School of Rehabilitation & Occupation Studies, New Zealand.
J Physiother. 2013 Sep;59(3):199-206. doi: 10.1016/S1836-9553(13)70184-X.
Does activity coaching add value to physiotherapy from the perspective of physiotherapists and patients in neurological rehabilitation? Is the use of activity coaching to promote walking and physical activity considered feasible by these physiotherapists and patients?
Qualitative study using interviews.
Five pairs of physiotherapists and their patients with neurological conditions.
A research physiotherapist trained in health coaching delivered an activity coaching intervention. This was provided in addition to standard physiotherapy. The treating physiotherapists observed the activity coaching session undertaken by their patients.
Observing the coaching interview was valuable for the treating physiotherapists in that it provided a way to refocus, step back, gain insight, and facilitate more active involvement for their patients in the rehabilitation process. Similarly patients valued the opportunity to focus on what was important and put into action their rehabilitation goals. Contrasting perceptions were evident, which limits the practical usefulness of this intervention due to the concerns voiced by some of the physiotherapists.
The activity coaching was perceived as providing a valuable addition to standard practice and was acceptable to patients but the mixed responses of physiotherapists limit the feasibility of this approach. Use of strategies and specific training for physiotherapists may be needed before approaches like activity coaching can be adopted successfully.
从神经康复理疗师和患者的角度来看，活动指导是否能为物理治疗增加价值？理疗师和患者是否认为使用活动指导来促进行走和身体活动是可行的？
采用访谈的定性研究。
5 对理疗师及其患有神经疾病的患者。
接受过健康指导培训的研究理疗师提供了活动指导干预。这是在标准物理治疗之外提供的。治疗理疗师观察了患者进行的活动指导。
观察教练访谈对治疗理疗师来说是有价值的，因为它提供了一种重新聚焦、退后一步、获得洞察力的方式，并促进了患者在康复过程中更积极地参与。同样，患者也很重视有机会关注重要的事情，并将他们的康复目标付诸行动。一些理疗师表示担忧，这表明存在明显的看法差异，这限制了这种干预的实际有用性。
活动指导被认为是对标准实践的有价值的补充，并且可以被患者接受，但理疗师的混合反应限制了这种方法的可行性。在成功采用活动指导等方法之前，可能需要为理疗师制定策略和进行特定培训。
