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Netzer R, Elboim-Gabyzon M. Implementation of Nutritional Assessment and Counseling in Physical Therapy Treatment: An Anonymous Cross-Sectional Survey. Nutrients 2023; 15:4204. [PMID: 37836488 PMCID: PMC10574340 DOI: 10.3390/nu15194204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 09/26/2023] [Accepted: 09/27/2023] [Indexed: 10/15/2023] Open
Abstract
In the context of the evolving role of Physical Therapists (PTs) in health promotion, this study explored the incorporation of nutritional assessment and counseling into PTs' professional practice in Israel. Using an anonymous cross-sectional survey design, the research gauged PTs' professional background, nutritional knowledge, lifestyle habits, and the extent of nutritional care integration. Our survey gathered data from 409 certified PTs in Israel, revealing inadequate nutritional knowledge, commendable nutritional lifestyles, and limited nutritional care integration. Participants with over 13 years of clinical experience demonstrated significantly higher levels of nutritional assessment and counseling integration within their physical therapy practices. Workplace setting, nutritional lifestyle, and nutritional knowledge emerged as significant predictors for nutritional care integration. Specifically, working in outpatient clinics and possessing better nutritional lifestyles and knowledge were associated with the increased integration of nutritional assessment and counseling within physical therapy practice. These findings underscore the need for targeted interventions and formal nutrition education to bridge the knowledge gaps and optimize patient care. These results advocate for comprehensive nutrition education in physical therapy curricula and the fostering of PTs as role models. Integrating nutrition care could empower PTs to enhance patient outcomes and fulfill their role in preventive healthcare.
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Affiliation(s)
| | - Michal Elboim-Gabyzon
- Department of Physical Therapy, School of Social Welfare and Health Sciences, University of Haifa, Haifa 3498838, Israel;
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2
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O'Brien MW, Shields CA, Dunbar MJ, Crowell SJ, Fowles JR. Physical Activity Counselling and Exercise Prescription Practices among Dietitians Across Nova Scotia. CAN J DIET PRACT RES 2021; 83:35-40. [PMID: 34582268 DOI: 10.3148/cjdpr-2021-025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
The purpose of this study was to assess the perceptions and practices around physical activity counselling and exercise prescription of dietitians in Nova Scotia. Dietitians (n = 95) across Nova Scotia completed an online self-reflection survey regarding their current physical activity and exercise (PAE) practices. Most (51%; n = 48) reported no previous PAE educational training. Dietitians infrequently prescribed exercise to their patients (16% ± 26% of appointments) or provided PAE referrals (17% ± 24%). Dietitians reported moderate confidence (57% ± 21%) performing PAE counselling and included PAE-related content in half of patient appointments (52% ± 31%). Almost all respondents (95%) identified interest in further PAE education or training. Open-ended responses also demonstrated the need for community-based exercise programs (28% of providers) and qualified exercise professionals to refer to (25%). Overall, dietitians report rarely providing patients with written exercise prescriptions or referrals to other professionals for PAE content but do frequently include PAE in patient appointments. Dietitians in Nova Scotia are well positioned to promote PAE, but more educational training and improved referral systems to qualified exercise professionals or community exercise programs is strongly desired. Exercise professionals and dietitians should concurrently advocate for these changes and collaborate to help more patients lead physically active lifestyles.
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Affiliation(s)
- Myles W O'Brien
- Centre of Lifestyle Studies, School of Kinesiology, Acadia University, Wolfville, NS.,Nova Scotia Health Authority, Wolfville, NS.,Divison of Kinesiology, Dalhousie University, Halifax, NS
| | - Christopher A Shields
- Centre of Lifestyle Studies, School of Kinesiology, Acadia University, Wolfville, NS
| | | | | | - Jonathon R Fowles
- Centre of Lifestyle Studies, School of Kinesiology, Acadia University, Wolfville, NS.,Nova Scotia Health Authority, Wolfville, NS
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Huntington J, Dwyer JJM, Shama S, Brauer P. Registered Dietitians' Knowledge, Attitudes, and Behaviour Related to Physical Activity and Sedentariness. CAN J DIET PRACT RES 2021; 82:45-48. [PMID: 33320791 DOI: 10.3148/cjdpr-2020-029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Purpose: To explore knowledge, attitudes, and behaviour related to physical activity (PA) and sedentariness among registered dietitians (RDs) in family health teams in Ontario.Methods: This cross-sectional, descriptive study utilized a semi-structured interview guide to conduct qualitative interviews with 20 RDs. Self-administered questionnaires were used to assess personal PA (short version of the International Physical Activity Questionnaire) and sedentary behaviour (Sedentary Behavior Questionnaire).Results: Thematic analysis indicated that, in general, participants had good knowledge of PA and sedentariness. They were knowledgeable about the PA guidelines. They had positive attitudes toward PA and nonsedentariness, stating that both are important in the prevention and treatment of chronic conditions. Quantitative analysis indicated they had moderate-to-high PA levels and were fairly sedentary.Conclusions: This study supports the position that RDs can serve as excellent role models for PA. Though participants had basic knowledge, RDs may benefit from additional education regarding PA and sedentariness when counselling.
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Affiliation(s)
- Jessica Huntington
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
| | - John J M Dwyer
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
| | - Sara Shama
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
| | - Paula Brauer
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
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Huntington J, Dwyer JJM, Shama S, Brauer P. Registered dietitians' beliefs and behaviours related to counselling patients on physical activity and sedentary behaviour from a theory of planned behaviour perspective. BMC Nutr 2020; 6:66. [PMID: 33292838 PMCID: PMC7702673 DOI: 10.1186/s40795-020-00392-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 10/26/2020] [Indexed: 11/18/2022] Open
Abstract
Background Registered dietitians working in team-based primary care settings (e.g., family health teams [FHTs]) are positioned to counsel on physical activity and sedentary behaviour when providing nutrition-related services to promote health and prevent disease. This qualitative study explored FHT registered dietitians’ beliefs and behaviours related to counselling patients on physical activity and sedentary behaviour. Methods Twenty registered dietitians in FHTs in Ontario, Canada were interviewed in person. Theory of planned behaviour guided the development of this cross-sectional, descriptive study. Thematic analysis was used to identify themes within each of the following theoretical constructs (topics): registered dietitians’ behaviour (practice), behavioural intention, attitude, subjective norm, and perceived behavioural control related to physical activity and sedentary behaviour counselling. Results All participants counselled patients on physical activity, using some motivational interviewing strategies, and most counselled on sedentary behaviour. Many participants intended to continue their current physical activity counselling practices and increase sedentary behaviour counselling. Some participants had a positive attitude about the effectiveness of counselling on physical activity and sedentary behaviour, but their belief about effectiveness was dependent on factors such as time frame for behaviour change. Many participants felt that other health care professionals expected them to counsel on physical activity and they believed that other registered dietitians counsel on physical activity and sedentary behaviour. Facilitators to counselling included FHT dynamics and time with patients. In terms of barriers, almost all participants were confident in basic PA counselling only and contended that only this is within their scope of practice. Many participants posited that exercise prescription is outside their scope of practice. Other barriers included registered dietitians’ lack of knowledge and not having a physical activity expert on the team. Conclusions The results suggest that strategies are warranted to improve FHT registered dietitians’ knowledge, attitude, and counselling skills related to physical activity and sedentary behaviour. This study provides a strong foundation to develop a theory-based, quantitative measure to assess physical activity and sedentary behaviour counselling practices and determinants among registered dietitians. Supplementary Information The online version contains supplementary material available at 10.1186/s40795-020-00392-1.
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Affiliation(s)
- Jessica Huntington
- Department of Family Relations and Applied Nutrition, University of Guelph, Macdonald Institute Building, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada
| | - John J M Dwyer
- Department of Family Relations and Applied Nutrition, University of Guelph, Macdonald Institute Building, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada.
| | - Sara Shama
- Department of Family Relations and Applied Nutrition, University of Guelph, Macdonald Institute Building, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada
| | - Paula Brauer
- Department of Family Relations and Applied Nutrition, University of Guelph, Macdonald Institute Building, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada
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5
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Crisford P, Winzenberg T, Venn A, Schultz M, Aitken D, Cleland V. Factors associated with physical activity promotion by allied and other non-medical health professionals: A systematic review. PATIENT EDUCATION AND COUNSELING 2018; 101:1775-1785. [PMID: 29793786 DOI: 10.1016/j.pec.2018.05.011] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2017] [Revised: 04/09/2018] [Accepted: 05/09/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To identify factors associated with non-medical health professionals' engagement in physical activity (PA) promotion. METHODS Five electronic databases were searched for studies including practising health professionals (excluding medical doctors), a PA promotion practice measure, a test of association between potential influencing factors and PA promotion practice, and written in English. Two researchers independently screened studies and extracted data. Extracted data were synthesized in a tabular format with a narrative summary (thematic analysis). RESULTS Thirty studies involving 7734 non-medical health professionals were included. Self-efficacy in PA promotion, positive beliefs in the benefits of PA, assessing patients' PA, and PA promotion training were the main factors associated with engaging in PA promotion. Lack of remuneration was not associated. Common study limitations included a lack of information on non-responders, data collection by survey only and limited reliability or validity testing of measurements. CONCLUSIONS There are common factors influencing PA promotion, but the absence of studies from some health professions, limitations related to study measures, and the lack of randomised controlled intervention trials highlights the need for further research. PRACTICE IMPLICATIONS The factors identified may prove useful for guiding the development of strategies to encourage greater engagement in PA promotion by health professionals.
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Affiliation(s)
- Paul Crisford
- Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia.
| | - Tania Winzenberg
- Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia; Faculty of Health, University of Tasmania, Medical Science Precinct, 17 Liverpool Street, Hobart, Tasmania 7000, Australia.
| | - Alison Venn
- Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia.
| | - Martin Schultz
- Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia.
| | - Dawn Aitken
- Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia.
| | - Verity Cleland
- Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia.
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Freene N, Cools S, Bissett B. Are we missing opportunities? Physiotherapy and physical activity promotion: a cross-sectional survey. BMC Sports Sci Med Rehabil 2017; 9:19. [PMID: 29214025 PMCID: PMC5708119 DOI: 10.1186/s13102-017-0084-y] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 11/20/2017] [Indexed: 11/18/2022]
Abstract
Background Physical activity (PA) promotion in healthcare is an important strategy for increasing PA levels. Physiotherapists are well-positioned to promote PA, however no studies have investigated PA promotion by physiotherapists Australia-wide. Methods An online survey of practicing Australian physiotherapists was conducted to investigate knowledge of the Australian Physical Activity and Sedentary Behaviour (PASB) guidelines and factors associated with increased promotion frequency. Participants were asked to state the PASB guidelines and a 4-component scoring system was used to measure knowledge. Multivariate logistic regression analysis was conducted to assess factors associated with frequency of promotion. Results 257 Australian physiotherapists completed the survey. Only 10% were able to accurately state the PASB guidelines and 54% reported promoting PA to 10 or more patients per month. Males were nearly three times more likely than females to promote PA to 10 or more patients per month (OR 2.68, 95% CI 1.25–5.74). Those who lacked counselling skills and felt PA promotion wouldn’t change their patients’ behaviour were much less likely to promote PA. Conclusion Australian physiotherapists have poor knowledge of the Australian PASB guidelines and infrequently promote PA. Education and training in PA counselling and behaviour change strategies is indicated to enhance PA promotion by Australian physiotherapists.
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Affiliation(s)
- Nicole Freene
- Faculty of Health, University of Canberra, Canberra, 2601 Australia
| | - Sophie Cools
- Faculty of Health, University of Canberra, Canberra, 2601 Australia
| | - Bernie Bissett
- Faculty of Health, University of Canberra, Canberra, 2601 Australia
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Abaraogu UO, Ogaga MO, Dean E. Practices of Nigerian physiotherapists with respect to lifestyle risk factor assessment and intervention: A national cross-sectional survey. Physiother Theory Pract 2017; 33:497-507. [PMID: 28481667 DOI: 10.1080/09593985.2017.1318421] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Resolutions of the World Health Organization and World Confederation for Physical Therapy declare health promotion a priority for health professionals including physiotherapists. OBJECTIVE To describe lifestyle-related risk factor assessment and intervention practices of Nigerian physiotherapists, their perceived barriers to such practices, and education needs. METHODS Physiotherapists (n = 650) were invited to complete a questionnaire with 23 questions about respondent demographics, lifestyle risk factor assessment, and management practices; barriers to such practices; and related education needs. Statistical analysis was descriptive. RESULTS Response rate was 69% (n = 451). Less than half of respondents indicated that they "always" advised smokers to quit or heavy drinkers to reduce alcohol consumption. Most respondents viewed diet and anthropometrics as risk factors that warrant being addressed, but few respondents did so. Physical inactivity and blood pressure were the commonest risk factors reportedly assessed. Perceived barriers to health promotion practices included time, knowledge, and access to other providers. Continuing education needs identified by respondents included methods for delivering advice regarding smoking cessation, diet, and alcohol consumption. CONCLUSIONS Nigerian physiotherapists inconsistently assess lifestyle-related risks and intervene to address them. Continuing education is needed to address barriers to health promotion practices by meeting the perceived needs of Nigerian physiotherapists.
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Affiliation(s)
| | - Mary Oguma Ogaga
- a Department of Medical Rehabilitation , University of Nigeria , Enugu , Nigeria
| | - Elizabeth Dean
- b Department of Physical Therapy , University of British Columbia , Vancouver , Canada
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George V, Fineberg M, Marin V, Rosen A. The Role of Registered Dietitians in Patient Education and Counseling About Physical Activity. TOP CLIN NUTR 2016. [DOI: 10.1097/tin.0000000000000070] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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9
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Huijg JM, Gebhardt WA, Verheijden MW, van der Zouwe N, de Vries JD, Middelkoop BJC, Crone MR. Factors influencing primary health care professionals' physical activity promotion behaviors: a systematic review. Int J Behav Med 2015; 22:32-50. [PMID: 24788314 DOI: 10.1007/s12529-014-9398-2] [Citation(s) in RCA: 100] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Despite the promising findings related to the efficacy of interventions aimed at promoting physical activity (PA) in primary health care (PHC), the translation of these interventions to PHC practice does not always happen as desired. PURPOSE To help understand why efficacious PHC-based PA interventions are not effectively translated to practice, this study systematically reviewed the literature on factors influencing PHC professionals' PA promotion practices. METHOD Literature searches were conducted in Web of Science, PubMed, and PsycINFO for peer-reviewed articles published in English from 1990 onwards. Studies were included that met the following criteria: (1) involving PHC-based PA interventions, and (2) reporting factors influencing PHC professionals' PA promotion behaviors. Two researchers independently screened studies and extracted data. A narrative synthesis using thematic analysis was conducted to identify factors. RESULTS Of the 4,469 identified articles, 59 were included in the review. Factors were identified by qualitative methods, barrier/facilitator ratings, and the examination of the relationship between factors and PA promotion, and the effectiveness of introduction strategies. Many factors related to the development, delivery, and effects of the innovation, the sociopolitical and organizational culture, resources, and support, patient and PHC professional characteristics, and innovation strategies were identified as potential influences on PHC professionals' PA promotion practices. However, the lack of evidence on the relationship between factors and PA promotion indicated insufficient evidence on PA promotion determinants. CONCLUSION This extensive overview of potential factors can inform intervention developers and implementers on which factors may play a role when introducing PA interventions in PHC. Future research should further investigate relationships between factors and PA promotion, which should be guided by qualitative in-depth knowledge on influencing factors.
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Affiliation(s)
- Johanna M Huijg
- Clinical, Health and Neuropsychology, Leiden University, Wassenaarseweg 52, Leiden, The Netherlands,
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10
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Johnson ST, Cornish SM, Lytvyak E, Taylor LM, Bell G, Vallance J, Fraser S, Murray T. Examining the Promotion of Healthy Eating among Exercise Specialists: A Cross-sectional Study. CAN J DIET PRACT RES 2015; 76:76-80. [DOI: 10.3148/cjdpr-2015-004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Steven T. Johnson
- Centre for Nursing and Health Studies, Athabasca University, Athabasca, AB
| | - Stephen M. Cornish
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, MB
| | - Ellina Lytvyak
- Centre for Nursing and Health Studies, Athabasca University, Athabasca, AB
| | | | - Gordon Bell
- Faculty of Physical Education and Recreation, University of Alberta, Edmonton, AB
| | - Jeff Vallance
- Centre for Nursing and Health Studies, Athabasca University, Athabasca, AB
| | - Shawn Fraser
- Centre for Nursing and Health Studies, Athabasca University, Athabasca, AB
| | - Terra Murray
- Centre for Nursing and Health Studies, Athabasca University, Athabasca, AB
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Huijg JM, Crone MR, Verheijden MW, van der Zouwe N, Middelkoop BJC, Gebhardt WA. Factors influencing the adoption, implementation, and continuation of physical activity interventions in primary health care: a Delphi study. BMC FAMILY PRACTICE 2013; 14:142. [PMID: 24070166 PMCID: PMC3848920 DOI: 10.1186/1471-2296-14-142] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2013] [Accepted: 09/25/2013] [Indexed: 11/17/2022]
Abstract
BACKGROUND The introduction of efficacious physical activity interventions in primary health care is a complex process. Understanding factors influencing the process can enhance the development of effective introduction strategies. This Delphi study aimed to identify factors most relevant for the adoption, implementation, and continuation of physical activity interventions in primary health care by examining experts' opinions on the importance and changeability of factors previously identified as potentially relevant for the process. METHODS In the first round, 44 experts scored factors on their importance for each stage of the introduction process, as well as on their changeability. In the second round, the same experts received a questionnaire containing a reduced list of factors, based on the first-round results. They were asked to indicate their top-10 most important factors for each stage, and to re-rate factors' changeability. Thirty-seven experts completed this round. RESULTS Most important factors could be identified for each stage. Some factors were found important for a specific stage, e.g., the presence of intervention champions within the organization (adoption), provider knowledge (implementation), and the intervention's sustainability (continuation), while others were perceived important for all stages, i.e., the intervention's financial feasibility, the intervention's accessibility to the target group, and time to deliver the intervention. The majority of most important factors was perceived changeable. However, for some factors no consensus could be reached regarding their changeability. CONCLUSIONS This study identified general and stage-specific factors relevant for the introduction of physical activity interventions in primary health care. It emphasizes the importance of taking these factors into account when designing introduction strategies, and of giving special attention to the distinct stages of the process. Due to lack of consensus on the changeability of most important factors, the extent to which these factors can be influenced by introduction strategies remains unclear.
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Affiliation(s)
- Johanna M Huijg
- Clinical, Health and Neuropsychology, Leiden University, Wassenaarseweg 52, Leiden, the Netherlands
| | - Mathilde R Crone
- Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Leiden, the Netherlands
| | | | | | - Barend JC Middelkoop
- Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Leiden, the Netherlands
| | - Winifred A Gebhardt
- Clinical, Health and Neuropsychology, Leiden University, Wassenaarseweg 52, Leiden, the Netherlands
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Scott SD, Albrecht L, O’Leary K, Ball GDC, Hartling L, Hofmeyer A, Jones CA, Klassen TP, Burns KK, Newton AS, Thompson D, Dryden DM. Systematic review of knowledge translation strategies in the allied health professions. Implement Sci 2012; 7:70. [PMID: 22831550 PMCID: PMC3780719 DOI: 10.1186/1748-5908-7-70] [Citation(s) in RCA: 202] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2011] [Accepted: 07/04/2012] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Knowledge translation (KT) aims to close the research-practice gap in order to realize and maximize the benefits of research within the practice setting. Previous studies have investigated KT strategies in nursing and medicine; however, the present study is the first systematic review of the effectiveness of a variety of KT interventions in five allied health disciplines: dietetics, occupational therapy, pharmacy, physiotherapy, and speech-language pathology. METHODS A health research librarian developed and implemented search strategies in eight electronic databases (MEDLINE, CINAHL, ERIC, PASCAL, EMBASE, IPA, Scopus, CENTRAL) using language (English) and date restrictions (1985 to March 2010). Other relevant sources were manually searched. Two reviewers independently screened the titles and abstracts, reviewed full-text articles, performed data extraction, and performed quality assessment. Within each profession, evidence tables were created, grouping and analyzing data by research design, KT strategy, targeted behaviour, and primary outcome. The published descriptions of the KT interventions were compared to the Workgroup for Intervention Development and Evaluation Research (WIDER) Recommendations to Improve the Reporting of the Content of Behaviour Change Interventions. RESULTS A total of 2,638 articles were located and the titles and abstracts were screened. Of those, 1,172 full-text articles were reviewed and subsequently 32 studies were included in the systematic review. A variety of single (n = 15) and multiple (n = 17) KT interventions were identified, with educational meetings being the predominant KT strategy (n = 11). The majority of primary outcomes were identified as professional/process outcomes (n = 25); however, patient outcomes (n = 4), economic outcomes (n = 2), and multiple primary outcomes (n = 1) were also represented. Generally, the studies were of low methodological quality. Outcome reporting bias was common and precluded clear determination of intervention effectiveness. In the majority of studies, the interventions demonstrated mixed effects on primary outcomes, and only four studies demonstrated statistically significant, positive effects on primary outcomes. None of the studies satisfied the four WIDER Recommendations. CONCLUSIONS Across five allied health professions, equivocal results, low methodological quality, and outcome reporting bias limited our ability to recommend one KT strategy over another. Further research employing the WIDER Recommendations is needed to inform the development and implementation of effective KT interventions in allied health.
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Affiliation(s)
- Shannon D Scott
- Faculty of Nursing, University of Alberta, Level 3, Edmonton Clinic Health
Academy, Edmonton, AB, Canada
| | - Lauren Albrecht
- Faculty of Nursing, University of Alberta, Level 3, Edmonton Clinic Health
Academy, Edmonton, AB, Canada
| | - Kathy O’Leary
- Faculty of Nursing, University of Alberta, Level 3, Edmonton Clinic Health
Academy, Edmonton, AB, Canada
| | - Geoff DC Ball
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of
Alberta, 8213 Aberhart Centre, Edmonton, AB, Canada
| | - Lisa Hartling
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of
Alberta, 8213 Aberhart Centre, Edmonton, AB, Canada
- Alberta Research Centre for Health Evidence, University of Alberta, Level 4,
Edmonton Clinic Health Academy, Edmonton, AB, Canada
| | - Anne Hofmeyer
- School of Nursing and Midwifery, University of South Australia, Adelaide, South
Australia, Australia
| | - C Allyson Jones
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of
Alberta, 3-48 Corbett Hall, Edmonton, AB, Canada
| | - Terry P Klassen
- Manitoba Institute of Child Health, Department of Pediatrics and Child Health,
University of Manitoba, Level 5, John Buhler Research Centre, Winnipeg, MB,
Canada
- Winnipeg Regional Health Authority, 650 Main Street, Winnipeg, MB, Canada
| | - Katharina Kovacs Burns
- Health Sciences Council and Interdisciplinary Health Research Academy, University
of Alberta, 3–398 Edmonton Clinic Health Academy, Edmonton, AB, Canada
- Glenrose Rehabilitation Hospital, 10230 111 Avenue, Edmonton, AB, Canada
| | - Amanda S Newton
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of
Alberta, 8213 Aberhart Centre, Edmonton, AB, Canada
- Women and Children’s Health Research Institute, University of Alberta,
4–081 Edmonton Clinic Health Academy, Edmonton, AB, Canada
- Stollery Children’s Hospital, 8440 112 Street, Edmonton, AB, Canada
| | - David Thompson
- Northern Ontario School of Medicine, 955 Oliver Road, Thunder Bay, ON, Canada
| | - Donna M Dryden
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of
Alberta, 8213 Aberhart Centre, Edmonton, AB, Canada
- Alberta Research Centre for Health Evidence, University of Alberta, Level 4,
Edmonton Clinic Health Academy, Edmonton, AB, Canada
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Berry TR, Anders S, Chan CB, Bell RC. Communicating diabetes best practices to clients: a preliminary investigation of educator perspectives. Health Promot Pract 2011; 13:388-94. [PMID: 21971869 DOI: 10.1177/1524839911404225] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE The majority of people with type 2 diabetes do not meet dietary and physical activity recommendations. It is not well understood how diabetes educators translate diet and physical guidelines for their clients and if diabetes educators have sufficient resources to promote healthy eating and physical activity. This research addressed these questions through exploratory qualitative interviews. METHOD A total of 13 diabetes educators who work in Alberta, Canada, were interviewed. RESULTS The reasons for lack of client uptake of lifestyle recommendations were complex and interwoven. The strongest theme to emerge was the clients' prior knowledge and skills affecting their ability to uptake knowledge. However, educators recognized that clients are affected by social, environmental, cultural, and personal factors. CONCLUSIONS Health system and societal issues cause a cascade effect resulting in difficulties for both educators and clients. To achieve appropriate treatment of type 2 diabetes, changes need to occur at a health systems level.
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Plotnikoff RC, Johnson ST, Karunamuni N, Boule NG. Physical activity related information sources predict physical activity behaviors in adults with type 2 diabetes. JOURNAL OF HEALTH COMMUNICATION 2010; 15:846-858. [PMID: 21170787 DOI: 10.1080/10810730.2010.522224] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Physical activity (PA) is a key management strategy for type 2 diabetes. Despite the known benefits, PA levels are low. Whether the low level of PA is related to lack of knowledge or support is not fully understood. This study was conducted to describe where and how often adults with type 2 diabetes receive and seek information related to PA and examine the relationships between the source and quality of PA information with PA behaviors. A series of questions related to the source and quality of PA information were added to a baseline survey distributed to the participants (N = 244) of the Canadian Aerobic and Resistance Training in Diabetes (CARED) study. Physicians and television were found to be the main sources of PA-related information. In our cross-sectional model, sources of PA-related information other than that from health care professionals explained 14% (p = .05) and 16% (p < .05) of the variance for aerobic-based and resistance training behaviors and 22% (p < .01) and 15% (p < .05) for these behaviors in our longitudinal model. Physical activity (PA)-related information is widely available to adults with type 2 diabetes. Neither the quantity nor the quality of the PA information provided by health care professionals predicted PA behavior. These data provide further insight into the modes with which PA can be promoted to adults with type 2 diabetes.
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Affiliation(s)
- Ronald C Plotnikoff
- Centre for Health Promotion Studies, School of Public Health, andFaculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta, Canada.
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