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Kang MG, Tablante GI, Mendoza K, Bandong AN, Guisihan R, Lim AA, Lunar FR, Olegario CD, Rotor E, Palad Y. Content Validation and Pilot Testing of the Promoting Active Lifestyle Among Children With Disability Questionnaire in Filipino and English. J Phys Act Health 2024; 21:1046-1053. [PMID: 39244196 DOI: 10.1123/jpah.2024-0220] [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: 03/26/2024] [Revised: 07/16/2024] [Accepted: 07/18/2024] [Indexed: 09/09/2024]
Abstract
BACKGROUND Primary carers, school teachers, and administrators are key influencers in promoting active lifestyle among children with disabilities (CWD). Guided by the Capability, Opportunity, Motivation, Behavior Model, the Promoting Active Lifestyle among CWD (PALS) Questionnaire aims to determine these influencers' perceptions, capabilities, opportunities, and motivations in active healthy lifestyle promotion. This study evaluated the content validity and feasibility of the PALS Questionnaire in Filipino and English. METHODS Six experts rated the relevance of the items in the Filipino and English versions of the PALS Questionnaire. Item and scale content validity indices and agreement among raters (modified kappa k*) were computed. The questionnaires were revised and pilot tested among 11 participants comprising primary carers, and special education teachers and administrators using 3 methods of administration: online survey, phone interview, and pen-and-paper survey. RESULTS Scale-level content validity index indicated excellent content validity (0.96-0.97). Item-level content validity index ranged between 0.67 and 1.00. Interrater agreement on the relevance of all items was excellent (k* = .82-1.00), except for the item on teaching assistants (k* = .56). Most participants found the items easy to understand. The average time needed to complete a questionnaire was 30 minutes. The online version of the questionnaire was identified as the most feasible mode of administration. CONCLUSION The PALS Questionnaire is a useful instrument for understanding Filipino primary carers' and educators' perceptions on promoting CWD's active healthy lifestyle. Information from the PALS Questionnaire could inform initiatives toward better CWD health and quality of life.
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Affiliation(s)
- Mary-Grace Kang
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Gabriella Isabel Tablante
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Kristofferson Mendoza
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Aila Nica Bandong
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Roselle Guisihan
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Audrey Anne Lim
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Frances Rom Lunar
- Department of Social Epidemiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Carlos Dominic Olegario
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Esmerita Rotor
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
| | - Yves Palad
- Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines
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Declerck L, Gillot M, Goffaux C, Kaux JF, Stoquart G. Neurological conditions and community-based physical activity: physical therapists' belief and actions. Arch Physiother 2024; 14:70-79. [PMID: 39364377 PMCID: PMC11448236 DOI: 10.33393/aop.2024.2733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 09/05/2024] [Indexed: 10/05/2024] Open
Abstract
Introduction Physical therapists (PTs) are key actors in physical activity (PA) promotion. However, it remains unclear whether PTs in community settings promote community-based PA such as adapted physical activity (APA) and adaptive sports (AS) to their patients with neurological conditions (NCs). The main purposes were to evaluate the beliefs PTs have of APA and AS, and to explore actions they undertake to promote it to their patients with NCs. Methods An online survey was created specifically for the study. PT associations and institutions were contacted and licensed PTs working in community-based settings, treating at least one patient with a NC, were invited to participate. Questionnaires were analyzed only if all mandatory questions had been answered. Results A total of 165 questionnaires were analyzed. PTs reported prioritizing active treatment. They viewed APA and AS as beneficial for their patients with NCs; however, its promotion remained largely infrequent due to a number of barriers. The PTs' own level of PA seemed to significantly influence their beliefs of the benefits of APA and AS (p = 0.001), while being specialized in neurologic physical therapy enabled the PTs to increase frequency of promotion (p = 0.003). Conclusion Though community-based PTs are aware of the importance of PA for individuals with NCs, they face difficulties in promoting it to their patients. However, these difficulties are reduced among PTs who are specialized in neurologic physical therapy. Efforts should be made toward educating PTs to neurological pathologies and their specificities when it comes to PA.
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Affiliation(s)
- Louise Declerck
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, UCLouvain, Brussels - Belgium
| | - Mathilde Gillot
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, UCLouvain, Brussels - Belgium
| | - Charlotte Goffaux
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, UCLouvain, Brussels - Belgium
| | - Jean-François Kaux
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège - Belgium
- Physical Medicine and Sport Traumatology Department, SportS2, FIFA Medical Centre of Excellence, FIMS Collaborative Centre of Sports Medicine, University and University Hospital of Liege, Liège - Belgium
| | - Gaëtan Stoquart
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, UCLouvain, Brussels - Belgium
- Physical and Rehabilitation Medicine Department, Cliniques Universitaire Saint-Luc, Brussels - Belgium
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Purcell K, Taylor J, West K, Haynes A, Hassett L, Sherrington C. Promotion of physical activity by health professionals in a sample of six public hospitals: A cross sectional study. Health Promot J Austr 2024; 35:176-187. [PMID: 37039303 DOI: 10.1002/hpja.730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 01/18/2023] [Accepted: 04/03/2023] [Indexed: 04/12/2023] Open
Abstract
ISSUE ADDRESSED Despite strong evidence of physical and mental health benefits from physical activity, participation is low. Physical activity promotion by health professionals can effectively increase physical activity participation. This study aimed to explore the frequency of physical activity promotion by health professionals in public hospitals with a focus on community-based structured exercise; and facilitators and barriers to such promotion. METHODS We surveyed health professionals (n = 100) from physiotherapy, rheumatology and rehabilitation departments at six public hospitals in Sydney, Australia. RESULTS Most common respondent characteristics were physiotherapist (84%), female (68%), aged 25-34 years (45%) and treating older adults (45%). Almost all health professionals (94%) considered themselves physical activity role-models. Half (53%) reported promoting physical activity frequently/often to their clients. Those working with children with a physical disability (23%) were more likely to promote physical activity (Relative Risk 1.69, 95% CI 1.13-2.51, p = .03), than those working with adults or older adults. Half the physiotherapists (52%) reported providing tailored advice about increasing physical activity frequently/often, but only 20% provided advice about structured physical activity. Barriers reported by physiotherapists were lack of time (51%) and client's access to transport (61%). CONCLUSION Only half the health professionals surveyed offered tailored physical activity advice to clients, and advice on structured physical activity was less common. SO WHAT?: Some promotion of physical activity by health professionals is occurring in hospital settings but more work is needed to embed this within clinical care.
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Affiliation(s)
- Kate Purcell
- Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Jennifer Taylor
- Central Clinical School and Department of Anaesthetics, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Kerry West
- Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
- Physiotherapy Department, The Children's Hospital at Westmead, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
| | - Abby Haynes
- Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Leanne Hassett
- Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Cathie Sherrington
- Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia
- School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
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Hassett L, Jennings M, Brady B, Pinheiro M, Haynes A, Sidhu B, Christie L, Dennis S, Pearce A, Howard K, Greaves C, Sherrington C. Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial. Implement Sci Commun 2022; 3:39. [PMID: 35395933 PMCID: PMC8991667 DOI: 10.1186/s43058-022-00291-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 03/28/2022] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Physical inactivity is a leading risk factor for chronic disease. Brief physical activity counselling delivered within healthcare systems has been shown to increase physical activity levels; however, implementation efforts have mostly targeted primary healthcare and uptake has been sub-optimal. The Brief Physical Activity Counselling by Physiotherapists (BEHAVIOUR) trial aims to address this evidence-practice gap by evaluating (i) the effectiveness of a multi-faceted implementation strategy, relative to usual practice for improving the proportion of patients receiving brief physical activity counselling as part of their routine hospital-based physiotherapy care and (ii) effectiveness of brief physical activity counselling embedded in routine physiotherapy care, relative to routine physiotherapy care, at improving physical activity levels among patients receiving physiotherapy care. METHODS Effectiveness-implementation hybrid type II cluster randomised controlled trial with embedded economic evaluation, qualitative study and culturally adapted patient-level outcome measures. The trial will be conducted across five hospitals in a local health district in Sydney, Australia, with a lower socioeconomic and culturally diverse population. The evidence-based intervention is brief physical activity counselling informed by the 5As counselling model and behavioural theory, embedded into routine physiotherapy care. The multi-faceted strategy to support the implementation of the counselling intervention was developed with key stakeholders guided by the Consolidated Framework for Implementation Research and the Capabilities, Opportunities, Motivation-Behaviour (COM-B) theoretical model, and consists of clinician education and training, creating a learning collaborative, tailored strategies to address community referral barriers, team facilitation, and audit and feedback. Thirty teams of physiotherapists will be randomised to receive the multi-faceted implementation strategy immediately or after a 9-month delay. Each physiotherapy team will recruit an average of 10 patients (n=300) to collect effectiveness outcomes at baseline and 6 months. The primary effectiveness outcome is self-reported planned physical activity using the Incidental and Planned Exercise Questionnaire, and the primary implementation outcome is reach (proportion of eligible new physiotherapy patients who receive brief physical activity counselling). Secondary effectiveness and implementation outcomes will also be collected. DISCUSSION This project focuses on physiotherapists as health professionals with the requisite skills and patterns of practice to tackle the increasing burden of chronic disease in a high-risk population. TRIAL REGISTRATION ANZCTR, ACTRN12621000194864 . Registered on 23 February 2021.
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Affiliation(s)
- Leanne Hassett
- Institute for Musculoskeletal Health, The University of Sydney/Sydney Local Health District, Sydney, Australia. .,Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia. .,Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia.
| | - Matthew Jennings
- Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia
| | - Bernadette Brady
- Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.,Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia
| | - Marina Pinheiro
- Institute for Musculoskeletal Health, The University of Sydney/Sydney Local Health District, Sydney, Australia.,Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Abby Haynes
- Institute for Musculoskeletal Health, The University of Sydney/Sydney Local Health District, Sydney, Australia.,Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Balwinder Sidhu
- Multicultural Health Unit, South Western Sydney Local Health District, Sydney, Australia
| | - Lauren Christie
- Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia.,St Vincent's Health Network Sydney & Nursing Research Institute, Australian Catholic University, Sydney, Australia
| | - Sarah Dennis
- Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.,Ingham Institute, South Western Sydney Local Health District, Sydney, Australia
| | - Alison Pearce
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Kirsten Howard
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | | | - Catherine Sherrington
- Institute for Musculoskeletal Health, The University of Sydney/Sydney Local Health District, Sydney, Australia.,Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
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