A theory-based multi-component intervention to increase reactive balance measurement by physiotherapists in three rehabilitation hospitals: an uncontrolled single group study

Autor: Kathryn M. Sibley, Danielle C. Bentley, Nancy M. Salbach, Paula Gardner, Mandy McGlynn, Sachi O’Hoski, Jennifer Shaffer, Paula Shing, Sara McEwen, Marla K. Beauchamp, Saima Hossain, Sharon E. Straus, Susan B. Jaglal
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Health Services Research, Vol 18, Iss 1, Pp 1-10 (2018)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-018-3533-8
Popis: Abstract Background Most implementation interventions in rehabilitation, including physiotherapy, have used passive, non-theoretical approaches without demonstrated effectiveness. The goal of this study was to improve an important domain of physiotherapy practice – reactive balance measurement – with a targeted theory-based multi-component intervention developed using the Theoretical Domains Framework. The primary objective was to determine documented reactive balance measure use in a 12-month baseline, during, and for three months post- intervention. Methods An uncontrolled before-and-after study was completed with physiotherapists at three urban adult rehabilitation hospitals in Ontario, Canada. The 12-month intervention included group meetings, local champions, and health record modifications for a validated reactive balance measure. The primary outcome was the proportion of records with a documented reactive balance measure when balance was assessed pre-, during- and post-intervention. Secondary outcomes were changes in use, knowledge, and confidence post-intervention, differences across sites, and intervention satisfaction. Results Reactive balance was not measured in any of 211 eligible pre-intervention records. Thirty-three physiotherapists enrolled and 28 completed the study. Reactive balance was measured in 31% of 300 eligible records during-intervention, and in 19% of 90 eligible records post-intervention (p
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