“The healing power of that should never be underestimated” : Implementing coordinated physical activity counselling among physiotherapists and spinal cord injury peer coaches Lin, Marisa S.; Martin Ginis, Kathleen A. (Kathleen Anne), 1968-; Le Cornu Levett, Catherine; McBride, Christopher B.; Colistro, Regina; Plashkes, Tova; Bass, Andrea; Thorson, Teri; Clarkson, Ryan; Bitz, Rod; et al.
Purpose: A large decrease in physical activity (PA) is typically observed among people with spinal cord injury (SCI) when discharged from inpatient rehabilitation. We aimed to identify implementation factors of coordinated PA counselling among physiotherapists and SCI peer coaches during the transition from inpatient rehabilitation to community. Methods: Semi-structured interviews guided by the Theoretical Domains Framework (TDF) were conducted. Using the TDF, factors affecting PA counselling delivery were coded abductively. A critical friend and member checking were used throughout analysis. Results: Participants included nine physiotherapists and two SCI peer coaches. The most salient TDF domains were social influences (34%), environmental context and resources (31%), and skills (15%). Specifically, participants identified challenges in addressing patient barriers and continual staff onboarding. Intervention delivery was supported by the ability to refer out to peer coaches with lived experience, having champion support, a time-efficient PA counselling form, and training sessions that included motivational interviewing skill development. Conclusion: Successfully implementing coordinated PA counselling during the transition from rehabilitation to community may be strengthened by 1) providing resources/training that guide both content and delivery of PA counselling and 2) a referral system that leverages the strengths of both clinicians and people with lived experience of SCI.
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