@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",
}