T. Nessen, MSc, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, 23100, 14183 Huddinge, Sweden.
Phys Ther. 2014 May;94(5):644-53. doi: 10.2522/ptj.20130393. Epub 2014 Jan 10.
Physical activity levels in people with rheumatoid arthritis are lower than what are recommended for a healthful lifestyle. To support physical activity, health care professionals may use behavioral change techniques based on a biopsychosocial perspective. Investigating the implementation process may be relevant for understanding how these techniques translate to practice.
The study objective was to explore the experiences of physical therapists using behavioral change techniques to coach people with rheumatoid arthritis to health-enhancing physical activity in a 2-year trial, the Physical Activity in Rheumatoid Arthritis 2010 study.
This was an exploratory study with qualitative content analysis.
Semistructured interviews were conducted with all 12 physical therapists in the study. They were asked about their experiences with an educational program and with their delivery of a health-enhancing physical activity intervention. Codes, subcategories, categories, and an overarching theme were derived from the transcribed interviews by use of qualitative content analysis.
The overarching theme (from clinical expert to guide) was based on 3 main categories: challenges in the coaching role, growing into the coaching role, and coach education and support. Early in the process, the physical therapists encountered challenges that needed to be addressed for a smoother transition into their coaching role. Assisted by education and support, they gradually adopted practices that facilitated their use of behavioral change techniques and promoted growth into the role of coach.
Adapting to a new role is a challenging process for health care professionals; it requires relevant education and support. The experiences identified in the present study may inform future educational programs targeting the skills of health care professionals in promoting various health-related behaviors.
类风湿关节炎患者的身体活动水平低于健康生活方式所推荐的水平。为了支持身体活动，医疗保健专业人员可能会根据生物心理社会视角使用行为改变技术。调查实施过程对于了解这些技术如何转化为实践可能是相关的。
本研究旨在探索物理治疗师在为期 2 年的试验（2010 年类风湿关节炎身体活动研究）中使用行为改变技术指导类风湿关节炎患者进行有益于健康的身体活动的经验。
这是一项探索性研究，采用定性内容分析。
对研究中的所有 12 名物理治疗师进行了半结构化访谈。他们被问及他们对教育计划的经验以及他们提供有益于健康的身体活动干预的经验。通过定性内容分析，从转录的访谈中得出了代码、子类别、类别和一个总体主题。
总体主题（从临床专家到指导者）基于 3 个主要类别：教练角色中的挑战、逐渐适应教练角色以及教练教育和支持。在这个过程的早期，物理治疗师遇到了一些挑战，需要解决这些挑战才能更顺利地过渡到他们的教练角色。在教育和支持的帮助下，他们逐渐采用了促进他们使用行为改变技术和促进教练角色成长的实践。
适应新角色对医疗保健专业人员来说是一个具有挑战性的过程；它需要相关的教育和支持。本研究中确定的经验可能会为未来针对促进各种健康相关行为的医疗保健专业人员技能的教育计划提供信息。
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