Exploring end user adoption and maintenance of a telephone-based physical activity counseling service for individuals with physical disabilities using the Theoretical Domains Framework

Abstract

The findings provide strategies to improve recruitment, adoption, and retention of clients in counseling services and to enhance the experiences of targeted service users. Implications for Rehabiliation Peer support and education for equipment use should be built into physical activity programs to encourage participation among persons with physical disabilities. Programs that encourage physical activity among individuals with disabilities should be designed by practitioners to be responsive to a variety of needs, which are addressed in the program's advertisements and offerings. The Theoretical Domains Framework is a useful framework for providing valuable insight about clients' experiences of adoption and maintenance of a behavior change service, suggesting merit in other rehabilitation settings.

A pedometer-based walking intervention in 45- to 75-year-olds, with and without practice nurse support: the PACE-UP three-arm cluster RCT

“…The study allowed us to look at both perceived and observed behaviour change in the nurse intervention delivery and participant responsiveness; this is unlike many other studies, which have tended to focus on only one perspective, which is most often the person delivering the intervention. 176,[178][179][180][181] Nurse comments collected at training, individual session checklists and nurse and participant comments from the qualitative work illustrate the intervention delivery and adaptations in context. The intervention was designed to bring about change at an individual level when delivered in a primary care environment; we have observed that context influences the delivery and implementation of the intervention through adaptation.…”

Models of Telehealth Service Delivery in Adults With Spinal Cord Injuries: Scoping Review

“…Approximately, only half of the included studies (n=34) reported the injury characteristics of the participants. The type of SCI was indicated by 2 studies, where participants had both traumatic and nontraumatic injuries [ 20 , 21 ]. Injury levels (ie, cervical, thoracic, and lumbar spine injuries), neurologic completeness, and paralysis (paraplegia and tetraplegia) varied among the participants of the included studies, indicating heterogeneous nature of participants under investigation.…”

“…A total of 14 articles focused on improving physical activity (PA) and leisure time physical activity (LTPA) participation, motivation, and exercise endurance [ 18 , 20 , 21 , 23 - 25 , 27 ,​ 36 , 43 , 45 - 47 , 49 , 50 ]. There were 11 articles that quantitatively assessed the effectiveness of interventions and services to improve motivation and participation in PA and LTPA ( Multimedia Appendix 4 ) [ 18 , 20 , 21 , 23 - 25 , 27 , 36 , 43 , 45 , 46 ].…”

“…A total of 14 articles focused on improving physical activity (PA) and leisure time physical activity (LTPA) participation, motivation, and exercise endurance [ 18 , 20 , 21 , 23 - 25 , 27 ,​ 36 , 43 , 45 - 47 , 49 , 50 ]. There were 11 articles that quantitatively assessed the effectiveness of interventions and services to improve motivation and participation in PA and LTPA ( Multimedia Appendix 4 ) [ 18 , 20 , 21 , 23 - 25 , 27 , 36 , 43 , 45 , 46 ]. Of the 11 studies, 3 (27%) used telephone counseling sessions [ 21 , 24 , 43 ], 4 (36%) studies applied web-based applications or platforms providing contents (ie, modules, homework, videos, and email or phone support from a provider, coach, or peer) [ 18 , 23 , 45 , 46 ], 1 (9%) study employed wearable sensors connected to a mobile phone, transferring collected data to a server [ 25 ], and the remaining 3 (27%) studies used videoconferencing software (video-telehealth) as a means of delivering home-based exercise interventions [ 20 , 27 , 36 ].…”

“…The meta-analysis [ 61 ] results demonstrated significant enhancement in coping skills and strategies, depression, and community reintegration following SCI. Ten studies used a cognitive behavior change theory and psychological principle in addressing cognitive behavioral aspects of psychosocial conditions following SCI [ 20 , 21 , 26 , 38 , 40 , 41 , 43 , 46 , 50 , 51 ].…”