Examining the effectiveness of a knowledge mobilization initiative for disseminating the physical activity guidelines for people with spinal cord injury
Examining the effectiveness of a knowledge mobilization initiative for disseminating the physical activity guidelines for people with spinal cord injury
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DOI：
10.1016/j.dhjo.2013.01.012
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发表时间：
2013-07-01
影响因子：
4.5
通讯作者：
Ginis, Kathleen A. Martin
中科院分区：
文献类型：
--
作者：
Gainforth, Heather L.;Latimer-Cheung, Amy E.;Ginis, Kathleen A. Martin
背景：确保有效地传播脊髓损伤(SCI)患者的体力活动(PA)指南对于推广体力活动(PA)非常重要。很少有研究调查旨在传播PA指南的知识动员(KM)倡议。扩散研究表明，使用人际沟通渠道可能会增加指南的采用率。目的：本研究的目的是检验以事件为基础的知识管理倡议的覆盖面和有效性，该倡议利用人际沟通向脊髓损伤患者传播指南。KM计划由12个不同的活动组成，共有104名SCI患者(年龄=53+/-18.9岁；31%为女性)参加。方法：根据罗杰斯的创新决策过程，评估参与者对指南采纳程度的问卷分别在之前(时间1)、紧接着(时间2)和事件后1个月(时间3)完成。结果：调查结果表明，事件总共涉及5%的安大略省SCI客户。RM-ANOVAS和相关样本McNemar检验表明，指南最初的采用率很高，但总体上没有得到维持。具体地说，在时间2，参与者对指南的知识、对指南的态度、自我效能感和遵守指南的意图比时间1有所增加(PS<；0.05)。在时间3，这些初始增加的大部分没有保持，并且没有观察到PA行为的改变。然而，67%的参与者尝试了推荐的练习。结论：基于事件的知识管理计划对于PA指南的初始传播可能是有效的。需要努力促进长期指南的采用。(C)2013 Elsevier Inc.保留所有权利。
Background: Ensuring the physical activity (PA) guidelines for people with spinal cord injury (SCI) are effectively disseminated is important for promoting PA. Few studies have investigated knowledge mobilization (KM) initiatives that aim to disseminate PA guidelines. Diffusion research suggests that using interpersonal communication channels may increase the adoption of guidelines.Objective: The aim of the present study was to examine the reach and effectiveness of an event-based KM initiative that used interpersonal communication to disseminate the guidelines to people with SCI. The KM initiative consisted of 12 separate events attended by a total of 104 people with SCI (age = 53 +/- 18.9 years; 31% female).Methods: Questionnaires assessing attendees' adoption of the guidelines in accordance with Rogers' innovation-decision process were completed before (Time 1), directly after (Time 2) and 1 month following an event (Time 3).Results: Findings indicate that in total the events reached 5% of SCI Ontario clients. RM-ANOVAs and Related-Samples McNemar Tests indicated that initial adoption of the guidelines was high but in general was not maintained. Specifically, at Time 2, attendees' knowledge of the guidelines, attitudes toward the guidelines, self-efficacy and intentions to meet the guidelines increased from Time 1 (ps < 0.05). At Time 3, the majority of these initial increases were not maintained and change in PA behavior was not observed. However, 67% of attendees tried the recommended exercises.Conclusions: An event-based KM initiative may be effective for initial dissemination of PA guidelines. Efforts are needed to foster long-term guideline adoption. (c) 2013 Elsevier Inc. All rights reserved.