Corey Jacob J, Shirazipour Celina H, Fricke Moni, Evans Blair
Department of Physical Therapy, University of Delaware, Newark, DE, USA.
Cancer Research Center for Health Equity, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Physiother Theory Pract. 2023 Apr;39(4):814-826. doi: 10.1080/09593985.2022.2031361. Epub 2022 Feb 6.
Physiotherapists are often important figures in the lives of people with physical disabilities and chronic conditions, yet gaps in understanding remain regarding how therapists promote physical activity and leverage existing community-based recreation programs.
We used qualitative methods to explore experiences of physiotherapists as well as individuals with disabilities and chronic conditions receiving physiotherapy, with a focus on strategies to promote physical activity and the extent that therapists leverage community-based resources and programs.
Semi-structured interviews were completed with nine physiotherapists (six American and three Canadian) and eight individuals with a physical disability (all Americans).
Participants reflected on the salience of physical activity promotion throughout physiotherapy but also highlighted barriers. Three themes explored idealized and problematic experiences with physical activity promotion in therapy: 1) individualized promotion of physical activity; 2) increasing physical activity options for patients via engagement with the community; and 3) options for physical activity in the community. Differences were also noted between therapist and patient participants and when contrasting across countries (i.e. funding models). For instance, physiotherapists in publicly funded contexts relied more heavily on engagement with accessible community-based programming than privately funded counterparts.
Therapists should further integrate patient perspectives when considering physical activity promotion. Additional research is needed to explore how therapists incorporate community-based programs into health promotion while further understanding the extent that these strategies align with the scope of physiotherapy practice in varying contexts.
物理治疗师在身体残疾和慢性病患者的生活中往往是重要人物，但在治疗师如何促进身体活动以及利用现有的社区娱乐项目方面，仍存在理解上的差距。
我们采用定性方法，探讨物理治疗师以及接受物理治疗的残疾人和慢性病患者的经历，重点关注促进身体活动的策略以及治疗师利用社区资源和项目的程度。
对9名物理治疗师（6名美国人和3名加拿大人）和8名身体残疾者（均为美国人）进行了半结构化访谈。
参与者反思了在整个物理治疗过程中促进身体活动的重要性，但也强调了障碍。探讨了治疗中促进身体活动的理想化和问题性经历的三个主题：1）个性化促进身体活动；2）通过与社区合作增加患者的身体活动选择；3）社区中的身体活动选择。在治疗师和患者参与者之间以及不同国家（即资助模式）之间也发现了差异。例如，公共资助背景下的物理治疗师比私人资助背景下的同行更依赖参与无障碍的社区项目。
治疗师在考虑促进身体活动时应进一步整合患者的观点。需要进一步研究，以探索治疗师如何将基于社区的项目纳入健康促进，同时进一步了解这些策略在不同背景下与物理治疗实践范围的契合程度。
