Center for Aging and Health, University of North Carolina, School of Medicine , Chapel Hill, NC , USA.
College of Public Health, The University of Georgia , Athens, GA , USA.
Front Public Health. 2015 Apr 27;2:152. doi: 10.3389/fpubh.2014.00152. eCollection 2014.
The Otago Exercise Program (OEP) is an evidence-based fall prevention program developed, evaluated, and disseminated in New Zealand. The program was designed for delivery in the home by physical therapists (PTs). It was not known if American PTs would require additional training and resources to adopt the OEP. This article describes the process of translating the OEP for dissemination in the US. Processes included reviewing and piloting the New Zealand training materials to identify implementation challenges, updating training materials to be consistent with American physical therapy practices, piloting the updated training materials in an online format, and determining if the online format reached the target PT audience. METHODS – PROCESS ACTIVITIES: The New Zealand manual was reviewed by expert American PTs and a training webinar was piloted with 56 American PTs. Feedback suggested that the program itself was understood by PTs, but training materials required modification related to documentation and reimbursement policies. Additional content was developed and integrated into an online training module. The online training was piloted and then deemed adequate by seven PT subject matter experts. The online training was launched in March 2013. Demographic and practice data were collected to characterize the PTs attending the online training as well as perceived barriers and facilitators to implementation (n = 522). Perceived facilitators include the effectiveness of the OEP to facilitate adoption, but the lack of agency support, billing and reimbursement challenges pose a significant barrier to OEP implementation.
The OEP required additional information to facilitate adoption by American PTs. Online training that specifically targets PTs appears to effectively reach the target audience and be well received by participants. More research is required to determine the impact of online training on a PT's adoption and implementation of this material into their practice.
奥塔哥运动项目（OEP）是一个基于证据的防跌倒预防项目，由新西兰开发、评估和传播。该计划旨在由物理治疗师（PT）在家庭中进行。尚不清楚美国的 PT 是否需要额外的培训和资源来采用 OEP。本文描述了将 OEP 翻译成美国版本的传播过程。该过程包括审查和试行新西兰培训材料，以确定实施挑战，更新培训材料以符合美国物理治疗实践，以在线格式试行更新后的培训材料，并确定在线格式是否达到了目标 PT 受众。方法 - 过程活动：新西兰手册由美国专家 PT 审查，并对 56 名美国 PT 进行了培训网络研讨会试点。反馈表明，PT 理解该计划本身，但培训材料需要修改与文件和报销政策相关的内容。开发了额外的内容并将其整合到在线培训模块中。在线培训进行了试点，然后由七位 PT 主题专家认为是足够的。在线培训于 2013 年 3 月推出。收集人口统计和实践数据，以描述参加在线培训的 PT 的特征，以及对实施的障碍和促进因素（n=522）的看法。感知促进因素包括 OEP 促进采用的有效性，但机构支持、计费和报销方面的挑战缺乏是 OEP 实施的重大障碍。
OEP 需要额外的信息来促进美国 PT 的采用。专门针对 PT 的在线培训似乎有效地覆盖了目标受众，并得到了参与者的好评。需要进一步的研究来确定在线培训对 PT 采用该材料并将其纳入实践的影响。
