A Model for Designing a Geriatric Physical Therapy Course Grounded in Educational Principles and Active Learning Strategies

Ruckert, Elizabeth; Plack, Margaret M.; Maring, Joyce

doi:10.1097/00001416-201401000-00010

Cited by 7 publications

(9 citation statements)

References 16 publications

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“…For an example, consider the performance objective presented in Table 4 , “ Empower a patient to monitor their own progress and identify solutions .” An associated change objective was “ Demonstrate the ability to collaborate with patients on treatment planning .” To meet this change objective, physical therapists need skills and self-efficacy in communication strategies that support collaborative treatment planning ( 40 ). Active learning strategies that include practice, review, and repetition are effective methods for improving skills and self-efficacy ( 41 – 43 ). Having outlined this, we knew we needed to operationalize modeling, guided practice, and feedback in Task 4.…”

Section: Resultsmentioning

confidence: 99%

“…To meet this change objective, physical therapists need skills and self-efficacy in communication strategies that support collaborative treatment planning (40). Active learning strategies that include practice, review, and repetition are effective methods for improving skills and self-efficacy (41)(42)(43). Having outlined this, we knew we needed to operationalize modeling, guided practice, and feedback in Task 4.…”

Section: Task 3: Choose Theoretical Models; Select or Create Implemen...mentioning

confidence: 99%

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Implementing a Dutch Physical Therapy Intervention Into a U.S. Health System: Selecting Strategies Using Implementation Mapping

Thackeray

Waring

Hoogeboom³

et al. 2022

Front. Public Health

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BackgroundCoach2Move is a person-centered physical therapy intervention that has demonstrated success in changing physical activity behaviors among older adults in the Netherlands. In this manuscript, we describe how we developed an implementation plan for Coach2move in a U.S. population and healthcare system using Implementation Mapping.MethodsWe established an implementation planning team of researchers, patients, and clinicians. The Consolidated Framework for Implementation Research provided an overall structure for consideration of the context for implementation. Implementation Mapping guided the planning process. The implementation planning team worked sequentially through the five tasks of Implementation Mapping (1) Identify needs, program adopters and implementers; (2) Identify adoption and implementation outcomes, performance objectives, determinants, and matrices of change; (3) Choose theoretical models and implementation strategies; (4) Produce implementation protocols; (5) Evaluate implementation outcomes. In this manuscript, we identify our evaluation plan but not results as data collection is ongoing.ResultsClinic managers and physical therapists were identified as program adopters and implementors. Performance objectives necessary steps to achieving implementation outcomes were linked to Coach2Move fidelity indicators with implementation by the physical therapist. These included delivery of person-centered care, motivational interviewing, meaningful goal setting, shared decision-making in planning, and systematic monitoring and follow-up. Determinants linked to these performance objectives included knowledge, outcome expectations, skills and self-efficacy, and perceived norms. Implementation strategies were selected based on a review of methods effective for influencing these determinants. This resulted in four primary strategies (1) educational meetings and dynamic training, (2) peer-assessment meetings, (3) changing the electronic health record template, and (4) reminders and prompts. Measures of intervention acceptability, appropriateness, and feasibility will be collected after training and early in implementation. Fidelity and effectiveness measures will be collected over the next 12-months.ConclusionImplementation mapping provided a systematic process for identifying what physical therapists would need to implement Coach2Move with fidelity. The result was a matrix linking behavioral determinants and performance objectives. These matrices of change allowed for systematic identification and tailoring of implementation strategies to the needs of our population and setting. The process was acceptable to diverse stakeholders, facilitated communication across stakeholders.

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Section: Resultsmentioning

confidence: 99%

Section: Task 3: Choose Theoretical Models; Select or Create Implemen...mentioning

confidence: 99%

Implementing a Dutch Physical Therapy Intervention Into a U.S. Health System: Selecting Strategies Using Implementation Mapping

Thackeray

Waring

Hoogeboom³

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…The RePAT intervention included theoretical and practical components. Intervention training which adopted both a practical and theoretical approach has been positively evaluated in terms of acceptability and fidelity to the intervention in previous studies [42][43][44][45] and in complex interventions for older people [46]. Improvements to the intervention for future studies could include supplemental online learning packages, embracing the growth of blended learning in undergraduate and post-graduate training.…”

Section: Discussionmentioning

confidence: 99%

A non-randomised feasibility study of the Rehabilitation Potential Assessment Tool (RePAT) in frail older people in the acute healthcare setting

et al. 2022

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Background Rehabilitation potential involves predicting who will benefit from rehabilitation. Decisions about rehabilitation potential must take into account personal, clinical and contextual factors, a process which is complicated in the presence of acute ill-health and frailty. This study aimed to evaluate the feasibility and acceptability of the Rehabilitation Potential Assessment Tool (RePAT) – a 15 item holistic, person-centred assessment tool and training package – in the acute hospital setting. Methods A non-randomised feasibility study with nested semi-structured interviews explored whether RePAT was feasible and acceptable. Feasibility was tested by recruiting physiotherapy and occupational therapy participants delivering the RePAT intervention to patients alongside usual clinical care. Acceptability was tested by conducting semi-structured interviews with staff, patient and carer participants. Staff and patient characteristics were analysed using descriptive statistics. Interview data were analysed thematically. Fidelity of completed RePAT items was assessed against a priori criteria on how closely they matched tool guidance by two researchers. Mean values of the two scores were calculated. RePAT content was analysed and supported with verbatim quotes. Results Six staff participants were recruited and trained. They assessed 26 patient participants using RePAT. Mean (SD) patient age was 86.16 (±6.39) years. 32% were vulnerable or mildly frail, 42% moderately frail and 26% severely or very severely frail using the Clinical Frailty Scale. Mean (SD) time to complete RePAT was 32.7 (±9.6) minutes. RePAT fidelity was good where 13 out of 15 items achieved a priori fidelity. RePAT was acceptable and tolerated by staff and patients. Staff participants reported RePAT enabled them to consider rehabilitation decisions in a more structured and consistent way. Patients and carer participants, although unable to comment directly on RePAT, reported being satisfied with their rehabilitation assessments which were found to embrace a person-centred approach. Conclusions RePAT was found to be acceptable and feasible by staff, carers and patients. It allowed clinicians to make explicit their reasoning behind rehabilitation assessments and encouraged them to become more cognisant of factors which affected their clinical decision-making. Trial registration ID ISRCTN31938453. Registered 05/10/2021.

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“…This same strategy performed in education has allowed the student to have the longer memory about the learning material (Cherney, 2008). Furthermore, students are becoming more confident and actively participate in the learning process (Rucket, Plack & Maring, 2014). A part from the ability to see participant characteristics, this training is also designed by considering participant background.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Great Mom Great Children Training to Improve Young Street Mother Stimulation Skill

Pranungsari¹,

Tarnoto²,

Tentama³

2018

Preprint

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The objective of this research is to examine the impact of “Great Mom Great Children” training to improve young street mother stimulation skill. The subjects of the research are from Yogyakarta. They are young homeless mothers who are commonly referred to as a street mother, young mothers who are less than 18 years old, mothers for unwanted pregnancy, mothers who have 0 to 5 years old children and mothers who are upbringing their children themselves. The experiment design used in this research is untreated control group design with dependent pretest and post-test sample. The data is collected by using Children Stimulation Skill Development Scale. The researchers perform Wilcoxon Test to examine the difference between stimulation skill level before and after the test. The result suggested that there was a significant difference before and after the treatment was given. It can be seen from Z=-1,755 and p=0,079) (2-tailed)/0, 0395 (1-tailed) with p<0.05. Also, the result of Mann Whitney U-test showed that the average level of stimulation skill in experiment group participant was higher than that of control group participant with the result of pretest-posttest (p= 0,074 (2-tailed)/ p= 0.037 (1-tailed) where p<0.05 which meant significant. In conclusion,“Great Mom Great Children” training is an effective method to improve children’ stimulation skill for young street mothers.

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A Model for Designing a Geriatric Physical Therapy Course Grounded in Educational Principles and Active Learning Strategies

Cited by 7 publications

References 16 publications

Implementing a Dutch Physical Therapy Intervention Into a U.S. Health System: Selecting Strategies Using Implementation Mapping

Implementing a Dutch Physical Therapy Intervention Into a U.S. Health System: Selecting Strategies Using Implementation Mapping

A non-randomised feasibility study of the Rehabilitation Potential Assessment Tool (RePAT) in frail older people in the acute healthcare setting

The Impact of Great Mom Great Children Training to Improve Young Street Mother Stimulation Skill

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