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

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.