School of Health and Exercise Sciences, University of British Columbia, Kelowna, Canada.
International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, Canada.
J Spinal Cord Med. 2024 Jul;47(4):584-596. doi: 10.1080/10790268.2023.2169062. Epub 2023 Mar 29.
This project used a systematic and integrated knowledge translation (IKT) approach to co-create theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury (SCI).
Guided by the IKT Guiding Principles, we meaningfully engaged research users throughout this project. A systematic approach was used. An international, multidisciplinary expert panel ( = 15), including SCI researchers, counselors, and people with SCI, was established. Panel members participated in two online meetings to discuss the best practices by drawing upon new knowledge regarding counselor-client interactions, current evidence, and members' own experiences. We used concepts from key literature on SCI-specific physical activity counseling and health behavior change theories. An external group of experts completed an online survey to test the clarity, usability and appropriateness of the best practices.
The best practices document includes an introduction, the best practices, things to keep in mind, and a glossary. Best practices focused on how to deliver a conversation and what to discuss during a conversation. Examples include: build rapport, use a client-centred approach following the spirit of motivational interviewing, understand your client's physical activity barriers, and share the SCI physical activity guidelines. External experts ( = 25) rated the best practices on average as clear, useful, and appropriate.
We present the first systematically co-developed theory- and evidence-based best practices for SCI physical activity counseling. The implementation of the best practices will be supported by developing training modules. These new best practices can contribute to optimizing SCI physical activity counseling services across settings.
本项目采用系统的、综合的知识转化（IKT）方法，共同制定基于理论和循证的最佳实践，用于为脊髓损伤（SCI）成年人提供身体活动咨询服务。
本研究遵循 IKT 指导原则，在整个项目中都有意义地让研究使用者参与进来。采用系统的方法。成立了一个由 15 名成员组成的国际、多学科专家小组，包括 SCI 研究人员、咨询师和 SCI 患者，小组成员通过讨论新的关于咨询师与客户互动、当前证据和成员自身经验的知识，来讨论最佳实践。我们使用了关于特定于 SCI 的身体活动咨询和健康行为改变理论的关键文献中的概念。一组外部专家通过在线调查来测试最佳实践的清晰度、可用性和适当性。
最佳实践文件包括介绍、最佳实践、注意事项和词汇表。最佳实践侧重于如何进行对话以及在对话中讨论什么。例如：建立融洽关系、使用以客户为中心的方法，遵循动机性访谈的精神、了解客户的身体活动障碍、以及分享 SCI 身体活动指南。外部专家（=25）平均将最佳实践评为清晰、有用和适当。
我们提出了第一个针对脊髓损伤身体活动咨询的系统开发的、基于理论和循证的最佳实践。将通过开发培训模块来支持最佳实践的实施。这些新的最佳实践可以有助于优化跨环境的脊髓损伤身体活动咨询服务。
