Shore H, Hebron C. Musculoskeletal physiotherapists' perceptions of health promotion.
Musculoskelet Sci Pract 2020;
50:102260. [PMID:
33010738 DOI:
10.1016/j.msksp.2020.102260]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 09/11/2020] [Accepted: 09/13/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND
Non-communicable diseases from unhealthy lifestyles account for most preventable deaths in the UK. Physiotherapy training now includes Health Promotion (HP) for the reduction of unhealthy lifestyles such as obesity, smoking, alcohol and inactivity. However, physiotherapists' perceptions of HP in the context of musculoskeletal care in the UK have not been explored.
OBJECTIVES
To explore musculoskeletal physiotherapists' perceptions of HP.
DESIGN
Phenomenographic qualitative research.
METHOD
semi-structured interviews with 7 musculoskeletal physiotherapists.
RESULTS/FINDINGS
Physiotherapist conceptions of HP were analysed using phenomenographic analysis and three main categories emerged. These were the concepts of physiotherapists' self, education in the therapeutic alliance and persons' agency for change. Each category contained a variety of perceptions which were sometimes conflicting, and each category had scope for influencing the others.
CONCLUSIONS
Participants' (physiotherapists) perceptions of their personal and professional self were entwined with perceptions of persons' agency when describing health promotion in their practice. Within the therapeutic alliance concepts of health coaching were discussed but these conceptualisations sometimes contradicted descriptions of experiences. This research may encourage physiotherapists to reflect on their perceptions of, and role in HP.
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