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Physiotherapy motivational interviewing

Jennifer Bessette, Chantal Camden
OBJECTIVES: Canadian medical (MD), physiotherapy (PT) and occupational therapy (OT) students increasingly show an interest in global health experiences (GHEs). As certain moral hazards can occur as a result of student GHEs, a growing consensus exists that universities must have an established selection process, in-depth pre-departure training (PDT), adequate onsite supervision and formal debriefing for their students. This study aimed to identify current practices in Canadian MD, PT and OT programs and discuss areas for improvement by comparing them with recommendations found in the literature...
December 27, 2016: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
Hanan Khalil, Mohammad Nazzal, Nihaya Al-Sheyab
BACKGROUND: Perceived barriers to engaging in exercise in people with Parkinson's disease (PD) are becoming more defined in countries such as the UK and the US. This, however, may vary by culture and environment. This study aimed to explore the perceptions of exercise and barriers that may affect participation in people with PD from Jordan. METHODS: Two focus groups and seven individual interviews were conducted with people with PD. Additionally, individual interviews were conducted with two neurologists...
October 2016: Physiotherapy Theory and Practice
Aarid Liland Olsen, Liv Inger Strand, Liv Helvik Skjaerven, Mary-Anne Sundal, Liv Heide Magnussen
BACKGROUND: Osteoarthritis (OA) is associated with pain, dysfunction and reduced quality of life. Patient education (PE) followed by 12 weekly sessions of Basic Body Awareness Therapy (BBAT) was offered to patients with hip OA, aiming to strengthen their ability to move and act functionally in daily life. AIM: To explore how patients described their experiences and outcome from participating in PE and BBAT. METHOD: Individual, semi-structured interviews with five patients, aged 52-78 years, were performed after PE and BBAT at four and ten months...
August 5, 2016: Disability and Rehabilitation
Lex D de Jong, Andy Peters, Julie Hooper, Nina Chalmers, Claire Henderson, Robert Me Laventure, Dawn A Skelton
BACKGROUND: Increasing physical activity (PA) brings many health benefits, but engaging people in higher levels of PA after their 60s is not straightforward. The Functional Fitness MOT (FFMOT) is a new approach which aims to raise awareness about the importance of components of fitness (strength, balance, flexibility), highlight benefits of PA, engages older people in health behavior change discussions, and directs them to local activity resources. This battery of tests combined with a brief motivational interview has not been tested in terms of feasibility or effectiveness...
2016: JMIR Research Protocols
Deirdre A Hurley, Laura Currie Murphy, David Hayes, Amanda M Hall, Elaine Toomey, Suzanne M McDonough, Chris Lonsdale, Nicola E Walsh, Suzanne Guerin, James Matthews
BACKGROUND: The Medical Research Council framework provides a useful general approach to designing and evaluating complex interventions, but does not provide detailed guidance on how to do this and there is little evidence of how this framework is applied in practice. This study describes the use of intervention mapping (IM) in the design of a theory-driven, group-based complex intervention to support self-management (SM) of patients with osteoarthritis (OA) and chronic low back pain (CLBP) in Ireland's primary care health system...
April 26, 2016: Implementation Science: IS
Anita Stevens, Albine Moser, Albère Köke, Trudy van der Weijden, Anna Beurskens
BACKGROUND: Patient participation in goal setting is important to deliver client-centered care. In daily practice, however, patient involvement in goal setting is not optimal. Patient-specific instruments, such as the Patient Specific Complaints (PSC) instrument, can support the goal-setting process because patients can identify and rate their own problems. The aim of this study is to explore patients' experiences with the feasibility of the PSC, in the physiotherapy goal setting. METHOD: We performed a qualitative study...
2016: Patient Preference and Adherence
Clémence Palazzo, Evelyne Klinger, Véronique Dorner, Abdelmajid Kadri, Olivier Thierry, Yasmine Boumenir, William Martin, Serge Poiraudeau, Isabelle Ville
OBJECTIVE: To assess views of patients with chronic low back pain (cLBP) concerning barriers to home-based exercise program adherence and to record expectations regarding new technologies. DESIGN: Qualitative study based on semi-structured interviews. PARTICIPANTS: A heterogeneous sample of 29 patients who performed a home-based exercise program for cLBP learned during supervised physiotherapy sessions in a tertiary care hospital. INTERVENTIONS: Patients were interviewed at home by the same trained interviewer...
April 2016: Annals of Physical and Rehabilitation Medicine
Emer M Barrett, Juliette Hussey, Catherine D Darker
OBJECTIVES: To establish consensus on a physical activity pathway suitable for use by physiotherapists in Irish primary care. The physical activity pathway "Let's Get Moving" was examined to agree recruitment criteria and seek consensus on component parts. DESIGN: Modified Delphi approach which attempts to achieve a convergence of opinion, over a series of iterations. Three rounds of questionnaires were used. SETTING: Primary care. PARTICIPANTS: 41 senior physiotherapists working in primary care for a median of 6 years (IQR 3...
February 11, 2016: Physiotherapy
Melissa J Raymond, Angela T Burge, Sze-Ee Soh, Kimberley J Jeffs, Adele Winter, Anne E Holland
Physiotherapy delivered in a group setting has been shown to be effective in a variety of populations. However, little is known about the attitudes of older adults toward participating in group physiotherapy. The objectives of this study were to explore older inpatients' perceptions and experiences of group physiotherapy using qualitative methods. Twelve hospitalized adults aged ≥65 years who were involved in a larger randomized controlled trial undertook individual semistructured interviews regarding their experiences in group physiotherapy...
May 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Schoo A M, Lawn S, Rudnik E, Litt J C
BACKGROUND: Many undergraduate and graduate-entry health science curricula have incorporated training in motivational interviewing (MI). However, to effectively teach skills that will remain with students after they graduate is challenging. The aims of this study were to find out self-assessed MI skills of health students and whether reflecting on the results can promote transformative learning. METHODS: Thirty-six Australian occupational therapy and physiotherapy students were taught the principles of MI, asked to conduct a motivational interview, transcribe it, self-rate it using the Motivational Interviewing Treatment Integrity (MITI) tool and reflect on the experience...
2015: BMC Medical Education
J Janssen, L Hale, B Mirfin-Veitch, T Harland
OBJECTIVES: To explore the perceptions of physiotherapists towards the use of and participation in research. DESIGN: Concurrent mixed methods research, combining in-depth interviews with three questionnaires (demographics, Edmonton Research Orientation Survey, visual analogue scales for confidence and motivation to participate in research). SETTING: One physiotherapy department in a rehabilitation hospital, consisting of seven specialised areas...
June 2016: Physiotherapy
A Nota, T M Chikwanha, J January, N Dangarembizi
BACKGROUND: Defaulting scheduled rehabilitation therapy may result in increased adverse outcomes such as permanent disability and increased healthcare costs. Concomitantly, there is evidence to suggest that early and continued rehabilitation of children with congenital disabilities can improve outcomes significantly. This study was conducted to determine factors contributing to caregivers' defaulting scheduled rehabilitation therapy sessions. METHODS: A descriptive cross sectional study was carried out at Chitungwiza Central Hospital, a tertiary facility offering in and outpatient rehabilitation services in Zimbabwe...
March 2015: Malawi Medical Journal: the Journal of Medical Association of Malawi
(no author information available yet)
: In the article The use of gaming technology for rehabilitation in people with multiple sclerosis, DOI: 10.1177/1352458514563593, published in Multiple Sclerosis Volume 21 Issue 4, Table 1 was printed incorrectly. The corrected Table 1 is below:spmsj;1352458515585718v1/TABLE11352458515585718T1table1-1352458515585718Table 1.Exergaming studies.Ref.PlatformParticipants and interventionOutcomesPlow and Finlayson(31)WiiPre-test vs. post-test repeated measures home-based Wii training. PARTICIPANTS: N=30, age 43...
June 3, 2015: Multiple Sclerosis: Clinical and Laboratory Research
Julie Lam, Pranee Liamputtong, Keith Hill
Exercise programmes are effective in reducing falls but few older people consider doing an exercise programme for falls prevention. This paper examines older people's perceptions and experiences of falls, physiotherapy and exercise. Individual interviews were conducted with Australian-born and Italian-born older persons who had ≥1 fall in the past 12 months and completed a community-based physiotherapy programme. Although preventing further falls was considered important, participants were unsure whether falls were preventable...
June 2015: Journal of Cross-cultural Gerontology
Paul D O'Halloran, Felicity Blackstock, Nora Shields, Anne Holland, Ross Iles, Mike Kingsley, Julie Bernhardt, Natasha Lannin, Meg E Morris, Nicholas F Taylor
OBJECTIVE: A systematic review and meta-analysis of randomized controlled trials to determine if motivational interviewing leads to increased physical activity, cardiorespiratory fitness or functional exercise capacity in people with chronic health conditions. DATA SOURCES: Seven electronic databases (MEDLINE, PsychINFO, EMBASE, AMED, CINHAL, SPORTDiscus and the Cochrane Central Register of Controlled trials) were searched from inception until January 2014. TRIAL SELECTION: Two reviewers independently examined publications for inclusion...
December 2014: Clinical Rehabilitation
Leontien Van Wely, Astrid Cj Balemans, Jules G Becher, Annet J Dallmeijer
QUESTION: In children with cerebral palsy, does a 6-month physical activity stimulation program improve physical activity, mobility capacity, fitness, fatigue and attitude towards sports more than usual paediatric physiotherapy? DESIGN: Multicentre randomised controlled trial with concealed allocation, blinded assessments and intention-to-treat analysis. PARTICIPANTS: Forty-nine walking children (28 males) aged 7-13 years with spastic cerebral palsy and severity of the disability classified as Gross Motor Function Classification System level I-III...
March 2014: Journal of Physiotherapy
Gladys Cheing, Sinfia Vong, Fong Chan, Nicole Ditchman, Jessica Brooks, Chetwyn Chan
PURPOSE: Pain is a complex phenomenon not easily discerned from psychological, social, and environmental characteristics and is an oft cited barrier to return to work for people experiencing low back pain (LBP). The purpose of this study was to evaluate a path-analytic mediation model to examine how motivational enhancement physiotherapy, which incorporates tenets of motivational interviewing, improves physical functioning of patients with chronic LBP. METHODS: Seventy-six patients with chronic LBP were recruited from the outpatient physiotherapy department of a government hospital in Hong Kong...
December 2014: Journal of Occupational Rehabilitation
Brook Galna, Dan Jackson, Guy Schofield, Roisin McNaney, Mary Webster, Gillian Barry, Dadirayi Mhiripiri, Madeline Balaam, Patrick Olivier, Lynn Rochester
BACKGROUND: Computer based gaming systems, such as the Microsoft Kinect (Kinect), can facilitate complex task practice, enhance sensory feedback and action observation in novel, relevant and motivating modes of exercise which can be difficult to achieve with standard physiotherapy for people with Parkinson's disease (PD). However, there is a current need for safe, feasible and effective exercise games that are appropriate for PD rehabilitation. The aims of this study were to i) develop a computer game to rehabilitate dynamic postural control for people with PD using the Kinect; and ii) pilot test the game's safety and feasibility in a group of people with PD...
2014: Journal of Neuroengineering and Rehabilitation
Lorna Paul, Elaine H Coulter, Linda Miller, Angus McFadyen, Joe Dorfman, Paul George G Mattison
OBJECTIVE: To explore the effectiveness and participant experience of web-based physiotherapy for people moderately affected with Multiple Sclerosis (MS) and to provide data to establish the sample size required for a fully powered, definitive randomized controlled study. DESIGN: A randomized controlled pilot study. SETTING: Rehabilitation centre and participants' homes. SUBJECTS: Thirty community dwelling adults moderately affected by MS (Expanded Disability Status Scale 5-6...
September 2014: Clinical Rehabilitation
Alexandra R Lang, Jennifer L Martin, Sarah Sharples, John A Crowe
PURPOSE: This study investigates the psychosocial aspects of adolescent medical device use and the impact on adolescent adherence and goals for the transitional years between child and adulthood. PATIENTS AND METHODS: Interviews were carried out with 20 adolescents with cystic fibrosis, investigating adolescent medical device use and experiences in relation to their personal and social lives and development through the adolescent years. The qualitative dataset was thematically examined using a content analysis method...
2014: Patient Preference and Adherence
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