Identifying Barriers to Remaining Physically Active After Rehabilitation: Differences in Perception Between Physical Therapists and Older Adult Patients

Development of a scale measuring barriers to going out among community‐dwelling older adults

“…Therefore, it is useful to first identify the barrier of the older adults using this scale, and study the program mainly regarding the barriers felt by the individuals when going out. Additionally, because self‐efficacy has been found to have a short‐term effect, we expected that after the support was started, a combined effect of incorporating content that enhances self‐efficacy would be achieved 12 . However, as shown in the results, the inter‐item correlation coefficient of this scale was partly high ( r = 0.68).…”

“…It can be used on community‐dwelling older adults to identify those at risk, which means that they go out, but score higher than the cut‐off point. Barriers are said to be useful in assisting individuals in the process of beginning behavioral changes 12 . Therefore, it is useful to first identify the barrier of the older adults using this scale, and study the program mainly regarding the barriers felt by the individuals when going out.…”

“…Self‐efficacy training programs have been found to improve various unhealthy behaviors. Self‐efficacy is defined as “the belief in one's capabilities to organize and execute the courses of action required to produce given attainments.” 11 However, because of the short‐term effects of self‐efficacy training on physical activity, we must identify the importance of barriers – internal and external – to this behavior 12 . Internal barriers are those attributed to the individuals, and include knowledge of the benefits of activity, motivation, willpower, exercising beliefs, self‐efficacy and internal drive 13 .…”

Latent user groups of an eHealth physical activity behaviour change intervention for people interested in reducing their cardiovascular risk

“…However, former patients often have problems complying with doctors' recommendations when returning to their regular daily lives after surgery or rehabilitation treatment. Here, they face several problems and barriers to the implementation of newly learned health promoting behaviours (Fleury, Lee, Matteson, & Belyea, 2004;Jaarsma, Dekker, Geertzen, & Dijkstra, 2015;Zalewski, Alt, & Arvinen-Barrow, 2014). An intervention program that gives appropriate advice and support to former rehabilitation patients can be a useful tool to help to implement such behavioural strategies into daily life (Fleig, Lippke, Pomp, & Schwarzer, 2011;Fleig, Pomp, Schwarzer, & Lippke, 2013).…”

Physical Therapists Perceptions Of Patient Adherence And Strategies For Facilitating Motivation

“…Practical recommendations that could be considered for future professionals could be creating further continuing education courses for PTs pertaining to the use of basic needs in treatment and creating paperwork that can be used to evaluate barriers to patient motivation and adherence. Creating or altering current continuing education courses for PTs and other professionals in a rehab setting can allow for better understanding in how they can facilitate adherence and motivation utilizing autonomy, competence and relatedness (Zalewski et al, 2014). Based on the findings, it would be beneficial to create in clinic continuing education for PTs to utilize based on the motivational climate that was formed.…”