Sousa Mariana F, Moor Fiona
Musculoskeletal Physiotherapy, Ascenti Physio Limited, Leicester, GBR.
Health and Life Sciences, Coventry University, Coventry, GBR.
Cureus. 2023 Feb 24;15(2):e35396. doi: 10.7759/cureus.35396. eCollection 2023 Feb.
Background Healthcare professionals (HCPs) lifestyle behaviours can impact their health promotion counselling to patients. However, there is a lack of qualitative studies to understand the physiotherapists' perceptions of the influence of their lifestyle behaviours on their patient's advice. Aim This research aims to explore the physiotherapists' perceptions of the influence of their health behaviours on their counselling of patients. Method This research was a qualitative study based on the interpretivism paradigm. 15 virtual semi-structured interviews were performed with physiotherapists working for a private company in the United Kingdom (UK). Thematic analysis was used to create four themes and ten sub-themes. Results 13 out of 15 participants stated that their lifestyle impacts their counselling, while for the other two, their counselling was based on their knowledge. Some drivers for health promotion included role modelling, having some knowledge concerning certain lifestyle behaviours and understanding their importance in health. Barriers to health promotion included lack of time and knowledge, some confusion if discussing some of these behaviours included in their scope of practice and perception of patients' reactions to certain questions and their relevance to the musculoskeletal (MSK) condition their patients were experiencing. Some strategies proposed to improve their health promotion skills included improvements in communication skills, discussions and sharing of evidence between peers and informative leaflets to distribute to patients. Conclusion In this study, 13 out of 15 participants believed their lifestyle impacts their counselling to patients. Despite this, multiple barriers to health promotion were identified. This study highlights the need for training physiotherapists about certain lifestyle behaviours, including smoking cessation, alcohol misuse and basic nutrition counselling which may improve their health promotion messages, potentially leading to patient behaviour change which ultimately may have a positive public health impact.
背景 医疗保健专业人员（HCPs）的生活方式行为会影响他们对患者的健康促进咨询。然而，缺乏定性研究来了解物理治疗师对其生活方式行为对患者建议影响的看法。目的 本研究旨在探讨物理治疗师对其健康行为对患者咨询影响的看法。方法 本研究是一项基于解释主义范式的定性研究。对在英国一家私人公司工作的物理治疗师进行了15次虚拟半结构化访谈。采用主题分析法创建了四个主题和十个子主题。结果 15名参与者中有13人表示他们的生活方式会影响他们的咨询，而另外两人则表示他们的咨询基于他们的知识。一些健康促进的驱动因素包括树立榜样、对某些生活方式行为有一定了解以及认识到其在健康中的重要性。健康促进的障碍包括缺乏时间和知识、在讨论其执业范围内的某些行为时存在一些困惑以及对患者对某些问题的反应及其与患者所患肌肉骨骼（MSK）疾病的相关性的认知。为提高他们的健康促进技能提出的一些策略包括改善沟通技巧、同行之间的讨论和证据分享以及向患者分发信息传单。结论 在本研究中，15名参与者中有13人认为他们的生活方式会影响他们对患者的咨询。尽管如此，仍发现了健康促进的多重障碍。本研究强调需要对物理治疗师进行关于某些生活方式行为的培训，包括戒烟、酒精滥用和基本营养咨询，这可能会改善他们的健康促进信息，潜在地导致患者行为改变，最终可能对公共健康产生积极影响。
