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Co-development of a physiotherapist-delivered physical activity intervention for adults with spinal cord injury.
Spinal Cord ( IF 2.2 ) Pub Date : 2020-01-22 , DOI: 10.1038/s41393-020-0422-x
Jasmin K Ma 1, 2 , Oren Cheifetz 3 , Kendra R Todd 1, 2 , Carole Chebaro 4 , Sen Hoong Phang 5 , Robert B Shaw 1, 2 , Kyle J Whaley 5 , Kathleen A Martin Ginis 1, 2, 6
Affiliation  

STUDY DESIGNS Cross-sectional survey, semi-structured interview, and randomized-controlled trial. OBJECTIVES Optimal spinal cord injury (SCI)-specific PA intervention strategies appropriate for the physiotherapist setting are unknown. The purpose of this paper is to describe the rigorous co-development process of a theory-based, physiotherapist-led PA intervention for people with SCI and assess its feasibility for implementation in the rehabilitation setting. SETTING Community. METHODS Co-development of the intervention included (1) a review of the literature; (2) key informant interviews with people with SCI (n = 26); (3) a national online survey of physiotherapists' barriers, needs, and preferences (n = 239); (4) a review of the evidence and recommendations for the intervention from a stakeholder expert panel (n = 13); and (5) a randomized controlled trial of intervention training and its effects on implementation determinants amongst physiotherapists (n = 20). RESULTS Almost 300 people with SCI and physiotherapists were engaged in the intervention development process. Optimal intervention delivery should be tailored and include (1) education on safety, PA guidelines, and behaviour change techniques, (2) referral to other peers, local programmes, and health professionals, and (3) adapted exercise prescriptions. Following intervention implementation training, physiotherapists demonstrated stronger tested and perceived knowledge, skills, resources, and confidence for promoting PA to people with SCI, ps < 0.05. CONCLUSIONS This development process serves as an example methodology for using theory to co-create a leisure-time physical activity behaviour change intervention tailored for people with SCI.

中文翻译:

共同开发物理治疗师提供的针对成年人脊髓损伤的体育活动干预措施。

研究设计横断面调查,半结构化访谈和随机对照试验。目的未知适合物理治疗师设置的最佳脊髓损伤(SCI)特异性PA干预策略。本文的目的是描述基于理论的,由理疗师主导的针对SCI的PA干预的严格共同开发过程,并评估其在康复环境中实施的可行性。设置社区。方法干预措施的共同开发包括:(1)文献综述;(2)对SCI患者的关键知情人访谈(n = 26);(3)全国在线理疗师的障碍,需求和偏爱调查(n = 239);(4)审查利益相关者专家小组的干预措施的证据和建议(n = 13);(5)干预疗法的随机对照试验及其对物理治疗师中实施决定因素的影响(n = 20)。结果近300名SCI和物理治疗师参与了干预发展过程。应量身定制最佳干预措施,其中包括(1)关于安全性,PA准则和行为改变技术的教育,(2)转介给其他同龄人,当地计划和卫生专业人员,以及(3)调整运动处方。经过干预实施培训之后,物理治疗师表现出了更强的测试和感知知识,技能,资源以及对向SCI患者推广PA的信心,ps <0.05。
更新日期:2020-01-22
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