Physical activity promotion in Australian physiotherapy practice: how do physiotherapists promote physical activity and what factors influence promotion? (PhD Academy Award)

Kunstler, Breanne

doi:10.1136/bjsports-2018-100161

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…Studies in the UK have reported that health professionals use routine clinical contact to discuss PA but that frameworks, guidelines and interventions were not used consistently or with a long-term perspective [ 17 , 18 ]. 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 ].…”

Section: Introductionmentioning

confidence: 99%

“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 Limited clinical and administrative time and acute treatment priorities often superseded PA promotion but the lack of updated information regarding suitable community-based PA opportunities and lack of trust in community providers were the biggest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: Introductionmentioning

confidence: 99%

“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

“…However, the manner in which these new concepts are disseminated and implemented in the practice of exercise therapy remains uncertain. In Australia, a cross-sectional survey involving 216 physiotherapists reported a high number of respondents (85.1%) who stated that they promoted PA beyond the therapeutic treatment (so called non-treatment PA) often or all of the time [14]. The respondents indicated their use of 29 different behavioural change techniques to either promote nontreatment PA or encourage adherence to rehabilitation exercise [15].…”

Section: Introductionmentioning

confidence: 99%

Physical activity promotion in daily exercise therapy: The perspectives of exercise therapists in German rehabilitation settings

Geidl

Wais

Fangmann

et al. 2019

Preprint

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Background This study aims to explore exercise therapists’ perspectives on the topic of physical activity promotion (PAP) with a focus on identifying (i) the intervention content and methodological approaches used for promoting physical activity (PA) in daily practice and (ii) the barriers and facilitators that affect PAP. Methods This qualitative study comprised the heads of exercise therapy departments (n = 58; 41% women; mean age = 45 years) from different rehabilitation clinics in Germany. Each participant took part in a semi-structured focus-group discussion on PAP in exercise therapy. The findings of the focus groups were processed and interpreted using a conventional qualitative content analysis. Results The exercise therapists demonstrated detailed didactic–methodological strategies and action orientations for PAP. The identified core topics of the content and methods of PAP were (1) conceptualization, (2) exercise and PA for enjoyment and pleasure, (3) education with practice–theory combinations, (4) media and materials for self-directed training, and (5) strategies to enhance personal responsibility and independence. The core topics for the associated barriers and facilitators were (1) structural conditions, (2) the role of exercise therapists, (3) the interdisciplinary rehabilitation team, (4) rehabilitant experiences and expectations, and (5) aftercare services. Conclusion The topic of PAP is addressed with a high level of variability; exercise therapists involved in this study identify various methods and content for the promotion of PA within their individual practices. However, they display a limited awareness of existing evidence- and theory-based concepts for the promotion of PA as well as underlying theories of behavioural change. This variability may be due to the lack of a defined common framework for promoting PA, insufficient emphasis being placed on PA promotion in the current curricula and training, or extensive conceptual differences within German exercise therapy departments (e.g. different weighting of PAP).

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Physical activity promotion in daily exercise therapy: the perspectives of exercise therapists in German rehabilitation settings

Geidl

Wais

Fangmann

et al. 2019

BMC Sports Sci Med Rehabil

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BackgroundThis study aims to explore exercise therapists’ perspectives on the topic of physical activity promotion (PAP) with a focus on identifying (i) the intervention content and methodological approaches used for promoting physical activity (PA) in daily practice and (ii) the barriers and facilitators that affect PAP.MethodsThis qualitative study comprised the heads of exercise therapy departments (n = 58; 41% women; mean age = 45 years) from different rehabilitation clinics in Germany. Each participant took part in a semi-structured focus-group discussion on PAP in exercise therapy. The findings of the focus groups were processed and interpreted using a conventional qualitative content analysis.ResultsThe exercise therapists demonstrated detailed didactic–methodological strategies and action orientations for PAP. The identified core topics of the content and methods of PAP were (1) conceptualization, (2) exercise and PA for enjoyment and pleasure, (3) education with practice–theory combinations, (4) media and materials for self-directed training, and (5) strategies to enhance personal responsibility and independence. The core topics for the associated barriers and facilitators were (1) structural conditions, (2) the role of exercise therapists, (3) the interdisciplinary rehabilitation team, (4) rehabilitant experiences and expectations, and (5) aftercare services.ConclusionThe topic of PAP is addressed with a high level of variability; exercise therapists involved in this study identify various methods and content for the promotion of PA within their individual practices. However, they display a limited awareness of existing evidence- and theory-based concepts for the promotion of PA as well as underlying theories of behavioural change. This variability may be due to the lack of a defined common framework for promoting PA, insufficient emphasis being placed on PA promotion in the current curricula and training, or extensive conceptual differences within German exercise therapy departments (e.g. different weighting of PAP).

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Physical activity promotion in Australian physiotherapy practice: how do physiotherapists promote physical activity and what factors influence promotion? (PhD Academy Award)

Cited by 4 publications

References 6 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

Physical activity promotion in daily exercise therapy: The perspectives of exercise therapists in German rehabilitation settings

Physical activity promotion in daily exercise therapy: the perspectives of exercise therapists in German rehabilitation settings

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