The Coach2Move approach: development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems

N.M. de Vries; Dorine C. van Ravensberg; Hans Hobbelen; Philip J. Wees; Marcel G.M. Olde Rikkert; Bart J. Staal; Maria W.G. Nijhuis-van der Sand

doi:10.1519/JPT.0000000000000038

The Coach2Move approach: development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems

N.M. de Vries, Dorine C. van Ravensberg, Hans Hobbelen, Philip J. Wees, Marcel G.M. Olde Rikkert, Bart J. Staal, Maria W.G. Nijhuis-van der Sand

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background and Purpose: Despite the positive effects of physical activity on numerous aspects of health, many older adults remain sedentary even after participating in physical activity interventions. Standardized exercise programs do not necessarily bring about the behavioral change that is necessary. Therefore, a patient-centered approach is needed. The purpose of this study was to develop and assess the acceptability
and potential effectiveness of the Coach2Move strategy; a physical therapy (PT) approach aimed at improving the longterm level of physical activity in mobility-limited older adults. Methods: The Coach2Move strategy was developed on the basis of 2 systematic literature studies and expert consultations. Multiple focus group meetings and a Delphi procedure were organized to gain consensus on the Coach2Move strategy.
Acceptability and potential effectiveness were studied in a pilot study with a pre-/postdesign in which 2 physical therapists and 12 patients participated. To assess acceptability, patients were interviewed, discussion with the involved physical therapists was held, and health records were studied.
Potential effectiveness was tested measuring the level of physical activity, frailty, quality of life, and mobility before and after treatment. Results: The pilot study showed high appraisal of the strategy by both physical therapists and patients. Moreover, a potential effect on the level of physical activity, frailty, quality of life, and mobility was observed. In conclusion, the Coach2Move strategy can be considered acceptable in PT practice and showed potential benefits.

Original language	English
Pages (from-to)	169-182
Journal	Journal of Geriatric Physical Therapy
Volume	38
Issue number	4
DOIs	https://doi.org/10.1519/JPT.0000000000000038
Publication status	Published - 2015

Keywords

clinical reasoning
mobility problems
patientcentered treatment
physical activity

Access to Document

10.1519/JPT.0000000000000038Licence: Unspecified

http://www.ncbi.nlm.nih.gov/pubmed/25621385Licence: Unspecified

2 Article

Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in a population of community dwelling elderly patients with impaired mobility, physical disability and/ or multi morbidity: a meta analysis
de Vries, N., Staal, B., van Ravensburg, D., Hobbelen, H., Olde Rikkert, M. & Nijhuis-van der Sande, M., 1 Jan 2012, In: Ageing research reviews . 11, 1, p. 136-149
Research output: Contribution to journal › Article › Academic › peer-review
Outcome instruments to measure frailty: a systematic review
de Vries, N. M., Staal, J. B., van Ravensburg, C. D., Hobbelen, J. S. M., Olde Rikkert, M. G. M. & Nijhuis-van der Sande, M. W. G., Jan 2011, In: Ageing research reviews . 10, 1, p. 104-114
Research output: Contribution to journal › Article › Academic › peer-review

Cite this

de Vries, N. M., van Ravensberg, D. C., Hobbelen, H., Wees, P. J., Olde Rikkert, M. G. M., Staal, B. J., & Nijhuis-van der Sand, M. W. G. (2015). The Coach2Move approach: development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems. Journal of Geriatric Physical Therapy, 38(4), 169-182. https://doi.org/10.1519/JPT.0000000000000038

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title = "The Coach2Move approach: development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems",

abstract = "Background and Purpose: Despite the positive effects of physical activity on numerous aspects of health, many older adults remain sedentary even after participating in physical activity interventions. Standardized exercise programs do not necessarily bring about the behavioral change that is necessary. Therefore, a patient-centered approach is needed. The purpose of this study was to develop and assess the acceptabilityand potential effectiveness of the Coach2Move strategy; a physical therapy (PT) approach aimed at improving the longterm level of physical activity in mobility-limited older adults. Methods: The Coach2Move strategy was developed on the basis of 2 systematic literature studies and expert consultations. Multiple focus group meetings and a Delphi procedure were organized to gain consensus on the Coach2Move strategy.Acceptability and potential effectiveness were studied in a pilot study with a pre-/postdesign in which 2 physical therapists and 12 patients participated. To assess acceptability, patients were interviewed, discussion with the involved physical therapists was held, and health records were studied.Potential effectiveness was tested measuring the level of physical activity, frailty, quality of life, and mobility before and after treatment. Results: The pilot study showed high appraisal of the strategy by both physical therapists and patients. Moreover, a potential effect on the level of physical activity, frailty, quality of life, and mobility was observed. In conclusion, the Coach2Move strategy can be considered acceptable in PT practice and showed potential benefits.",

keywords = "clinical reasoning, mobility problems, patientcentered treatment, physical activity",

author = "{de Vries}, N.M. and {van Ravensberg}, {Dorine C.} and Hans Hobbelen and Wees, {Philip J.} and {Olde Rikkert}, {Marcel G.M.} and Staal, {Bart J.} and {Nijhuis-van der Sand}, {Maria W.G.}",

year = "2015",

doi = "10.1519/JPT.0000000000000038",

language = "English",

volume = "38",

pages = "169--182",

journal = "Journal of Geriatric Physical Therapy",

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publisher = "Lippincott, Williams & Wilkins (LWW)",

number = "4",

}

de Vries, NM, van Ravensberg, DC, Hobbelen, H, Wees, PJ, Olde Rikkert, MGM, Staal, BJ & Nijhuis-van der Sand, MWG 2015, 'The Coach2Move approach: development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems', Journal of Geriatric Physical Therapy, vol. 38, no. 4, pp. 169-182. https://doi.org/10.1519/JPT.0000000000000038

The Coach2Move approach: development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems. / de Vries, N.M.; van Ravensberg, Dorine C.; Hobbelen, Hans et al.
In: Journal of Geriatric Physical Therapy, Vol. 38, No. 4, 2015, p. 169-182.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - The Coach2Move approach

T2 - development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems

AU - de Vries, N.M.

AU - van Ravensberg, Dorine C.

AU - Hobbelen, Hans

AU - Wees, Philip J.

AU - Olde Rikkert, Marcel G.M.

AU - Staal, Bart J.

AU - Nijhuis-van der Sand, Maria W.G.

PY - 2015

Y1 - 2015

N2 - Background and Purpose: Despite the positive effects of physical activity on numerous aspects of health, many older adults remain sedentary even after participating in physical activity interventions. Standardized exercise programs do not necessarily bring about the behavioral change that is necessary. Therefore, a patient-centered approach is needed. The purpose of this study was to develop and assess the acceptabilityand potential effectiveness of the Coach2Move strategy; a physical therapy (PT) approach aimed at improving the longterm level of physical activity in mobility-limited older adults. Methods: The Coach2Move strategy was developed on the basis of 2 systematic literature studies and expert consultations. Multiple focus group meetings and a Delphi procedure were organized to gain consensus on the Coach2Move strategy.Acceptability and potential effectiveness were studied in a pilot study with a pre-/postdesign in which 2 physical therapists and 12 patients participated. To assess acceptability, patients were interviewed, discussion with the involved physical therapists was held, and health records were studied.Potential effectiveness was tested measuring the level of physical activity, frailty, quality of life, and mobility before and after treatment. Results: The pilot study showed high appraisal of the strategy by both physical therapists and patients. Moreover, a potential effect on the level of physical activity, frailty, quality of life, and mobility was observed. In conclusion, the Coach2Move strategy can be considered acceptable in PT practice and showed potential benefits.

AB - Background and Purpose: Despite the positive effects of physical activity on numerous aspects of health, many older adults remain sedentary even after participating in physical activity interventions. Standardized exercise programs do not necessarily bring about the behavioral change that is necessary. Therefore, a patient-centered approach is needed. The purpose of this study was to develop and assess the acceptabilityand potential effectiveness of the Coach2Move strategy; a physical therapy (PT) approach aimed at improving the longterm level of physical activity in mobility-limited older adults. Methods: The Coach2Move strategy was developed on the basis of 2 systematic literature studies and expert consultations. Multiple focus group meetings and a Delphi procedure were organized to gain consensus on the Coach2Move strategy.Acceptability and potential effectiveness were studied in a pilot study with a pre-/postdesign in which 2 physical therapists and 12 patients participated. To assess acceptability, patients were interviewed, discussion with the involved physical therapists was held, and health records were studied.Potential effectiveness was tested measuring the level of physical activity, frailty, quality of life, and mobility before and after treatment. Results: The pilot study showed high appraisal of the strategy by both physical therapists and patients. Moreover, a potential effect on the level of physical activity, frailty, quality of life, and mobility was observed. In conclusion, the Coach2Move strategy can be considered acceptable in PT practice and showed potential benefits.

KW - clinical reasoning

KW - mobility problems

KW - patientcentered treatment

KW - physical activity

U2 - 10.1519/JPT.0000000000000038

DO - 10.1519/JPT.0000000000000038

M3 - Article

SN - 2152-0895

VL - 38

SP - 169

EP - 182

JO - Journal of Geriatric Physical Therapy

JF - Journal of Geriatric Physical Therapy

IS - 4

ER -

The Coach2Move approach: development and acceptability of an individually tailored physical therapy strategy to increase activity levels in older adults with mobility problems

Abstract

Keywords

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Research output

Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in a population of community dwelling elderly patients with impaired mobility, physical disability and/ or multi morbidity: a meta analysis

Outcome instruments to measure frailty: a systematic review

Cite this