Applying state space grids methods to characterize counsellor-client interactions in a physical activity behavioural intervention for adults with disabilities

Ginis, Kathleen A. Martin; Dinwoodie, Miranda; Broeksteeg, Rogier; Collins, Delaney; Corras, Stephanie; Gainforth, Heather L.; Gaudet, Sonja; Giroux, Emily E; Hoekstra, Femke; Ma, Jasmin; Ginis, Kathleen Martin; McCallum, Shannon; Rakiecki, Diane; Rockall, Shannon; Emons, Rita van den Berg –; Bessembinders, Anniek van Vilsteren –; Wilroy, Jereme

doi:10.1016/j.psychsport.2022.102350

Cited by 3 publications

(8 citation statements)

References 29 publications

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“…This is unsurprising, as over time, patients likely needed less problem solving as barriers typically are addressed in the earlier counseling sessions. These findings are in line with a previous examination of the behavior change techniques employed using the ProACTIVE intervention in the research setting, where the time spent delivering behavior change techniques related to goals and planning decreased in the follow-up sessions as compared to the initial session (29).…”

Section: Methodssupporting

confidence: 90%

Assessing the reach, effectiveness, adoption, implementation, and maintenance of the ProACTIVE SCI physical activity counseling intervention among physiotherapists and SCI peer coaches during the transition from rehabilitation to community

Olsen,

Martin Ginis,

Lawrason

et al. 2023

Front. Neurol.

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IntroductionPhysical Activity (PA) levels for individuals with spinal cord injury (SCI) peak during rehabilitation and sharply decline post-discharge. The ProACTIVE SCI intervention has previously demonstrated very large-sized effects on PA; however, it has not been adapted for use at this critically understudied timepoint. The objective is to evaluate the reach, effectiveness, adoption, implementation, and maintenance of the ProACTIVE SCI intervention delivered by physiotherapists and SCI peer coaches during the transition from rehabilitation to community.MethodsA single-group, within-subjects, repeated measures design was employed. The implementation intervention consisted of PA counseling training, champion support, prompts and cues, and follow-up training/community of practice sessions. Physiotherapists conducted counseling sessions in hospital, then referred patients to SCI peer coaches to continue counseling for 1-year post-discharge in the community. The RE-AIM Framework was used to guide intervention evaluation.ResultsReach: 82.3% of patients at the rehabilitation hospital were reached by the intervention. Effectiveness: Interventionists (physiotherapists and SCI peer coaches) perceived that PA counseling was beneficial for patients. Adoption: 100% of eligible interventionists attended at least one training session. Implementation: Interventionists demonstrated high fidelity to the intervention. Intervention strategy highlights included a feasible physiotherapist to SCI peer coach referral process, flexibility in timepoint for intervening, and time efficiency. Maintenance: Ongoing training, PA counseling tracking forms, and the ability to refer to SCI peer coaches at discharge are core components needed to sustain this intervention.DiscussionThe ProACTIVE SCI intervention was successfully adapted for use by physiotherapists and SCI peer coaches during the transition from rehabilitation to community. Findings are important for informing intervention sustainability and scale-up.

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Section: Methodssupporting

confidence: 90%

Assessing the reach, effectiveness, adoption, implementation, and maintenance of the ProACTIVE SCI physical activity counseling intervention among physiotherapists and SCI peer coaches during the transition from rehabilitation to community

Olsen,

Martin Ginis,

Lawrason

et al. 2023

Front. Neurol.

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“… Use a client-centered approach following the spirit of Motivational Interviewing. MI [ 28 ] Review: [ 2 , 13 ] Other: [ 25 , 27 ] Tailoring support to the individual Counselors should tailor the support towards clients’ PA motivation Tailor the support to your client’s motivation for physical activity and their current needs, wishes and preferences. MI [ 28 ] HAPA [ 30 ] [ 33 , 34 ] What do you say during the conversation?…”

Section: Resultsmentioning

confidence: 99%

“… MI [ 28 ] HAPA [ 30 ] [ 33 , 34 ] What do you say during the conversation? You should always: Review: [ 1 , 2 ] Other: [ 25 , 27 , 41 ] Assessing physical activity behavior Counselors should always ask about their clients’ physical activity Ask your client about their current physical activity behavior. HAPA [ 30 ] COM-B [ 29 ] Review: [ 1 , 2 , 13 ] Other: [ 25 , 40 , 41 ] Barrier identification and problem solving Counselors should understand clients’ context and their physical activity needs and preferences.…”

Section: Resultsmentioning

confidence: 99%

Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury

Hoekstra

Gainforth

Broeksteeg

et al. 2023

The Journal of Spinal Cord Medicine

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Objectives This project used a systematic and integrated knowledge translation (IKT) approach to co-create theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury (SCI). Methods Guided by the IKT Guiding Principles, we meaningfully engaged research users throughout this project. A systematic approach was used. An international, multidisciplinary expert panel ( n = 15), including SCI researchers, counselors, and people with SCI, was established. Panel members participated in two online meetings to discuss the best practices by drawing upon new knowledge regarding counselor-client interactions, current evidence, and members’ own experiences. We used concepts from key literature on SCI-specific physical activity counseling and health behavior change theories. An external group of experts completed an online survey to test the clarity, usability and appropriateness of the best practices. Results The best practices document includes an introduction, the best practices, things to keep in mind, and a glossary. Best practices focused on how to deliver a conversation and what to discuss during a conversation. Examples include: build rapport, use a client-centred approach following the spirit of motivational interviewing, understand your client’s physical activity barriers, and share the SCI physical activity guidelines. External experts ( n = 25) rated the best practices on average as clear, useful, and appropriate. Conclusion We present the first systematically co-developed theory- and evidence-based best practices for SCI physical activity counseling. The implementation of the best practices will be supported by developing training modules. These new best practices can contribute to optimizing SCI physical activity counseling services across settings.

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“…Panel members were asked to review the preparation material prior to the meetings. The evidence base was used to prepare the discussion meetings and inform the best practices and included (1) key literature on SCI PA counseling from three reviews [1,2,13], and (2) new knowledge on SCI PA counseling characteristics from an effective SCI-specific PA counseling intervention [23][24][25][26][27]. Appendix 4 provides further details on how we identified the reviews and the evidence base.…”

Section: Project Overviewmentioning

confidence: 99%

“…To illustrate, the HAPA-model has informed the development of the ProACTIVE SCI intervention, an 8-week SCI PA counseling intervention that resulted in the largest effect sizes to date for improving selfreported PA in adults with SCI [26,27]. We used new knowledge from the ProACTIVE SCI counseling sessions to inform the best practices [25,40,41]. Drawing upon behavior change theories and approaches that have been tested and applied in previous SCI-specific PA counseling interventions may enhance the relevance and use of the best practices in SCI PA counseling interventions.…”

Section: Theory-and Evidence-based Best Practicesmentioning

confidence: 99%

Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury

Hoekstra

Gainforth²,

Broeksteeg³

et al. 2022

Preprint

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Objectives This project used a systematic and integrated knowledge translation (IKT) approach to co-create theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury (SCI). Methods Guided by the IKT Guiding Principles, we meaningfully engaged research users throughout this project. A systematic approach was used. An international, multidisciplinary expert panel (n=15), including SCI researchers, counselors, and people with SCI, was established. Panel members participated in two online meetings to discuss the best practices by drawing upon new knowledge regarding counselor-client interactions, current evidence, and members’ own experiences. We used concepts from key literature on SCI-specific physical activity counseling and health behavior change theories. An external group of experts completed an online survey to test the clarity, usability and appropriateness of the best practices. Results The best practices document includes an introduction, the best practices, things to keep in mind, and a glossary. Best practices focused on how to deliver a conversation and what to discuss during a conversation. Examples include: build rapport, use a client-centred approach following the spirit of motivational interviewing, understand your client’s physical activity barriers, and share the SCI physical activity guidelines. External experts (n=25) rated the best practices on average as clear, useful, and appropriate. Conclusion We present the first systematically co-developed theory- and evidence-based best practices for SCI physical activity counseling. The implementation of the best practices will be supported by developing training modules. These new best practices can contribute to optimizing SCI physical activity counseling services across settings.

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Applying state space grids methods to characterize counsellor-client interactions in a physical activity behavioural intervention for adults with disabilities

Cited by 3 publications

References 29 publications

Assessing the reach, effectiveness, adoption, implementation, and maintenance of the ProACTIVE SCI physical activity counseling intervention among physiotherapists and SCI peer coaches during the transition from rehabilitation to community

Assessing the reach, effectiveness, adoption, implementation, and maintenance of the ProACTIVE SCI physical activity counseling intervention among physiotherapists and SCI peer coaches during the transition from rehabilitation to community

Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury

Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury

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