Addressing Physical Activity among Adults 50+: An Ethnographic Study of Physical Therapists

IF 0.3 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2022-07-01 DOI:10.1080/02703181.2022.2095074

M. Wingood, Denise M. Peters, J. Shea, Nancy M. Gell

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引用次数: 0

Abstract

Abstract Aims 1) Gain insight into PA prescription by United States-based physical therapists treating patients 50 years and older, and 2) Explore the contextual factors that impact PA prescription. Methods We integrated ethnographic study data, including a questionnaire, observations, and semi-structured interviews. Results Our nine participants with 24.7 years (SD= 11.6) of clinical experience completed frequent PA assessments, but PA prescription was inconsistent. The following themes helped explain the participants’ clinical decisions: 1) treatment prioritization; 2) physical therapists’ intentions of addressing PA; and 3) contextual factors that impact treatment and treatment prioritization (e.g., experience, beliefs, concerns related to PA prescription, and work environment). Conclusions Most participants did not address PA among adults 50 years and older. Due to the importance of performing regular PA, it is vital for physical therapists to reflect on their PA prescription. Organizations and health service researchers need to implement strategies that address the PA prescription barriers.

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解决50岁以上成年人的身体活动:一项物理治疗师的民族志研究

目的1)了解美国物理治疗师治疗50岁及以上患者的PA处方情况;2)探索影响PA处方的环境因素。方法我们整合了人种学研究数据，包括问卷调查、观察和半结构化访谈。结果9名具有24.7年(SD= 11.6)临床经验的参与者完成了频繁的PA评估，但PA处方不一致。以下主题有助于解释参与者的临床决策:1)治疗优先级;2)物理治疗师解决PA的意图;3)影响治疗和治疗优先级的环境因素(例如，经验、信念、与PA处方相关的担忧和工作环境)。结论:大多数参与者在50岁及以上的成年人中没有解决PA问题。由于定期进行PA的重要性，物理治疗师反思他们的PA处方是至关重要的。组织和卫生服务研究人员需要实施解决PA处方障碍的策略。

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来源期刊

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS REHABILITATION-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： This comprehensive journal is recognized for its useful balance of research and clinical practice articles. For more than twenty five years Physical & Occupational Therapy in Geriatrics has functioned as a forum for allied health professionals as well as others with a focus on rehabilitation of the geriatric client to share information, clinical experience, research, and therapeutic practice. Each issue focuses on current practice and emerging issues in the care of the older client, including rehabilitation and long-term care in institutional and community settings, and innovative programming; the entire range of problems experienced by the elderly; and the current skills needed for working with older clients.