TY - JOUR
T1 - The implementation of a physical activity counseling program in rehabilitation care
T2 - findings from the ReSpAct study
AU - ReSpAct-group
AU - Hoekstra, Femke
AU - Hoekstra, Trynke
AU - van der Schans, Cees P.
AU - Hettinga, Florentina J.
AU - van der Woude, Lucas H.V.
AU - Dekker, Rienk
N1 - Funding Information:
This study was funded by the Dutch Ministry of Health, Welfare and Sport [grant no. 319758] and Stichting Beatrixoord Noord-Nederland. The study was supported by Stichting Onbeperkt Sportief (since 2016 part of the Knowledge Centre for Sport Netherlands and Stichting Special Heroes Nederland).
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Purpose: This study aimed to evaluate the implementation of a physical activity counseling program in rehabilitation and to study heterogeneity in received counseling and investigate its association with changes in patients’ physical activity outcomes. Methods: This prospective cohort study was conducted in 18 rehabilitation institutions. Data were collected using surveys completed by professionals (n= ±70) and patients (n = 1719). Implementation was evaluated using different process outcomes: reach, dosage, satisfaction, maintenance. Patients’ physical activity outcomes included changes in total minutes/week of physical activity. Latent class analyses were conducted to identify profiles of received counseling characteristics and multilevel models were used to investigate associations with physical activity outcomes. Results: 5873 Patients were provided with motivational interviewing-based counseling after rehabilitation. Professionals and patients were positive about the program. Sixteen institutions (89%) formally agreed to continue the program. The four identified profiles of counseling characteristics illustrate a large variation in received counseling among patients. No substantial differences in physical activity outcomes were found between profiles. Conclusion: After a three-year program period, the physical activity counseling centers were sustainably implemented in Dutch rehabilitation care. This study illustrated an innovative approach to assess heterogeneity in implementation outcomes (e.g., counseling profiles) in relation to program outcomes (e.g., physical activity).Implications for rehabilitation Physical activity counseling after rehabilitation is important to support people with disabilities in making the step from rehabilitation-based physical activities to community-based physical activities. Establishing “Physical Activity Counseling Centers” is a promising “disability-overarching” strategy to promote physical activity after rehabilitation. Although the actual received counseling (dosage) varied among patients, this did not coincide with large differences in physical activity outcomes. The training in Motivational Interviewing, the financial incentives, and the advisory support were considered as important or essential ingredients for a successful implementation of the counseling program in rehabilitation practice.
AB - Purpose: This study aimed to evaluate the implementation of a physical activity counseling program in rehabilitation and to study heterogeneity in received counseling and investigate its association with changes in patients’ physical activity outcomes. Methods: This prospective cohort study was conducted in 18 rehabilitation institutions. Data were collected using surveys completed by professionals (n= ±70) and patients (n = 1719). Implementation was evaluated using different process outcomes: reach, dosage, satisfaction, maintenance. Patients’ physical activity outcomes included changes in total minutes/week of physical activity. Latent class analyses were conducted to identify profiles of received counseling characteristics and multilevel models were used to investigate associations with physical activity outcomes. Results: 5873 Patients were provided with motivational interviewing-based counseling after rehabilitation. Professionals and patients were positive about the program. Sixteen institutions (89%) formally agreed to continue the program. The four identified profiles of counseling characteristics illustrate a large variation in received counseling among patients. No substantial differences in physical activity outcomes were found between profiles. Conclusion: After a three-year program period, the physical activity counseling centers were sustainably implemented in Dutch rehabilitation care. This study illustrated an innovative approach to assess heterogeneity in implementation outcomes (e.g., counseling profiles) in relation to program outcomes (e.g., physical activity).Implications for rehabilitation Physical activity counseling after rehabilitation is important to support people with disabilities in making the step from rehabilitation-based physical activities to community-based physical activities. Establishing “Physical Activity Counseling Centers” is a promising “disability-overarching” strategy to promote physical activity after rehabilitation. Although the actual received counseling (dosage) varied among patients, this did not coincide with large differences in physical activity outcomes. The training in Motivational Interviewing, the financial incentives, and the advisory support were considered as important or essential ingredients for a successful implementation of the counseling program in rehabilitation practice.
KW - counseling
KW - Exercise
KW - health promotion
KW - implementation
KW - latent class analyses
KW - people with disabilities
UR - http://www.scopus.com/inward/record.url?scp=85075472872&partnerID=8YFLogxK
U2 - 10.1080/09638288.2019.1675188
DO - 10.1080/09638288.2019.1675188
M3 - Article
C2 - 31622120
AN - SCOPUS:85075472872
SN - 0963-8288
VL - 43
SP - 1710
EP - 1721
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
IS - 12
ER -