The added value of therapist communication on the effect of physical therapy treatment in older adults; a systematic review and meta-analysis

S.E. Lakke; Lisa Dehner; Wim Krijnen; Hans Hobbelen; Melle Foijer

doi:10.1016/j.pec.2018.09.020

The added value of therapist communication on the effect of physical therapy treatment in older adults; a systematic review and meta-analysis

Mount St. Joseph University, Department of Physical Therapy

Research output: Contribution to journal › Review article › peer-review

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Abstract

Objective
Lower physical activity levels in older adults are associated with increased co-morbidities and disability. Physical therapists have a critical role in facilitating increases in physical activity. The communication they use may impact their effectiveness. This study investigates the additional value of therapist’s communication during physical therapy on older adults’ physical activity levels.

Methods
Systematic review and meta-analysis. Clinical trials were identified in PubMed, CINAHL, Embase, PsycINFO, PEDro, Cochrane, up to July 2016. Communication was classified with the Behavior Change Taxonomy(BCT). Effect sizes were pooled using Cochrane’s Review-Manager. Strength of the evidence was analyzed using GRADE’s criteria.

Results
Twelve studies were identified. Overall, communication techniques revealed an immediate and long-term effect(ES:0.19;0.24) on self-reported physical activity measures but not on performance-based, with moderate to high strength of evidence. Divided in BCT-categories, only ‘Generalisation of target behavior’, defined as communication aimed to help patients generalise an exercise from one situation to another at home), had a positive effect on self-reported activity(ES:0.34), with low strength of evidence.

Conclusion
Adding a communication technique to physical therapy is effective on self-reported physical activity measures but not on performance-based measures.

Practice implications
Add communication to exercise when treatment aims at perceived, but not performed, physical activity.

Original language	English
Pages (from-to)	253-265
Number of pages	13
Journal	Patient Education and Counseling
Volume	102
Issue number	2
DOIs	https://doi.org/10.1016/j.pec.2018.09.020
Publication status	Published - 11 Feb 2019

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 03 Good Health and Well-being

Keywords

communication
older adults
physical therapy

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Healthy Ageing

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Healthy lifestyle and living environment
Frailty and adequate care

Publinova themes

Other
Health
Recreation, Exercise and Sports
People and Society

Access to Document

10.1016/j.pec.2018.09.020Licence: CC BY-NC-ND

The added value of therapist communication on the effect of physical therapy treatment in older adults : a meta-analysis
Jorna-Lakke, S. (Speaker)
13 May 2019
Activity: Talk or presentation › Oral presentation

Cite this

@article{c4821effbeb743c19460af71e5dc9360,

title = "The added value of therapist communication on the effect of physical therapy treatment in older adults; a systematic review and meta-analysis",

abstract = "Objective Lower physical activity levels in older adults are associated with increased co-morbidities and disability. Physical therapists have a critical role in facilitating increases in physical activity. The communication they use may impact their effectiveness. This study investigates the additional value of therapist{\textquoteright}s communication during physical therapy on older adults{\textquoteright} physical activity levels. Methods Systematic review and meta-analysis. Clinical trials were identified in PubMed, CINAHL, Embase, PsycINFO, PEDro, Cochrane, up to July 2016. Communication was classified with the Behavior Change Taxonomy(BCT). Effect sizes were pooled using Cochrane{\textquoteright}s Review-Manager. Strength of the evidence was analyzed using GRADE{\textquoteright}s criteria. Results Twelve studies were identified. Overall, communication techniques revealed an immediate and long-term effect(ES:0.19;0.24) on self-reported physical activity measures but not on performance-based, with moderate to high strength of evidence. Divided in BCT-categories, only {\textquoteleft}Generalisation of target behavior{\textquoteright}, defined as communication aimed to help patients generalise an exercise from one situation to another at home), had a positive effect on self-reported activity(ES:0.34), with low strength of evidence. Conclusion Adding a communication technique to physical therapy is effective on self-reported physical activity measures but not on performance-based measures. Practice implications Add communication to exercise when treatment aims at perceived, but not performed, physical activity. ",

keywords = "communicatie, fysiotherapie, ouderen, communication, older adults, physical therapy",

author = "S.E. Lakke and Lisa Dehner and Wim Krijnen and Hans Hobbelen and Melle Foijer",

year = "2019",

month = feb,

day = "11",

doi = "10.1016/j.pec.2018.09.020",

language = "English",

volume = "102",

pages = "253--265",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

number = "2",

}

TY - JOUR

T1 - The added value of therapist communication on the effect of physical therapy treatment in older adults; a systematic review and meta-analysis

AU - Lakke, S.E.

AU - Dehner, Lisa

AU - Krijnen, Wim

AU - Hobbelen, Hans

AU - Foijer, Melle

PY - 2019/2/11

Y1 - 2019/2/11

N2 - Objective Lower physical activity levels in older adults are associated with increased co-morbidities and disability. Physical therapists have a critical role in facilitating increases in physical activity. The communication they use may impact their effectiveness. This study investigates the additional value of therapist’s communication during physical therapy on older adults’ physical activity levels. Methods Systematic review and meta-analysis. Clinical trials were identified in PubMed, CINAHL, Embase, PsycINFO, PEDro, Cochrane, up to July 2016. Communication was classified with the Behavior Change Taxonomy(BCT). Effect sizes were pooled using Cochrane’s Review-Manager. Strength of the evidence was analyzed using GRADE’s criteria. Results Twelve studies were identified. Overall, communication techniques revealed an immediate and long-term effect(ES:0.19;0.24) on self-reported physical activity measures but not on performance-based, with moderate to high strength of evidence. Divided in BCT-categories, only ‘Generalisation of target behavior’, defined as communication aimed to help patients generalise an exercise from one situation to another at home), had a positive effect on self-reported activity(ES:0.34), with low strength of evidence. Conclusion Adding a communication technique to physical therapy is effective on self-reported physical activity measures but not on performance-based measures. Practice implications Add communication to exercise when treatment aims at perceived, but not performed, physical activity.

AB - Objective Lower physical activity levels in older adults are associated with increased co-morbidities and disability. Physical therapists have a critical role in facilitating increases in physical activity. The communication they use may impact their effectiveness. This study investigates the additional value of therapist’s communication during physical therapy on older adults’ physical activity levels. Methods Systematic review and meta-analysis. Clinical trials were identified in PubMed, CINAHL, Embase, PsycINFO, PEDro, Cochrane, up to July 2016. Communication was classified with the Behavior Change Taxonomy(BCT). Effect sizes were pooled using Cochrane’s Review-Manager. Strength of the evidence was analyzed using GRADE’s criteria. Results Twelve studies were identified. Overall, communication techniques revealed an immediate and long-term effect(ES:0.19;0.24) on self-reported physical activity measures but not on performance-based, with moderate to high strength of evidence. Divided in BCT-categories, only ‘Generalisation of target behavior’, defined as communication aimed to help patients generalise an exercise from one situation to another at home), had a positive effect on self-reported activity(ES:0.34), with low strength of evidence. Conclusion Adding a communication technique to physical therapy is effective on self-reported physical activity measures but not on performance-based measures. Practice implications Add communication to exercise when treatment aims at perceived, but not performed, physical activity.

KW - communicatie

KW - fysiotherapie

KW - ouderen

KW - communication

KW - older adults

KW - physical therapy

U2 - 10.1016/j.pec.2018.09.020

DO - 10.1016/j.pec.2018.09.020

M3 - Review article

SN - 0738-3991

VL - 102

SP - 253

EP - 265

JO - Patient Education and Counseling

JF - Patient Education and Counseling

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ER -

The added value of therapist communication on the effect of physical therapy treatment in older adults; a systematic review and meta-analysis

Abstract

UN SDGs

Keywords

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Publinova themes

Access to Document

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The added value of therapist communication on the effect of physical therapy treatment in older adults : a meta-analysis

Cite this