Abstract

Purpose Domestic violence (DV) is a pervasive global issue affecting people across all demographics. Physiotherapists, due to their close patient contact, may be ideally positioned to identify and support victims. However, their preparedness for this role is shown to fall short of needs via a study that aimed to determine physiotherapists’ knowledge, attitudes, and experiences with DV in Estonia, Greece, Cyprus, and Spain. Methods An online questionnaire via the LimeSurvey® platform assessed the experiences of 167 physiotherapists across the four countries. The survey covered respondent demographics, training received on DV identification and referral procedures, self-reported confidence in identifying and referring DV victims, and the frequency of encountering suspected cases. Results The findings revealed a substantial gap between the legal mandates for healthcare professionals to address DV (as outlined in the Istanbul Convention and a 2024 EU Directive) and the preparedness of physiotherapists. Only 13.2% of respondents had received any DV training, and less than half felt confident making referrals to support services. However, there is an evident association between experience and awareness – physiotherapists with more years of experience, particularly those specialising in paediatrics or chronic conditions, are more likely to have encountered and reported suspected DV cases. Conclusions The study’s generalisability may be limited due to the sample size and the selection process (social media outreach and professional networks). Additionally, self-reported data can be prone to bias. Nonetheless, these findings highlight a critical need for integrating DV training modules into physiotherapy education curricula, both at the entry-level and throughout continuing education programs. The Online Professional Education for Physiotherapists and other healthcare professionals on DV (OPEP) project, in response to this gap, has developed a comprehensive online training resource specifically for physiotherapists on DV identification and referral protocols. This initiative aligns with the growing recognition of healthcare professionals’ role in combating DV and can play a vital role in supporting victims and survivors.

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