T08:40:19Z","timestamp":1762159219000},"page":"222-230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Competence and Confidence: An Evaluation of Physiotherapists' Knowledge and Self\u2010Perception About Physical Activity and Exercise in Patients With Haemophilia"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0979-7613","authenticated-orcid":false,"given":"Ozge","family":"Ozkutlu","sequence":"first","affiliation":[{"name":"University of Health Sciences Gulhane Faculty of Physiotherapy and Rehabilitation  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7798-4349","authenticated-orcid":false,"given":"Melda","family":"Comert","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Department of Internal Medicine Division of Haematology Gulhane Training and Research Hospital  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seda Bicici","family":"Ulusahin","sequence":"additional","affiliation":[{"name":"University of Health Sciences Gulhane Faculty of Physiotherapy and Rehabilitation  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saime B\u00fcsranur","family":"Polat","sequence":"additional","affiliation":[{"name":"University of Health Sciences Gulhane Institute of Health Sciences  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2012.02909.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474086.2024.2378936"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.15444"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2007.01504.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13073"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14645"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2011.02514.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182211841"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14828"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13623"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.4236\/health.2020.122014"},{"key":"e_1_2_11_13_1","volume-title":"Psychometric Theory","author":"Nunnally J. C.","year":"1978"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13868"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2021.02.002"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2017-000290"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-9-33"},{"key":"e_1_2_11_19_1","unstructured":"National Hemophilia Foundation Playing It Safe Accessed January 10 2025 (National Hemophilia Foundation) https:\/\/www.bleeding.org\/sites\/default\/files\/document\/files\/Playing\u2010It\u2010Safe.pdf."},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13938"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MBC.0000000000000565"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13367"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejmhg.2014.11.001"},{"issue":"12","key":"e_1_2_11_24_1","article-title":"Exercise for Haemophilia","volume":"12","author":"Strike K.","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13727"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10132822"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14661"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9121728"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/10760296211070002"}],"container-title":["Haemophilia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.70159","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hae.70159","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.70159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:55:59Z","timestamp":1790567759000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hae.70159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,3]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/hae.70159"],"URL":"https:\/\/doi.org\/10.1111\/hae.70159","archive":["Portico"],"relation":{},"ISSN":["1351-8216","1365-2516"],"issn-type":[{"value":"1351-8216","type":"print"},{"value":"1365-2516","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,3]]},"assertion":[{"value":"2025-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}