Physical Therapists, Telephone Coaches, and Patients With Knee Osteoarthritis: Qualitative Study About Working Together to Promote Exercise Adherence.
Background. Integrated models of care are recommended for people with knee osteoarthritis (OA). Exercise is integral to management, yet exercise adherence is problematic. Telephone-based health coaching is an attractive adjunct to physical therapist-prescribed exercise that may improve adherence. Li...
| Publicado en: | Physical Therapy Vol. 96; no. 4; pp. 479 - 494 |
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| Autores principales: | , , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Apr2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114179359&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 114179359 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Apr2016 vid: 96 iid: 4 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 114179359 114179359 114179359 10.2522/ptj.20150260 114179359 ppf: 479 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Physical Therapists, Telephone Coaches, and Patients With Knee Osteoarthritis: Qualitative Study About Working Together to Promote Exercise Adherence. aug: au: Hinman, Rana S. Delany, Clare M. Campbell, Penelope K. Gale, Janette Bennell, Kim L. affil: Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, University of Melbourne, Parkville, Victoria, Australia 3010 sug: subj: Patient Compliance Osteoarthritis, Knee Rehabilitation Therapeutic Exercise Health Care Delivery Methods Physical Therapists Patients Counselors Telephone Multidisciplinary Care Team Behavioral Changes Clinical Assessment Tools Questionnaires Cross Sectional Studies Qualitative Studies Semi-Structured Interview Interview Guides Audiorecording Thematic Analysis Grounded Theory Middle Age Aged Female Male Human Funding Source Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background. Integrated models of care are recommended for people with knee osteoarthritis (OA). Exercise is integral to management, yet exercise adherence is problematic. Telephone-based health coaching is an attractive adjunct to physical therapist-prescribed exercise that may improve adherence. Little is known about the perceptions and interpretations of physical therapists, telephone coaches, and patients engaged in this model of care. Objectives. The purpose of this study was to explore how stakeholders (physical therapists, telephone coaches, and patients) experienced, and made sense of, being involved in an integrated program of physical therapist-supervised exercise and telephone coaching for people with knee OA. Design. A cross-sectional qualitative design drawing from symbolic interactionism was used. Methods. Semistructured interviews with 10 physical therapists, 4 telephone coaches, and 6 patients with painful knee OA. Interviews were audiorecorded, transcribed, and analyzed using thematic analysis informed by grounded theory. Results. Four themes emerged: (1) genuine interest and collaboration, (2) information and accountability, (3) program structure, and (4) roles and communication in teamwork. Patients reported they appreciated personalized, genuine interest from therapists and coaches and were aware of their complementary roles. A collaborative approach, with defined roles and communication strategies, was identified as important for effectiveness. All participants highlighted the importance of sharing information, monitoring, and being accountable to others. Coaches found the lack of face-to-face contact with patients hampered relationship building. Therapists and coaches referred to the importance of teamwork in delivering the intervention. Limitations. The small number of physical therapists and telephone coaches who delivered the intervention may have been biased toward favorable experiences with the intervention and may not be representative of their respective professions. Conclusions. Integrated physical therapy and telephone coaching was perceived as beneficial by most stakeholders. Programs should be structured but have some flexibility to give therapists and coaches some freedom to adjust treatment to individual patient needs as required. Opportunities for visual communication between telephone coaches and patients could facilitate relationship building. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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