Current practice of physical activity counselling within physiotherapy usual care and influences on its use : A cross‐sectional survey
Journal article
Zhu, Shiyi, Sherrington, Catherine, Jennings, Matthew, Brady, Bernadette, Pinheiro, Marina, Dennis, Sarah, Christie, Lauren, Sidhu, Balwinder, Haynes, Abby, Greaves, Colin and Hassett, Leanne. (2021). Current practice of physical activity counselling within physiotherapy usual care and influences on its use : A cross‐sectional survey. International Journal of Environmental Research and Public Health. 18(9), pp. 1-16. https://doi.org/10.3390/ijerph18094762
Authors | Zhu, Shiyi, Sherrington, Catherine, Jennings, Matthew, Brady, Bernadette, Pinheiro, Marina, Dennis, Sarah, Christie, Lauren, Sidhu, Balwinder, Haynes, Abby, Greaves, Colin and Hassett, Leanne |
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Abstract | Physical activity counselling has demonstrated effectiveness at increasing physical activity when delivered in healthcare, but is not routinely practised. This study aimed to determine (1) current use of physical activity counselling by physiotherapists working within publicly funded hospitals; and (2) influences on this behaviour. A cross-sectional survey of physiotherapists was conducted across five hospitals within a local health district in Sydney, Australia. The survey investigated physiotherapists’ frequency of incorporating 15 different elements of physical activity counselling into their usual healthcare interactions, and 53 potential influences on their behaviour framed by the COM-B (Capability, Opportunity, Motivation-Behaviour) model. The sample comprised 84 physiotherapists (79% female, 48% <5 years of experience). Physiotherapists reported using on average five (SD:3) elements of physical activity counselling with at least 50% of their patients who could be more active. A total of 70% of physiotherapists raised or discussed overall physical activity, but less than 10% measured physical activity or contacted community physical activity providers. Physiotherapists reported on average 25 (SD:9) barriers influencing their use of physical activity counselling. The most common barriers were related to “opportunity”, with 57% indicating difficulty locating suitable community physical activity opportunities and >90% indicating their patients lacked financial and transport opportunities. These findings confirm that physical activity counselling is not routinely incorporated in physiotherapy practice and help to identify implementation strategies to build clinicians’ opportunities and capabilities to deliver physical activity counselling. |
Keywords | physical therapists; physical activity; counselling; behaviour change; surveys and questionnaires |
Year | 01 Jan 2021 |
Journal | International Journal of Environmental Research and Public Health |
Journal citation | 18 (9), pp. 1-16 |
Publisher | MDPI AG |
ISSN | 1660-4601 |
Digital Object Identifier (DOI) | https://doi.org/10.3390/ijerph18094762 |
Web address (URL) | https://www.mdpi.com/1660-4601/18/9/4762 |
Open access | Open access |
Research or scholarly | Research |
Page range | 1-16 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 29 Apr 2021 |
Publication process dates | |
Accepted | 26 Apr 2021 |
Deposited | 17 Jul 2024 |
Additional information | © 2021 by the authors. Licensee MDPI, Basel, Switzerland. |
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). | |
Place of publication | Switzerland |
https://acuresearchbank.acu.edu.au/item/90v2y/current-practice-of-physical-activity-counselling-within-physiotherapy-usual-care-and-influences-on-its-use-a-cross-sectional-survey
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Publisher's version
OA_Christie_2021_Current_practice_of_physical_activity_counselling.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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