2023-09-28 14:46:10 +00:00
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abstract: 'Recommendations suggest a multicomponent exercise for people with
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osteoporosis. We identified rehabilitation professionals'' barriers and
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facilitators to implementing exercise recommendations with people with
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osteoporosis, and used those to make suggestions for targeted knowledge
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translation interventions. Future work will report on development and
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evaluation of the interventions informed by our study.
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Purpose Rehabilitation professionals can help people with osteoporosis
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to engage in a multicomponent exercise program and perform activities of
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daily living safely. However, rehabilitation professional face barriers
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to implementing exercise evidence, especially for specific disease
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conditions like osteoporosis. We performed a behavioural analysis and
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identified rehabilitation professionals'' barriers to and facilitators of
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implementing disease-specific physical activity and exercise
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recommendations (Too Fit to Fracture recommendations), and used the
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Behaviour Change Wheel to select interventions.
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Methods Semi-structured interviews and focus groups were conducted with
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rehabilitation professionals, including physical therapists,
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kinesiologists, and occupational therapists, and transcribed verbatim.
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Two researchers coded data and identified emerging themes. Using the
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Behaviour Change Wheel framework, themes were categorized into
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capability, opportunity, and motivation, and relevant interventions were
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identified.
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Results Ninety-four rehabilitation professionals (mean age 40.5 years,
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88.3\% female) participated. Identified barriers were as follows:
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capability-lack of training in behaviour change, how to modify
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recommendations for physical and cognitive impairments; opportunity-lack
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of resources, time, and team work; motivation-lack of trust between
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providers, fear in providing interventions that may cause harm.
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Interventions selected were as follows: education, training, enablement,
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modelling and persuasion. Policy categories are communication/marketing,
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guidelines, service provision and environmental/social planning.
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Conclusions Key barriers to implementing the recommendations are
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rehabilitation professionals'' ability to use behaviour change
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techniques, to modify the recommendations for physical and cognitive
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limitations and to feel comfortable with delivering challenging but safe
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interventions for people with osteoporosis, and lacking trust and team
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work across sectors. Future work will report on development and
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evaluation of knowledge translation interventions informed by our study.'
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affiliation: 'McArthur, C (Corresponding Author), Univ Waterloo, Dept Kinesiol, 200
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Univ Ave West, Waterloo, ON N2L 3G1, Canada.
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McArthur, C (Corresponding Author), Geriatr Educ \& Res Aging Sci Ctr, Hamilton,
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ON, Canada.
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McArthur, C (Corresponding Author), McMaster Univ, Hamilton, ON, Canada.
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McArthur, Caitlin; Ziebart, Christina; Giangregorio, Lora M., Univ Waterloo, Dept
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Kinesiol, 200 Univ Ave West, Waterloo, ON N2L 3G1, Canada.
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McArthur, Caitlin; Papaioannou, Alexandra; Giangregorio, Lora M., Geriatr Educ \&
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Res Aging Sci Ctr, Hamilton, ON, Canada.
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McArthur, Caitlin; Papaioannou, Alexandra, McMaster Univ, Hamilton, ON, Canada.
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Cheung, Angela M.; Laprade, Judi, Univ Toronto, Toronto, ON, Canada.
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Laprade, Judi; Jain, Ravi, Ontario Osteoporosis Strategy \& Osteoporosis Cana, Toronto,
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ON, Canada.
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Lee, Linda, Ctr Family Med, Kitchener, ON, Canada.
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Giangregorio, Lora M., Univ Hlth Network, Toronto Rehabil Inst, Toronto, ON, Canada.
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Giangregorio, Lora M., Schlegel UW Res Inst Aging, Waterloo, ON, Canada.'
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article-number: '7'
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author: McArthur, Caitlin and Ziebart, Christina and Papaioannou, Alexandra and Cheung,
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Angela M. and Laprade, Judi and Lee, Linda and Jain, Ravi and Giangregorio, Lora
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M.
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author-email: cmcarthur@uwaterloo.ca
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author_list:
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- family: McArthur
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given: Caitlin
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- family: Ziebart
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given: Christina
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- family: Papaioannou
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given: Alexandra
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- family: Cheung
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given: Angela M.
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- family: Laprade
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given: Judi
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- family: Lee
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given: Linda
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- family: Jain
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given: Ravi
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- family: Giangregorio
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given: Lora M.
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da: '2023-09-28'
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doi: 10.1007/s11657-018-0419-7
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eissn: 1862-3514
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files: []
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issn: 1862-3522
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journal: ARCHIVES OF OSTEOPOROSIS
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keywords: 'Physical activity; Physical therapy; Osteoporosis; Health care provider;
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Guidelines; Knowledge translation; Implementation science'
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keywords-plus: 'LOW-BACK-PAIN; PHYSICAL-ACTIVITY; ALLIED HEALTH; IMPLEMENTATION;
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OSTEOPOROSIS; MANAGEMENT; DIAGNOSIS; BELIEFS; PHYSIOTHERAPISTS;
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GUIDELINE'
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language: English
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month: JAN 25
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number: '1'
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number-of-cited-references: '46'
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orcid-numbers: 'Giangregorio, Lora/0000-0002-3739-1805
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McArthur, Caitlin/0000-0001-9985-2796
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Cheung, Angela M./0000-0001-8332-0744'
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papis_id: 17c98b06e24abc7e18e1c694e1928d8b
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ref: Mcarthur2018weget
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researcherid-numbers: 'Ziebart, Christina/AAT-3639-2020
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'
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times-cited: '6'
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title: '``We get them up, moving, and out the door. How do we get them to do what
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is recommended?″ Using behaviour change theory to put exercise evidence into action
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for rehabilitation professionals'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000423477700001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '11'
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volume: '13'
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web-of-science-categories: Endocrinology \& Metabolism; Orthopedics
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year: '2018'
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