scholarly journals Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs

Author(s):  
Kelsey J Picha ◽  
Alison Snyder Valier ◽  
Nicholas R Heebner ◽  
John P Abt ◽  
Ellen L Usher ◽  
...  
2019 ◽  
Vol 49 (9) ◽  
pp. 647-655 ◽  
Author(s):  
Kelsey J. Picha ◽  
Morgan Lester ◽  
Nicholas R. Heebner ◽  
John P. Abt ◽  
Ellen L. Usher ◽  
...  

Author(s):  
Barbara Bilek-Sawhney ◽  
E. Reicherter ◽  
Billie Yatta ◽  
Shannon Duranko

Background and Purpose: The literature is replete with research and guidelines indicating that educational materials provided by healthcare workers often surpass the average reading ability of adults in the United States (US). The purpose of this article was two-fold: (1) to assess PTs’ knowledge and use of health literacy strategies, and (2) to assess written home exercise programs for 10 outpatient physical therapy practices. Method: Physical therapist conference attendees attending a state chapter meeting of the American Physical Therapy Association were invited to participate; a total of 43 participated. In addition, 10 outpatient physical therapy practices in western Pennsylvania provided a home exercise program (HEP) for review; a sample of convenience was employed for selecting these sites. Participants were solicited via inclusion of an introductory cover letter, written survey on health literacy, and a return envelope in each conference applicant’s registration packet. Data were collected over the course of the conference. The home exercise programs were either mailed or requested in person by one of the investigators. The home exercise programs were reviewed for Flesch reading ease, the Flesch-Kincaid grade level, and the presence of diagrams. Results: Only 25% of PTs report that they clinically assess or screen for problems related to illiteracy. Seven percent (n=3) of the respondents recognized the incidence of illiteracy in United States, although 65% (n=28) were aware of the relationship of illiteracy to poorer health status. The average Flesch reading ease was 75.08 ± 18.99 and the grade level was 4.59 ± 3.59. Each of the 10 home exercise programs included pictures or diagrams. Discussion and Conclusion: Clinical implications of this study include recognition of the need to employ appropriate reading levels for patient educational materials, from HEPs to educational brochures. Physical therapists must become more aware of health literacy by implementing the most appropriate interventions to allow for the best possible outcomes for the patient.


2013 ◽  
Vol 21 (1) ◽  
pp. 33-50 ◽  
Author(s):  
Lorraine J. Phillips ◽  
Marcia Flesner

This qualitative study investigated individual and situational factors influencing physical activity (PA) practices of elders in residential-care/assisted-living (RC/ AL) communities. This article describes the results of focus-group interviews involving 47 residents across 6 RC/AL settings. Thematic analysis revealed 6 themes: staying active, past PA experiences, value of PA, barriers to PA, strategies to facilitate PA, and support needs to promote PA. Staying active meant walking indoors and out, attending chair-exercise programs, performing professionally prescribed home exercises, and using available exercise equipment. Past PA experiences shaped current preferences and practices. Participants agreed that exercise helped maintain physical functioning but recounted cognitive and situational barriers to PA. Lack of dedicated exercise space and short corridors hampered efforts to stay active. Participants wished for individualized home exercise programs and supervised exercise sessions. Future research should examine the extent to which the physical environment and PA programming in RC/AL communities affect elders’ PA.


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