A Patient – Centered Approach to Addressing Physical Activity in Older Adults: Motivational Interviewing

Letourneau, Katherine; Goodman, Janice H.

doi:10.3928/00989134-20140819-01

Cited by 9 publications

(4 citation statements)

References 11 publications

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“…Regardless of this, as well as motivational interviewing (which was successful in stimulating PA in elderly (Letourneau and Goodman 2014 ), as the emerging use of technology might be promising tools to stimulate and alert breaks in SB. A recent example of the latter method is a study by Bond et al ( 2014 ) who successfully used smartphone and activity monitor applications that provide personal feedback and prompt frequent short sitting breaks based on real-time data.…”

Section: Strategies To Counteract the Health Effects Of Sedentary Behmentioning

confidence: 99%

A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures

et al. 2016

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This literature review focuses on aspects of sedentary behaviour (SB) in elderly. Since it has been identified as a distinct health risk, independent of physical activity, SB is a significant issue. This is particularly true for an ageing population as evidence shows that older adults (aged ≥65 years) are the most sedentary age group (on average 8.5–9.6 h daily sitting time). Accurate SB assessment is important for understanding this habitual behaviour and its impact. However, SB measurement is challenging, regardless of the method used. Although negative associations of SB in elderly have been reported for several health outcomes, evidence is inconclusive, apart from the evidence on the adverse SB effect on the all-cause mortality rate. Generally, strategies have been proposed to counteract SB, of which breaking prolonged sedentary bouts with at least light-intensity physical activity seems to be the most promising. Overall, further research in elderly is required to increase the evidence and to either support or refute the current findings. Moreover, further research will help to develop informed SB guidelines for an optimal strategy to counteract SB and its health effects in older adults.

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Section: Strategies To Counteract the Health Effects Of Sedentary Behmentioning

confidence: 99%

A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures

et al. 2016

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“…( 25 ) Conversely, relational approaches involving health promotion, education, and counselling can better motivate patients to manage their falls risk. ( 26 ) To illustrate, research demonstrates that positive attitudes towards discussing physical activity enhances related conversations around health promotion. ( 27 ) According to the Behaviour Change Wheel, training in health promotion, shifts towards value-based models of care, and data-driven quality assurance can be applied to enhance primary care provider motivation.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Exploration of Proactive Falls Prevention by Canadian Primary Care Providers

et al. 2022

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Background Falls are a growing concern in Canada. Primary care providers are well positioned to address falls risk, but international literature suggests that best-practice guidelines are rarely followed. The objective of this study is to explore the perspectives of Canadian primary care providers around falls prevention and identify solutions. Methods We conducted one-on-one qualitative interviews with a maximum variation sample of nine primary care providers in Ontario (n=8) and Alberta (n=1) in Canada. Data were collected over telephone and in-person at the location of participants choosing. Audio recordings of the interviews were transcribed, then coded and analyzed with the Behaviour Change Wheel theoretical framework. Results Most participants reported relying on patient self-report, intuition, and reactive approaches to identifying falls risk. Reported barriers to falls prevention included low capability to gather information on patient history, context, and community resources; limited opportunity to manage patient complexity due to time constraints; and challenges with motivating patients to engage in care plans. Reported facilitators included team-based interprofessional care and provider motivation. Conclusions This study has found that Canadian primary care providers face barriers to identifying and managing falls risk. These barriers may be rooted in primary care culture, structure, and tradition.

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“…Motivational interviewing attempts, through shared decision-making, to influence the individual's resistance to change. It does this by assisting them to gain an understanding of the implications of their behaviour and helping them to navigate the barriers that prevent them from making changes (Letourneau and Goodman, 2014). By aiding individuals to become aware of these obstacles and helping them to identify strategies to overcome them, physiotherapists could help to engender the desire to make the necessary changes (Elwyn et al, 2014;Letourneau and Goodman, 2014).…”

Section: Psychological Therapiesmentioning

confidence: 99%

Re-imagining the role of the physiotherapist when managing people with long-term conditions

Hartley¹,

Mcsp²,

Fhea³

2018

Physiotherapy Theory and Practice

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The rising prevalence of long-term conditions (LTCs) is placing increasing pressures on healthcare systems. With the future prospect that more individuals will experience multiple comorbidities, LTCs are becoming a growing concern. This article aims to discuss the challenges faced by and the opportunities afforded to physiotherapists when caring for people with LTCs. It highlights the complexity of managing people with LTCs and the demands faced by physiotherapists when working within a transitioning healthcare service that necessitates cost-effective yet, sustainable care. It considers ways that interventions can be optimized to not only support individuals with LTCs to improve their quality of life, but live an existence that has meaning and purpose. It also explores health promotion strategies that could be influential in changing the future healthcare landscape, by helping to prevent the occurrence of LTCs. The wider intention is to facilitate discussion of the future role of the physiotherapy profession in LTC management, in the hope that a shared vision can be created that is inspiring and transformative. A vision that imagines a physiotherapy service that is resilient to change and contemporary in approach, which continues to evolve to support the changing needs of people with LTCs.

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A Patient – Centered Approach to Addressing Physical Activity in Older Adults: Motivational Interviewing

Cited by 9 publications

References 11 publications

A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures

A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures

A Qualitative Exploration of Proactive Falls Prevention by Canadian Primary Care Providers

Re-imagining the role of the physiotherapist when managing people with long-term conditions

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