Development, Acceptability, and Usability of a Virtual Intervention for Vertebral Fractures.

Autor:	Ponzano M; School of Health and Exercise Sciences, University of British Columbia, Kelowna BC, Canada.; International Collaboration on Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, British Columbia, Canada., Tibert N; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Brien S; Canadian Osteoporosis Patient Network, Osteoporosis, Toronto, ON, Canada., Funnell L; Canadian Osteoporosis Patient Network, Osteoporosis, Toronto, ON, Canada., Gibbs JC; Department of Kinesiology and Physical Activity, McGill University, Montreal, QC, Canada., Keller H; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada.; Schlegel-UW Research Institute for Aging, Waterloo, Ontario, Canada., Laprade J; Division of Anatomy, Department of Surgery, University of Toronto, Toronto, ON, Canada., Morin SN; Department of Medicine, McGill University, Montreal, QC, Canada., Papaioannou A; Department of Medicine, McMaster University, Hamilton, ON, Canada.; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada., Weston ZJ; Canadian Society for Exercise Physiology (CSEP), Ottawa Ontario, Canada.; Faculty of Human and Social Sciences, Wilfrid Laurier University, Waterloo, Ontario, Canada., Wideman TH; School of Physical & Occupational Therapy, McGill University, Montreal, QC, Canada., Giangregorio LM; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada.; Schlegel-UW Research Institute for Aging, Waterloo, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	Physical therapy [Phys Ther] 2023 Dec 06; Vol. 103 (12).
DOI:	10.1093/ptj/pzad098
Abstrakt:	Objective: This project aimed to develop a virtual intervention for vertebral fractures (VIVA) to implement the international recommendations for the nonpharmacological management of osteoporotic vertebral fractures and to test its acceptability and usability. Methods: VIVA was developed in accordance with integrated knowledge translation principles and was informed by the Behavioral Change Wheel, the Theoretical Domains Framework, and the affordability, practicability, effectiveness and cost-effectiveness, acceptability, side effects/safety, and equity (APEASE) criteria. The development of the prototype of VIVA involved 3 steps: understanding target behaviors, identifying intervention options, and identifying content and implementation options. The VIVA prototype was delivered to 9 participants to assess its acceptability and usability. Results: VIVA includes 7 1-on-1 virtual sessions delivered by a physical therapist over 5 weeks. Each session lasts 45 minutes and is divided in 3 parts: education, training, and behavioral support/goal setting. Four main themes emerged from the acceptability evaluation: perceived improvements in pain, increased self-confidence, satisfaction with 1-on-1 sessions and resources, and ease of use. All of the participants believed that VIVA was very useful and were very satisfied with the 1-on-1 sessions. Four participants found the information received very easy to practice, 4 found it easy to practice, and 1 found it somewhat difficult to practice. Five participants were satisfied with the supporting resources, and 4 were very satisfied. Potential for statistically significant improvements was observed in participants' ability to make concrete plans about when, how, where, and how often to exercise. Conclusion: VIVA was acceptable and usable to the participants, who perceived improvements in pain and self-confidence. Impact: The virtual implementation of the recommendations for the nonpharmacological management of vertebral fractures showed high acceptability and usability. Future trials will implement the recommendations on a larger scale to evaluate their effectiveness. (© The Author(s) 2023. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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