International Physiotherapy Program , School of Health Studies, Hanze University of Applied Sciences, Groningen, The Netherlands.
Physiother Theory Pract. 2012 Nov;28(8):571-87. doi: 10.3109/09593985.2011.654179. Epub 2012 Feb 8.
Healthcare professionals' competence in health behavior change has lagged behind other clinical competencies despite the well-established relationship between lifestyle behavior and health. We conducted a systematic review to examine whether physical therapists, given their unique practice pattern, can counsel effectively.
Databases including MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Database of Systematic Reviews were assessed from 1950 to July 2010. Studies were limited to the English, German, and Dutch languages. The methodological quality was evaluated (Downs and Black tool).
Seven source articles with a mean quality score of 16.57 ± 4.24 points (range: low = 0; high = 28) were retrieved. Given considerable methodological heterogeneity, the studies were compared in a narrative synthesis. The target populations, types and periods of interventions, outcome measures, and findings were analyzed.
Physical therapists can effectively counsel patients with respect to lifestyle behavior change, at least in the short term. They can be effective health counselors individually or within an interprofessional team.
Multiple health behavior change needs to be a primary twenty-first century clinical competence in physical therapy. Future studies will establish the degree to which effective health counseling augments physical therapy as well as health outcomes, in the long as well as short term.
尽管生活方式行为与健康之间存在着明确的关系，但医疗保健专业人员在健康行为改变方面的能力却落后于其他临床能力。我们进行了一项系统评价，以检验物理治疗师是否可以根据其独特的实践模式进行有效的咨询。
评估了从 1950 年到 2010 年 7 月的 MEDLINE、EMBASE、CINAHL、PsycINFO 和 Cochrane 系统评价数据库。研究仅限于英语、德语和荷兰语。对方法学质量进行了评估（Downs 和 Black 工具）。
检索到 7 篇具有平均质量评分 16.57±4.24 分（范围：低=0；高=28）的源文章。鉴于存在相当大的方法学异质性，对这些研究进行了叙述性综合比较。分析了目标人群、干预类型和期限、结果测量和结果。
物理治疗师可以就生活方式行为的改变对患者进行有效的咨询，至少在短期内是如此。他们可以单独或在跨专业团队中成为有效的健康顾问。
多种健康行为的改变需要成为物理治疗的二十一世纪主要临床能力之一。未来的研究将确定有效的健康咨询在长期和短期对增强物理治疗和健康结果的程度。
