Learmonth Yvonne C, Adamson Brynn C, Balto Julia M, Chiu Chung-Yi, Molina-Guzman Isabel M, Finlayson Marcia, Barstow Elizabeth A, Motl Robert W
a Department of Kinesiology and Community Health , University of Illinois at Urbana-Champaign , Champaign , IL , USA.
b Departments of Latina/Latino studies, Media & Cinema Studies , University of Illinois at Urbana-Champaign , Champaign , IL , USA.
Disabil Rehabil. 2018 Sep;40(18):2172-2180. doi: 10.1080/09638288.2017.1327989. Epub 2017 May 19.
We undertook a qualitative study that explored the needs of healthcare providers for promoting exercise behaviour among persons with mild or moderate multiple sclerosis (MS).
We used interpretive description methodology, and conducted semi-structured interviews with Neurologists (n = 13), occupational therapists (n = 10), physical therapists (n = 11), and nurses (n = 10). The interviews were analysed using thematic analysis.
We identified three themes with multiple subthemes regarding exercise promotion by healthcare providers. The first theme was "opportunities for exercise promotion" through the healthcare system, healthcare team, and clinical appointment. The second theme was "healthcare provider education" that included professional training, training among healthcare providers, and clear and defined exercise promotion protocols. The third theme was "patient tools/strategies" that should be delivered among persons with MS as part of the exercise prescription.
Providers in MS healthcare consider the patient-provider interaction within the healthcare system, healthcare team, and clinical appointment as a novel opportunity for exercise promotion. Such an opportunity requires education of healthcare providers and provision of tools and strategies for exercise promotion among persons with MS. Implications for rehabilitation Healthcare providers are interested in and motivated for promoting exercise participation among persons with multiple sclerosis. Successful exercise promotion must consider opportunities at three different organisational levels, namely the healthcare system, the local healthcare team, and clinical appointment. Healthcare providers need further training for promoting exercise among persons with multiple sclerosis. The promotion of exercise among persons with multiple sclerosis will require resources and strategies that can be readily offered by providers.
我们开展了一项定性研究，以探索医疗保健提供者在促进轻度或中度多发性硬化症（MS）患者运动行为方面的需求。
我们采用解释性描述方法，对神经科医生（n = 13）、职业治疗师（n = 10）、物理治疗师（n = 11）和护士（n = 10）进行了半结构化访谈。使用主题分析法对访谈进行分析。
我们确定了关于医疗保健提供者促进运动的三个主题及多个子主题。第一个主题是通过医疗保健系统、医疗团队和临床预约实现“促进运动的机会”。第二个主题是“医疗保健提供者教育”，包括专业培训、医疗保健提供者之间的培训以及明确和界定的运动促进方案。第三个主题是“患者工具/策略”，应作为运动处方的一部分提供给MS患者。
MS医疗保健领域的提供者认为，医疗保健系统、医疗团队和临床预约中的医患互动是促进运动的新机会。这样的机会需要对医疗保健提供者进行教育，并为MS患者提供促进运动的工具和策略。对康复的启示 医疗保健提供者对促进多发性硬化症患者的运动参与感兴趣并有积极性。成功的运动促进必须考虑三个不同组织层面的机会，即医疗保健系统、当地医疗团队和临床预约。医疗保健提供者需要进一步培训以促进多发性硬化症患者的运动。促进多发性硬化症患者的运动需要提供者能够随时提供的资源和策略。
