A Model to Integrate Health Promotion and Wellness in Physical Therapist Practice: Development and Validation

Lein, Donald H.; Clark, Diane; Graham, Cecilia; Perez, Patricia; Morris, David

doi:10.1093/ptj/pzx090

Cited by 40 publications

(48 citation statements)

References 18 publications

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“…e literature suggests that acquiring roles related to prevention and health promotion requires extending the service beyond the acute care setting, towards secondary care and community settings [28]. It is also suggested that physical therapy service delivery should adopt a model that integrates health promotion and prevention in daily practice [28,29]. e Council on Prevention, Health Promotion, and Wellness [30] indicated that physiotherapists should have the knowledge, skills, and competencies relevant to health promotion and prevention.…”

Section: Service Encompass a Variety Of Clinical Responsibilities Refmentioning

confidence: 99%

Advancing Cardiorespiratory Physiotherapy Practice in a Developing Country: Surveying and Benchmarking

Okasheh

Al-Yahya

Al-Khlaifat

et al. 2019

Rehabilitation Research and Practice

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Management of noncommunicable diseases requires the adoption of multidisciplinary interventions that targets the modification of risk factors. Cardiovascular and respiratory diseases are amongst the four main killers of noncommunicable diseases. Physiotherapists specializing in cardiorespiratory physiotherapy are in a critical position in the management of health behaviors associated with noncommunicable diseases. However, the current context of health service in Jordan does not provide sufficient support and recognition for the delivery of specialized physiotherapy services. Objectives. The primary aim of this study was to describe cardiorespiratory physiotherapy service in Jordan. The secondary aims of this study were to: (i) Identify benchmarks from international contexts and guidelines for the delivery of cardiorespiratory physiotherapy service. (ii) Identify gaps and areas for development in the current delivery of cardiorespiratory physiotherapy service. Methods. This two phase study included a survey and a conceptual review with benchmarking. Following ethics approval, a cross sectional survey of physiotherapists practicing in Jordan was conducted. In phase 1, a survey was developed to describe the relevant dimensions of cardiorespiratory physiotherapy service. In phase 2 a conceptual review of the literature was performed to identify domains of service delivery and criteria required for optimal delivery of cardiorespiratory physiotherapy service. In the discussion we integrated the results of the survey within the benchmarks that emerged from the conceptual review of literature in order to identify gaps and areas for development in the current delivery of cardiorespiratory physiotherapy service. Results. Phase 1: Data emerging from the survey suggests that Physiotherapists in Jordan lack training and autonomy, preventing them from acquiring advanced roles particularly cardiorespiratory physiotherapy that requires specialised knowledge and skills. The current delivery of the service is limited to acute interventions, and is based on limited, unstructured referral from physicians depriving the patients from the service. The context of health service in Jordan does not provide sufficient recognition for physiotherapy; neither does it support the delivery of multidisciplinary interventions by appropriate regulations and policies. Phase 2: The following three domains emerged from the literature and were used for describing cardiorespiratory physiotherapy in Jordan: people, scope of practice, and context of practice. Conclusion. Advancing practice requires developing competencies relevant to cardiorespiratory physiotherapy particularly diagnosis, health promotion, and prevention. It is recommended that health authorities should develop regulations and policies that promote the recognition and integration of physiotherapists in the healthcare system, as well as facilitating the implementation of patient centred, multidisciplinary interventions.

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Section: Service Encompass a Variety Of Clinical Responsibilities Refmentioning

confidence: 99%

Advancing Cardiorespiratory Physiotherapy Practice in a Developing Country: Surveying and Benchmarking

Okasheh

Al-Yahya

Al-Khlaifat

et al. 2019

Rehabilitation Research and Practice

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“…Notes. (THR, TKR)* = total hip replacement, total knee replacement; 1 multiple answers possible; 2 were sent to represent the head of the department; 3 in Germany, this refers to the education of Sport und Bewegungstherapie.…”

Section: Samplementioning

confidence: 99%

“…Second, in general, PAP is not historically established and is a relatively young topic for exercise therapy. Related frameworks[1,2] and concepts mentioned above for PAP in exercise therapy were only developed and published during this century. A highly quoted statement claims that it takes 17 years to apply 14% of research evidence to reach clinical practice…”

mentioning

confidence: 99%

Physical activity promotion in daily exercise therapy: The perspectives of exercise therapists in German rehabilitation settings

Geidl

Wais

Fangmann

et al. 2019

Preprint

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Background This study aims to explore exercise therapists’ perspectives on the topic of physical activity promotion (PAP) with a focus on identifying (i) the intervention content and methodological approaches used for promoting physical activity (PA) in daily practice and (ii) the barriers and facilitators that affect PAP. Methods This qualitative study comprised the heads of exercise therapy departments (n = 58; 41% women; mean age = 45 years) from different rehabilitation clinics in Germany. Each participant took part in a semi-structured focus-group discussion on PAP in exercise therapy. The findings of the focus groups were processed and interpreted using a conventional qualitative content analysis. Results The exercise therapists demonstrated detailed didactic–methodological strategies and action orientations for PAP. The identified core topics of the content and methods of PAP were (1) conceptualization, (2) exercise and PA for enjoyment and pleasure, (3) education with practice–theory combinations, (4) media and materials for self-directed training, and (5) strategies to enhance personal responsibility and independence. The core topics for the associated barriers and facilitators were (1) structural conditions, (2) the role of exercise therapists, (3) the interdisciplinary rehabilitation team, (4) rehabilitant experiences and expectations, and (5) aftercare services. Conclusion The topic of PAP is addressed with a high level of variability; exercise therapists involved in this study identify various methods and content for the promotion of PA within their individual practices. However, they display a limited awareness of existing evidence- and theory-based concepts for the promotion of PA as well as underlying theories of behavioural change. This variability may be due to the lack of a defined common framework for promoting PA, insufficient emphasis being placed on PA promotion in the current curricula and training, or extensive conceptual differences within German exercise therapy departments (e.g. different weighting of PAP).

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“…Faculty in the School of Health Professions at the University of Alabama at Birmingham (UAB) developed and validated a practice model for use of HFC in rehabilitation clinical practice. The UAB HFC model is useful for educational purposes, and is particularly useful for exploring clinical decision-making and application of HFC to patient/client cases [ 35 ]. Major steps in the model include (1) performing a needs analysis for HFC, (2) determining a patient’s/client’s need for lifestyle behavior change (LBC), (3) collaborating with patient/client about LBC needs, (4) providing LBC interventions, and (5) assessing LBC outcomes.…”

Section: Recommended Curricular Contentmentioning

confidence: 99%

“…Major steps in the model include (1) performing a needs analysis for HFC, (2) determining a patient’s/client’s need for lifestyle behavior change (LBC), (3) collaborating with patient/client about LBC needs, (4) providing LBC interventions, and (5) assessing LBC outcomes. More details about specific strategies can be found in reference [ 35 ].…”

Section: Recommended Curricular Contentmentioning

confidence: 99%

Preparing Physical and Occupational Therapists to Be Health Promotion Practitioners: A Call for Action

Morris

Jenkins

2018

IJERPH

Self Cite

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Experts around the world support the integration of health promotion and wellness (HPW) services into traditional health care services. If successfully executed, the addition of HPW services would reduce rates of death and disability and significantly reduce health care costs. While all health care providers should be engaged in providing HPW services, many believe that physical therapists (PTs) and occupational therapists (OTs) are uniquely positioned to provide these services. However, research suggests that clinicians in both fields may fall short in doing so. Likewise, research indicates that entry-level educational programs inadequately prepare PT and OT students to be HPW practitioners. The overall purpose of this paper is to provide recommendations to educators for preparing PT and OT students and clinicians to better meet the HPW needs of the clients and patients they serve.

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A Model to Integrate Health Promotion and Wellness in Physical Therapist Practice: Development and Validation

Cited by 40 publications

References 18 publications

Advancing Cardiorespiratory Physiotherapy Practice in a Developing Country: Surveying and Benchmarking

Advancing Cardiorespiratory Physiotherapy Practice in a Developing Country: Surveying and Benchmarking

Physical activity promotion in daily exercise therapy: The perspectives of exercise therapists in German rehabilitation settings

Preparing Physical and Occupational Therapists to Be Health Promotion Practitioners: A Call for Action

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