Facilitating Behavior Change: Strategies for Education and Practice

Lorish, Christopher D.; Gale, Judith R.

doi:10.1097/00001416-199910000-00006

Cited by 11 publications

(5 citation statements)

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“…As primary health clinicians interacting with clients at a personal level, physiotherapists are in an ideal position to reduce the prevalence of obesity and chronic diseases (Lorish and Gale, 1999;Verhagen and Engbers, 2009) through non-invasive interventions (including the provision of advice) to encourage behavior change (Dean, 2008;Lorish and Gale, 1999). The American Physical Therapy Association Vision Statement for Physical Therapy 2020 asserts the physiotherapists' role should include providing ''fitness and health promotion, wellness and risk reduction programs to enhance quality of life for persons across the life span'' (American Physical Therapy Association, 2011).…”

Section: Introductionmentioning

confidence: 99%

Weight management including dietary and physical activity advice provided by Australian physiotherapists: a pilot cross-sectional survey

Snodgrass

Carter

Guest

et al. 2014

Physiotherapy Theory and Practice

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Physiotherapists may have an impact on obesity prevention and treatment by providing nutrition and physical activity advice to overweight or obese clients; yet little is known about physiotherapists' beliefs and practices related to client weight management. The aim of this pilot study was to determine the practices, beliefs, attitudes and knowledge of physiotherapists regarding the provision of weight management advice to overweight or obese clients. Physiotherapists (n = 65) working in multiple practice settings completed a self-administered questionnaire. Logistic regression determined factors associated with the provision of dietary and physical activity advice for weight management. The majority of physiotherapists (n = 53 [81.5%]) believed providing weight management advice was within their scope of practice, yet only a minority had received training during their professional entry level education (n = 13 [20%]) or through professional development (n = 7 [11%]). Most physiotherapists (n = 55 [84.6%]) provided physical activity advice for weight management, but a minority (n = 27 [41.5%]) provided dietary advice. Having received training in weight management during their professional entry level education was associated with providing dietary advice (Odds ratio 8.8, 95% confidence interval 2.0-38.9, p = 0.004). Training in weight management may increase the likelihood of physiotherapists providing dietary advice, improving physiotherapists' management of obesity.

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Section: Introductionmentioning

confidence: 99%

Weight management including dietary and physical activity advice provided by Australian physiotherapists: a pilot cross-sectional survey

Snodgrass

Carter

Guest

et al. 2014

Physiotherapy Theory and Practice

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“…The increased attention to applying theory and the development of clinical competence into skills, such as consultation, change in healthy behavior and motivation (e.g. physical activity, diet and maintaining normal weight, smoking cessation, sleep hygiene, and stress management), will improve the ability of physiotherapists to include adequate models of improving the health and wellness of their patients and clients (19,20).…”

Section: Resultsmentioning

confidence: 99%

Wellness syndrome

Vladeva¹

2019

Scripta Scientifica Salutis Publicae

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INTRODUCTION: Wellness is a lifestyle choice based on the holistic approach to health. In this century, and during the last decade in particular, wellness centers and wellness procedures have become quite popular. And just like any trend, the one related to wellness may lead to extremes. In this specific case, the extremes are defined as a "wellness syndrome"-an obsession with a healthy lifestyle. The maximization of the efforts to achieve wellness can turn against us and make us feel bad making us isolate ourselves from the rest. The wellness syndrome leads to a search for the perfect diet, turns us into corporate athletes, chasing our own selves and monitoring each aspect of our everyday life. This is a world where feeling well is indistinguishable from being well. AIM: This article is an attempt to separate the aspiration toward wellness from the other extreme-an obsession with psycho-emotional techniques of mastering stress or a fixation with different esthetic procedures (which, in addition to the beneficial desired effect, may have side effects, if overused). One such condition distances the individuals from the real world and society, limits them to a tiny circle of other people, which automatically impairs at least one aspect of their wellness-the social one. MATERIALS AND METHODS: Articles and scientific publications related to the topic were searched in the PubMed database and Google Scholar. Articles published in the last decade were included in the review. The search was conducted with a list of keywords used also in different combinations. These were: "health", "wellness", "wellness syndrome", "orthorexia", "wellbeing", "esthetics". The article draws on the work by Carl Cederström and André Spicer titled "Wellness Syndrome", which currently provides the most detailed information on the "wellness syndrome". Special attention is paid to orthorexia as one of the most common cases of overstepping the border between a healthy diet and the maniacal obsessive idea of consuming healthy food, which may develop into a disease process. CONCLUSION: The basic knowledge and skills by which physical therapists should encourage health and wellness in their patients and clients are a topic included in university curricula. However, the provided information is predominantly theoretical. The increased attention to applying theory and the development of clinical competence into skills, such as consultation, change in healthy behavior and motivation (e.g. physical activity, diet and maintaining normal weight, smoking cessation, sleep hygiene, and stress management), will improve the ability of physiotherapists to include adequate models of improving the health and wellness of their patients and clients.

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“…The practice pattern of physical therapists typically consists of prolonged visits that initially are frequent and over an extended period of time. This practice pattern enables the physical therapist to, over time, build rapport and trust with the patient and better ascertain the patient's readiness to quit smoking and assess his or her learning style and so tailor the advice intervention according to the patient (Balfour, 1993;Fruth, Ryan, and Gahimer, 1998;Guilmette et al, 2001;Lorish and Gale, 1999).…”

Section: Implications For Physical Therapistsmentioning

confidence: 99%

“…Follow-ups can be readily integrated within this practice pattern to include an ongoing assessment of tobacco use (as in the case of relapse), the monitoring of cessation progress, and the provision of ongoing support and encouragement (Balfour, 1993;CPA, 2004;Fiore et al, 2008;Fruth, Ryan, and Gahimer, 1998;Guilmette et al, 2001;Laitakari, Miilunapalo, and Vuori, 1997;Lorish and Gale, 1999). These components, as revealed in this review, are fundamental to effect positive change in their patients' health behaviors, including smoking cessation.…”

Section: Implications For Physical Therapistsmentioning

confidence: 99%

Advice as a smoking cessation strategy: A systematic review and implications for physical therapists

Bodner

Dean

2009

Physiotherapy Theory and Practice

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Although identified as a clinical priority, smoking cessation has been addressed minimally in the literature in the context of physical therapy practice. Smoking cessation advice delivered by a health professional can help smokers quit. The salient components of such advice however warranted elucidation to enable physical therapists to integrate this clinical competence into their practices. Therefore, we conducted a systematic review to elucidate the effectiveness of advice by a health professional and its components to optimize smoking cessation instituted in the context of physical therapy practice. Thirty source articles were identified. A random-effects model meta-analysis was used to assess the effectiveness of the advice parameters. Risk ratios (RRs) were used to estimate pooled treatment effects. RRs for brief, intermediate, and intensive advice were 1.74 (95% CI=1.37, 2.22), 1.71 (95% CI=1.39, 2.09), and 1.60 (95% CI=1.13, 2.27), respectively. Self-help materials, follow-up, and interventions based on psychological or motivational frameworks were particularly effective components of intermediate and intensive advice interventions. Advice can be readily integrated into physical therapy practice and used to initiate or support ongoing smoking cessation in clients irrespective of reason for referral. Incorporating smoking cessation as a physical therapy goal is consistent with the contemporary definition of the profession and the mandates of physical therapy professional associations to promote health and wellness, including smoking cessation for both primary health benefit and to minimize secondary effects (e.g., delayed healing and recovery, and medical and surgical complications). Thus, advice is an evidence-based strategy to effect smoking cessation that can be exploited in physical therapy practice. Further research to refine how best to assess smokers and, in turn, individualize brief smoking cessation advice could augment positive smoking cessation outcomes.

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Facilitating Behavior Change: Strategies for Education and Practice

Cited by 11 publications

References 0 publications

Weight management including dietary and physical activity advice provided by Australian physiotherapists: a pilot cross-sectional survey

Weight management including dietary and physical activity advice provided by Australian physiotherapists: a pilot cross-sectional survey

Wellness syndrome

Advice as a smoking cessation strategy: A systematic review and implications for physical therapists

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