Co-development of a physiotherapist-delivered physical activity intervention for adults with spinal cord injury

Co-development of a physiotherapist-delivered physical activity intervention for adults with spinal cord injury

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-developm...

Full description

Saved in:
Bibliographic Details
Published in:Spinal cord Vol. 58; no. 7; pp. 778 - 786
Main Authors: Ma, Jasmin K., Cheifetz, Oren, Todd, Kendra R., Chebaro, Carole, Phang, Sen Hoong, Shaw, Robert B., Whaley, Kyle J., Martin Ginis, Kathleen A.
Format: Journal Article
Language:English
Published: London Nature Publishing Group UK 01-07-2020
Nature Publishing Group
Subjects:
631/477/2811
692/700/228/491
692/700/784
Anatomy
Biomedical and Life Sciences
Biomedicine
Exercise
Human Physiology
Intervention
Literature reviews
Medical personnel
Neurochemistry
Neuropsychology
Neurosciences
Physical activity
Polls & surveys
Randomization
Rehabilitation
Spinal cord injuries
Training
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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, p s < 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.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-News-1
ObjectType-Feature-3
content type line 23
ISSN:1362-4393
1476-5624
DOI:10.1038/s41393-020-0422-x