Development of a Coaching Protocol to Enhance Self-efficacy Within Outpatient Physical Therapy.
Development of a Coaching Protocol to Enhance Self-efficacy Within Outpatient Physical Therapy.
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DOI：
10.1016/j.arrct.2022.100198
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发表时间：
2022-06
影响因子：
--
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描述具体的、可测量的、行动导向的、现实的和定时的（SMART）指导方案的发展，以提高参加活长走强（LLWS）康复计划的中老年成年人的运动自我效能感。LLWS康复项目是一种创新的物理治疗师（PT），为步态缓慢的中老年人提供门诊干预。II期随机对照试验（RCT），结果评估不明确。我们将知识转化为行动框架，在一项针对LLWS康复计划的随机对照试验中制定并实施了LLWS SMART教练协议。数据将在基线和干预后2周、8周和16周收集。门诊;VA波士顿医疗保健系统社区退伍军人198例（年龄大于50岁），步态慢（<1.0 m/s）。参与者将被随机分配到LLWS康复计划，一个8周（10个疗程）的pt交付干预，或等待名单对照组。每次研究访问都将介绍一个新的SMART教练模块，重点是目标设定，坚持锻炼，以及解决实现锻炼目标的内部和外部障碍。主要结果是步态速度，次要结果是运动自我效能量表。在物理治疗干预研究中纳入认知行为工具对于针对运动行为改变所需的动机过程至关重要。
To describe the development of the Specific, Measurable, Action-Oriented, Realistic, and Timed (SMART) Coaching Protocol to increase exercise self-efficacy in middle-aged and older adults participating in Live Long Walk Strong (LLWS) Rehabilitation Program. LLWS Rehabilitation Program is an innovative physical therapist (PT) delivered outpatient intervention for middle- and older-aged adults with slow gait speed. Phase II randomized controlled trial (RCT) with masked outcome assessment. We applied the Knowledge to Action Framework to develop and implement the LLWS SMART Coaching Protocol within an RCT for the LLWS Rehabilitation Program. Data will be collected at baseline and post intervention at 2, 8 and 16 weeks. Outpatient; VA Boston Healthcare System. Community-dwelling veterans (N=198) (older than 50 years) with slow gait speed (<1.0 m/s). Participants will be randomized to the LLWS Rehabilitation Program, an 8-week (10-session) PT-delivered intervention, or wait-list control group. Each study visit will introduce a new SMART Coaching module focused on goal setting, exercise adherence, and addressing internal and external barriers to meeting exercise goals. Primary outcome is gait speed and secondary outcome is the Self-Efficacy for Exercise Scale. Incorporating cognitive behavioral tools in physical therapy intervention research is critical for targeting motivational processes needed for exercise behavior change.
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影响因子：
12.7
作者：
Jette, AM;Lachman, M;Krebs, D
通讯作者：
Krebs, D
DOI：
10.1002/art.21466
发表时间：
2005-10-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Focht, BC;Rejeski, WJ;Messier, SP
通讯作者：
Messier, SP
影响因子：
2.8
作者：
Li, FZ;McAuley, E;Wilson, NL
通讯作者：
Wilson, NL
影响因子：
13.8
作者：
Lenze, Eric J.;Lenard, Emily;Rodebaugh, Thomas L.
通讯作者：
Rodebaugh, Thomas L.
DOI：
10.1093/geronb/56.5.s261
发表时间：
2001-09-01
影响因子：
6.2
作者：
Rejeski, WJ;Miller, ME;Rapp, S
通讯作者：
Rapp, S