Physiotherapists’ Adoption of a Theory-Based Skills Training Program in Guiding People with Rheumatoid Arthritis to Health-Enhancing Physical Activity

Nessen, Thomas; Opava, Christina H.

doi:10.1007/s12529-018-9716-1

Cited by 8 publications

(6 citation statements)

References 44 publications

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“…[74][75][76] Lastly, two measures were excluded that should have been excluded earlier in the process for example due to a different target population than we stated for this study. 77,78 Details of all excluded measures can be found in Appendix 1.…”

Section: Resultsmentioning

confidence: 99%

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Measures of self-regulation used in adult rehabilitation populations: A systematic review and content screening

et al. 2022

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Objective We aimed to identify generic measures of self-regulation and to examine the degree to which these measures fit a recently developed conceptual model of self-regulation in a rehabilitation context. Data sources Pubmed, Embase, PsycInfo, and CINAHL were searched. Review methods Articles were included if they were published between January 2015 and August 2020 and reported on empirical studies (trials and observational studies) using a measure of self-regulation or a related concept, in an adult rehabilitation population. Main content was analysed by linking all items of the selected measures to one or more of the six sub-themes of self-regulation: (1) insight into physical and cognitive impairments, (2) insight into the consequences of the impairments, (3) insight into abilities, (4) to be able to communicate limitations, (5) trust in body and functioning, and (6) make use of abilities. Results Two reviewers independently screened 7808 abstracts, resulting in the inclusion of 236 articles. In these articles, 80 different measures were used to assess self-regulation or related concept. Nineteen of these measures met the inclusion criteria and were included for the content analyses. Nine of these were self-efficacy measures. No measures covered four or more of the six sub-themes of self-regulation. The three sub-themes on gaining insights were covered less compared to the sub-domains ‘trust’ and ‘make use of abilities’. Conclusions Many measures on self-regulation exist None of these measures cover all six sub-themes of self-regulation considered important to measure self-regulation as a rehabilitation outcome.

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Section: Resultsmentioning

confidence: 99%

“…Self-constructed scale on theory of planned behaviour (Doherty et al) 77 X 61. Self-developed self-efficacy to guide behaviour change scale (Nessen et al) 78 X *Category:. B: Not available (also not after request from author).…”

Section: Declaration Of Conflicting Interestsmentioning

confidence: 99%

Measures of self-regulation used in adult rehabilitation populations: A systematic review and content screening

et al. 2022

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“…Further, physical therapists following a theorybased skills training program in preparation for a coaching role in a regular physical activity intervention, including exercise, in persons with rheumatoid arthritis identified quite a few challenges in abandoning their traditional expert roles (Nessen, Opava, Martin, and Demmelmaier, 2014). However, the training program improved their knowledge in behavior change techniques (Nessen, Opava, and Demmelmaier, 2018).…”

Section: Discussionmentioning

confidence: 99%

Understanding exercise promotion in rheumatic diseases: A qualitative study among physical therapists

Swärdh

Opava

Nygård

et al. 2019

Physiotherapy Theory and Practice

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Background: Physical therapists have unique expertise in planning, prescribing, and supporting exercise for patients with rheumatic diseases. Promoting exercise can be a challenge, but descriptions of physical therapists' experiences within the field of rheumatology are limited. Objective: The purpose of this study was to explore and describe ways of understanding exercise promotion among physical therapists working in rheumatology. Design and Method: A phenomenographic approach was used to analyze semi-structured interviews with 25 physical therapists working primarily within the field of rheumatology from eight different physical therapy departments at hospitals across Sweden. Results: Four ways of understanding exercise promotion were identified. These were named: exercise promotion as information and monitoring of the behavior, as facilitation of skills building, as co-creation of awareness, and as the development of independence and self-reflection. Conclusion: Physical therapists in rheumatology understand exercise promotion in various ways that differ with respect to comprehensiveness and patient-centeredness. The physical therapists' use of behavior change techniques serves different purposes in exercise promotion, varying from external control to self-management. The present results might thus be used to develop awareness, knowledge, and skills for more deliberate exercise promotion among physical therapists working with patients having rheumatic diseases.

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“…Confidence (1 = “not at all” to 6 = “totally”) in guiding and facilitating the physical activity was assessed via eight questions. The questionnaire format was based on a similar questionnaire used and evaluated by us (Nessen et al., 2018), and its content was based on our previous study on Indian PTs‘ approaches to OA (Swärdh, Thorstensson, et al., 2022).…”

Section: Methodsmentioning

confidence: 99%

Challenges of transforming evidence‐based management of osteoarthritis into clinical practice in rural central Western India. Perceptions of an educational program

Opava

Kindblom

Rao

et al. 2023

Physiotherapy Res Intl

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PurposeOsteoarthritis (OA) is a major threat to public health worldwide and is predicted to increase. Existing interventions to implement clinical practice guidelines (CPGs) seem to be used mainly in the Western world. We conducted a structured educational program on the evidence‐based management of OA (BOA) for Indian physical therapists (PT). Our study aimed to describe Indian PTs' knowledge, attitudes and confidence on evidence‐based management of OA, and their perceptions of a course on this subject.MethodsThe 2‐day course included didactic parts and practical skills training. Thirty‐five PTs participated and answered a questionnaire. Fourteen of them participated in focus group interviews. Questionnaire data are presented as medians and full ranges. Manifest content analysis was used to analyze interview data that are presented as catagories illustrated by interview quotes. The formal ethics permission was granted.Results74% of PTs agreed that radiography determines the type of treatment required, and 69% agreed that a prescription for exercise is enough to ensure adherence. PTs agreed (mean 5 on 6‐point scale) that exercises increasing pain should be advised against. Confidence in guiding the physical activity was generally high (≥5 on 6‐point scales). Five categories reflected participants' perceptions of the course content: Shift in management focus, Need for cultural adaptation, Importance of social support, Development of organization and collaboration, and Feelings of hesitation.DiscussionOur results indicate that in order to facilitate the implementation of CPGs, PT curricula may consider the inclusion of knowledge on CPGs, focus more on students' own reflections on transforming theory into practice, and incorporate training of basic skills required for implementation of self‐management, body awareness, and neuromuscular fitness. If given access and mandates, PTs may play a major role in the early diagnosis and treatment of OA and thus contribute to the prevention of an epidemic of OA in India.

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Physiotherapists’ Adoption of a Theory-Based Skills Training Program in Guiding People with Rheumatoid Arthritis to Health-Enhancing Physical Activity

Cited by 8 publications

References 44 publications

Measures of self-regulation used in adult rehabilitation populations: A systematic review and content screening

Measures of self-regulation used in adult rehabilitation populations: A systematic review and content screening

Understanding exercise promotion in rheumatic diseases: A qualitative study among physical therapists

Challenges of transforming evidence‐based management of osteoarthritis into clinical practice in rural central Western India. Perceptions of an educational program

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