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