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Current Practice and Barriers to Physiotherapists’ Use of Resistance Exercise for Older Adults in Acute Care Chan, Amber; Hoens, Alison; Singh, C. A.; Elashi, Maha; Gerevas, K.; Idle, M; Lundie, J.; Urbina, M.; Pace, A.; Ma, Jasmin

Abstract

Purpose: The purpose of this cross-sectional study was to 1) describe the current use of resistance exercise (REx) and 2) identify barriers and facilitators for physiotherapists using REx among older adults in acute care. Methods: An online questionnaire measure guided by the Theoretical Domains Framework was distributed to physiotherapists across British Columbia (BC). Responses were scored on a five point Likert scale. Thematic analysis was used to code open text data from the questionnaire. Results: 105 physiotherapists (male=23, age 39.9±10.3 years, 12.4±10.3 years of experience) completed the questionnaire. Respondents reported frequently performing functional testing (95%) and assessing muscle strength (70%) in older adults, but few often prescribe REx to patients (34%). Prioritization of REx among other duties (2.62±1.02) and perceived poor patient motivation (2.97±0.88) were ranked among the greatest barriers. Open text data revealed physiotherapists felt some patients were unable to perform REx, they lacked a clear definition of REx, and sufficient support personnel. Conclusions: Addressing priorities, patient motivation, and providing resources may support physiotherapists to increase REx use, an important strategy for reducing the incidence of hospital associated deconditioning among older adults in the acute care setting.

Item Metadata

Title
Current Practice and Barriers to Physiotherapists’ Use of Resistance Exercise for Older Adults in Acute Care
Creator
Chan, Amber; Hoens, Alison; Singh, C. A.; Elashi, Maha; Gerevas, K.; Idle, M; Lundie, J.; Urbina, M.; Pace, A.; Ma, Jasmin
Contributor
Arthritis Research Canada; Vancouver General Hospital; Centre for Health Evaluation & Outcome Sciences; Vancouver Coastal Health Authority
Date Issued
2022-04-25
Description
Purpose: The purpose of this cross-sectional study was to 1) describe the current use of resistance exercise (REx) and 2) identify barriers and facilitators for physiotherapists using REx among older adults in acute care. Methods: An online questionnaire measure guided by the Theoretical Domains Framework was distributed to physiotherapists across British Columbia (BC). Responses were scored on a five point Likert scale. Thematic analysis was used to code open text data from the questionnaire. Results: 105 physiotherapists (male=23, age 39.9±10.3 years, 12.4±10.3 years of experience) completed the questionnaire. Respondents reported frequently performing functional testing (95%) and assessing muscle strength (70%) in older adults, but few often prescribe REx to patients (34%). Prioritization of REx among other duties (2.62±1.02) and perceived poor patient motivation (2.97±0.88) were ranked among the greatest barriers. Open text data revealed physiotherapists felt some patients were unable to perform REx, they lacked a clear definition of REx, and sufficient support personnel. Conclusions: Addressing priorities, patient motivation, and providing resources may support physiotherapists to increase REx use, an important strategy for reducing the incidence of hospital associated deconditioning among older adults in the acute care setting.
Subject
Resistance Training; Sarcopenia; Critical Care; Physical Therapists
Genre
Article; Postprint
Type
Text
Language
eng
Date Available
2023-04-25
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
DOI
10.14288/1.0417514
URI
http://hdl.handle.net/2429/82503
Affiliation
Education, Faculty of; Medicine, Faculty of; Non UBC; Kinesiology, School of; Physical Therapy, Department of
Citation
Chan A, Hoens AM, Singh CA, Elashi M, Gerevas K, Idle M, Lundie J, Urbina M, Pace A, Ma JK. Current practice and barriers to physiotherapists’ use of resistance exercise for older adults in acute care. Physiother Can. 2022.
Publisher DOI
10.3138/ptc-2020-0123
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Copyright Holder
Canadian Physiotherapy Association
Rights URI
http://creativecommons.org/licenses/by-nc-nd/4.0/
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Attribution-NonCommercial-NoDerivatives 4.0 International