Australian adults expect physiotherapists to provide physical activity advice: a survey

Kunstler, Breanne; Fuller, Rachel; Pervan, Simon J; Merolli, Mark

doi:10.1016/j.jphys.2019.08.002

Cited by 27 publications

(31 citation statements)

References 17 publications

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“…They also described a challenge common to medical triage: that the focus of their limited clinical contact time was necessarily on acuity, functional impairment or safety, according to client's greatest need. These findings are supported by other research including in both acute and Australian settings [17,22,23,55]. This necessary medical/healthcare value system diminishes the capacity for long-term care/monitoring, and emphasises the need for nonclinical referral points and service provision, supporting our interest in improving referral away from the overloaded health system to community opportunities and programs.…”

Section: Discussionsupporting

confidence: 70%

“…Participants view themselves as specialists in the domain of human movement and trained in exercise prescription, finding PA promotion familiar, accessible, and relevant to their clinical practice. In addition, the conceptual readiness of physiotherapists matches the perceptions of healthcare clients, at least in Australia, Canada and the United Kingdom where adults report PA advice from physiotherapists is valued, expected and acceptable [22,50].…”

Section: Discussionmentioning

confidence: 82%

“…Barriers and facilitators have been identified for both clinicians and patients in both the UK and Australia with regard to promotion of physical activity, including time constraints, lack of specific knowledge of PA guidelines, and lack of awareness of available community-based PA opportunities [19][20][21]. Physiotherapists are a group of health professionals who could be central to the implementation of PA promotion in the healthcare setting [22]. Physiotherapists are specialists in the domain of human movement and trained in exercise prescription and work in a wide variety of clinical settings and across all age groups.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

“People Associate Us with Movement so It’s an Awesome Opportunity”: Perspectives from Physiotherapists on Promoting Physical Activity, Exercise and Sport

West

Purcell

Haynes

et al. 2021

IJERPH

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Insufficient physical activity (PA) is a critical public health issue especially in the context of COVID-related deconditioning. Health professionals are well placed to promote community-based PA but there is little supporting implementation research. We aimed to explore physiotherapists’ knowledge, views, attitudes and experiences regarding the promotion of physical activity, exercise and sport within daily clinical practice in order to guide development of strategies to support implementation of PA promotion by physiotherapists, in particular those treating older people, and adults and children with a disability. We conducted interviews and focus groups with 39 physiotherapists. Two researchers coded transcripts with an iterative coding approach. Analysis returned five main themes: putting principles into practice; working with conflicting priorities; multiple client barriers; connections build confidence; and the battle for information. The physiotherapists accepted their legitimate role in PA promotion. Limited clinical and administrative time and acute treatment priorities often superseded PA promotion but the lack of updated information regarding suitable community-based PA opportunities and lack of trust in community providers were the biggest barriers. Strategies to enhance PA promotion by physiotherapists should address time and information constraints, and build partnership connections between health professionals and community-based PA providers.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“People Associate Us with Movement so It’s an Awesome Opportunity”: Perspectives from Physiotherapists on Promoting Physical Activity, Exercise and Sport

West

Purcell

Haynes

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Physiotherapists, therefore, clarified factors resulting in lower extremity pain and assisted in coping with the pain in health promotion seminars to persuade older adults of physical and psychological benefits of walking. The findings were consistent with the results of relevant studies in which physiotherapists play a key role in facilitating physical activity in long‐term care institutions (Kunstler et al, 2019) and walking is the most suitable physical activity for older adults (Barnett et al, 2015).…”

Section: Discussionsupporting

confidence: 90%

Motivation theory‐based physical activity programme for older adults in residential care facility: A modified Delphi and single‐group pretest‐posttest study

Yang

Chen

Hsu

2020

Int J Older People Nursing

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Background Physical inactivity exposes older adults living in long‐term care institutions to a high risk of health deterioration. Developing effective behaviour change interventions based on a theoretical framework is a pressing concern. Aims This study developed an ‘Easy Walking’ intervention programme based on the Wheel of Motivation and aimed to: (1) develop the intervention programme for promoting self‐efficacy of older adults living in long‐term care facilities; and (2) examine the perceived helpfulness of the intervention programme for encouraging walking behaviours. Methods This study consisted of two stages. In the first stage, a three‐round modified Delphi process was conducted with ten experts to rate the eight motivators in the Wheel of Motivation. The Easy Walking programme was designed accordingly. In the second stage, a single‐group pretest‐posttest study design was employed to evaluate the Easy Walking programme. Structured questionnaires were used to collect data on the changes in self‐efficacy and on the perceived helpfulness regarding the programme. Results The Easy Walking intervention programme features eight factors that influence motivation. Thirty older adults participated in and evaluated the programme. The results showed a significant difference in self‐efficacy (t = −7.02, p < .001) of the older adults. Regarding the perceived usefulness of the intervention, the mean scores for each item ranged from 3.73 to 4.93 points. ‘Safe environment’ was perceived to be the most helpful factor for encouraging walking behaviours. Conclusion The Easy Walking programme enhanced the self‐efficacy of institutionalised older adults and was perceived as helpful in physical activity engagement. Nursing professionals in long‐term care institutions could implement the Easy Walking programme to be part of daily nursing activities.

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“…All professional groups have expertise that can promote patient mobility and improve outcomes [75]. While physiotherapists' have particular expertise in mobility issues and are skilled to provide PA counselling on staying active in hospital [76,77], there are examples of nursing-led, function focussed care programs [25] that consider how patients spend their time outside of any physical therapy sessions, and medical champions within multidisciplinary programs [26,27,75].…”

Section: Source Of Recommendationmentioning

confidence: 99%

Recommendations for older adults’ physical activity and sedentary behaviour during hospitalisation for an acute medical illness: an international Delphi study

Baldwin

Phillips

Edney

et al. 2020

Int J Behav Nutr Phys Act

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Background: Immobility is major contributor to poor outcomes for older people during hospitalisation with an acute medical illness. Yet currently there is no specific mobility guidance for this population, to facilitate sustainable changes in practice. This study aimed to generate draft physical activity (PA) and sedentary behaviour (SB) recommendations for older adults' during hospitalisation for an acute medical illness. Methods: A 4-Round online Delphi consensus survey was conducted. International researchers, medical/ nursing/physiotherapy clinicians, academics from national PA/SB guideline development teams, and patients were invited to participate. Round 1 sought responses to open-ended questions. In Rounds 2-3, participants rated the importance of items using a Likert scale (1-9); consensus was defined a priori as: ≥70% of respondents rating an item as "critical" (score ≥ 7) and ≤ 15% of respondents rating an item as "not important" (score ≤ 3). Round 4 invited participants to comment on draft statements derived from responses to Rounds 1-3; Round 4 responses subsequently informed final drafting of recommendations. Results: Forty-nine people from nine countries were invited to each Round; response rates were 94, 90, 85 and 81% from Rounds 1-4 respectively. 43 concepts (items) from Rounds 2 and 3 were incorporated into 29 statements under themes of PA, SB, people and organisational factors in Round 4. Examples of the final draft recommendations (being the revised version of statements with highest participant endorsement under each theme) were: "some PA is better than none", "older adults should aim to minimise long periods of uninterrupted SB during waking hours while hospitalised", "when encouraging PA and minimising SB, people should be culturally responsive and mindful of older adults' physical and mental capabilities" and "opportunities for PA and minimising SB should be incorporated into the daily care of older adults with a focus on function, independence and activities of daily living".

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Australian adults expect physiotherapists to provide physical activity advice: a survey

Cited by 27 publications

References 17 publications

“People Associate Us with Movement so It’s an Awesome Opportunity”: Perspectives from Physiotherapists on Promoting Physical Activity, Exercise and Sport

“People Associate Us with Movement so It’s an Awesome Opportunity”: Perspectives from Physiotherapists on Promoting Physical Activity, Exercise and Sport

Motivation theory‐based physical activity programme for older adults in residential care facility: A modified Delphi and single‐group pretest‐posttest study

Recommendations for older adults’ physical activity and sedentary behaviour during hospitalisation for an acute medical illness: an international Delphi study

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