Patients with (or who are at risk) for chronic health conditions Other
Conditions
Interventions
Participating physiotherapists will be trained in the KMS Tool and apply this tool to patients with (or who are at risk of) chronic health conditions in the community clinical practice to enhance phys
Sponsors
Regieorgaan SIA
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Physiotherapists: Physiotherapists who are working in a clinical practice in the community in the Netherlands Patients: 1. Aged 18 years or older 2. Have a chronic health condition or are at risk of developing a chronic condition (such as patients who recently had a hospital or rehabilitation admission, or who have a health condition and do not meet physical activity guidelines to prevent reoccurrence)
Exclusion criteria
Exclusion criteria: 1. Physiotherapists who are working in other settings (e.g. hospital) 2. When increased physical activity leads to negative effects (e.g. acute ankle injury) 3. When increased physical activity is contra-indicated (e.g. rotator cuff repair) 4. Unable to read the movement profiles (e.g. dementia) 5. Unable to read or understand the Dutch language (questionnaires)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measures - physiotherapists: 1. Performance of movement counseling activities is measured using the Australian Brief Physical Activity Counselling Questionnaire (ABPAC) at baseline and 6 months 2. Reduced hindrance in knowledge, skills, and motivation to movement counselling is measured using the Australian Brief Physical Activity Counselling Questionnaire (ABPAC) at baseline and 6 months Primary outcome measures - patients: 1. Personal movement goals are measured using the Patient Specific Goal setting method at baseline, 1 month and 6 months 2. Meeting the Dutch movement guidelines standards is measured using a questionnaire at baseline, 1 month and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures – physiotherapists: 1. Performance in self-management support is measured using the questionnaire Self Efficacy and Performance in Self-Management Support for Physiotherapists (SEPSS-PT) at baseline and 6 months 2. Self-efficacy is measured using the questionnaire Self Efficacy and Performance in Self-Management Support for Physiotherapists (SEPSS-PT) at baseline and 6 months 3. Adoption of the Keep Moving Support Tool is measured using the Questionnaire Acceptability, Appropriateness and Feasibility (AIM, IAM, FIM) at baseline and 6 months 4. Perception and perspectives of the Keep Moving Support Tool measured using semi-structured interviews at 6 months Secondary outcome measures – patients: 1. Self-efficacy is measured using the self-efficacy questionnaire Bandura at baseline, 1 month and 6 months 2. Amount of physical activity is measured using the International Physical Activity Questionnaire (IPAQ) at baseline, 1 month, and 6 months 3. Change in amount of confidence and physical activity is measured using a questionnaire at 1 month and 6 months 4. Perception and perspectives of the Keep Moving Support Tool is measured using semi-structured interviews at 1 month Process evaluation outcomes: 1. Appreciation of the implementation strategies is measured using a 1-10 score during physiotherapist interviews at 6 months Fidelity outcome measures: 1. Alignment with the Keep Moving Support Tool by physiotherapists is measured using the Electronic Patient Documentation entry of the Keep Moving Support Tool section at baseline 2. Alignment with the Keep Moving Support Tool by physiotherapists is measured using observations of the consults of the Keep Moving Support Tool by physiotherapists in a subset of patients at baseline | — |
Countries
Netherlands
Contacts
Public ContactArlette Hesselink
Outcome results
None listed