A theory-based multi-component intervention to increase reactive balance measurement by physiotherapists in three rehabilitation hospitals: an uncontrolled single group study

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dc.contributor.authorSibley, Kathryn M
dc.contributor.authorBentley, Danielle C
dc.contributor.authorSalbach, Nancy M
dc.contributor.authorGardner, Paula
dc.contributor.authorMcGlynn, Mandy
dc.contributor.authorO’Hoski, Sachi
dc.contributor.authorShaffer, Jennifer
dc.contributor.authorShing, Paula
dc.contributor.authorMcEwen, Sara
dc.contributor.authorBeauchamp, Marla K
dc.contributor.authorHossain, Saima
dc.contributor.authorStraus, Sharon E
dc.contributor.authorJaglal, Susan B
dc.date.accessioned2018-10-01T03:22:47Z
dc.date.issued2018-09-19
dc.date.updated2018-10-01T03:22:47Z
dc.description.abstractAbstract Background Most implementation interventions in rehabilitation, including physiotherapy, have used passive, non-theoretical approaches without demonstrated effectiveness. The goal of this study was to improve an important domain of physiotherapy practice – reactive balance measurement – with a targeted theory-based multi-component intervention developed using the Theoretical Domains Framework. The primary objective was to determine documented reactive balance measure use in a 12-month baseline, during, and for three months post- intervention. Methods An uncontrolled before-and-after study was completed with physiotherapists at three urban adult rehabilitation hospitals in Ontario, Canada. The 12-month intervention included group meetings, local champions, and health record modifications for a validated reactive balance measure. The primary outcome was the proportion of records with a documented reactive balance measure when balance was assessed pre-, during- and post-intervention. Secondary outcomes were changes in use, knowledge, and confidence post-intervention, differences across sites, and intervention satisfaction. Results Reactive balance was not measured in any of 211 eligible pre-intervention records. Thirty-three physiotherapists enrolled and 28 completed the study. Reactive balance was measured in 31% of 300 eligible records during-intervention, and in 19% of 90 eligible records post-intervention (p < 0.04). Knowledge and confidence significantly increased post-intervention (all p < 0.05). There were significant site differences in use during- and post-intervention (all p < 0.05). Most participants reported satisfaction with intervention content (71%) and delivery (68%). Conclusions Reactive balance measurement was greater among participants during-intervention relative to the baseline, and use was partially sustained post-intervention. Continued study of intervention influences on clinical reasoning and exploration of site differences is warranted.
dc.identifier.citationBMC Health Services Research. 2018 Sep 19;18(1):724
dc.identifier.urihttps://doi.org/10.1186/s12913-018-3533-8
dc.identifier.urihttp://hdl.handle.net/1993/33485
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderThe Author(s).
dc.titleA theory-based multi-component intervention to increase reactive balance measurement by physiotherapists in three rehabilitation hospitals: an uncontrolled single group study
dc.typeJournal Article
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