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Physical Therapists' Knowledge, Skills, Beliefs, and Organizations Impact Physical Activity Promotion: A Systematic Review and Meta-Analysis.

Publication ,  Journal Article
Rethorn, ZD; Covington, JK; Cook, CE; Bezner, JR
Published in: Phys Ther
March 1, 2022

OBJECTIVE: The purpose of this study was to characterize factors that influence physical therapists' physical activity (PA) promotion practices and map these factors to the Theoretical Domains Framework (TDF) to inform future implementation efforts. METHODS: Six databases (MEDLINE, EMBASE, Scopus, CINAHL, PsychInfo, and Web of Science) were searched from inception to March 11, 2021. Studies were included if they reported physical therapists' PA promotion practices and factors influencing these practices. Study quality was assessed with a modified Newcastle-Ottawa Scale and the Critical Appraisal Skills Programme checklist. Studies were excluded if they did not separate physical therapist PA promotion practices and influencing factors from other health professionals. RESULTS: The search yielded 12,835 references and 27 included studies. Twenty studies were included in a meta-analysis of proportions, whereas 15 studies were included in a meta-analysis of correlations. Very-low to moderate-quality evidence suggests that factors at the individual and organizational levels have very small to moderate associations with PA promotion practices. CONCLUSION: Efforts to improve PA promotion by physical therapists should consider incorporating combinations of individual and organizational factors. Limitations to the body of evidence highlight the need for future research. IMPACT: With PA projected to decrease in the general population by an additional 20% by 2050, PA promotion is urgently needed to maximize physical therapists' impact on the health of society. This study identifies factors that may prove useful for guiding the development of strategies to encourage greater engagement in PA promotion by physical therapists.

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Published In

Phys Ther

DOI

EISSN

1538-6724

Publication Date

March 1, 2022

Volume

102

Issue

3

Location

United States

Related Subject Headings

  • Rehabilitation
  • Physical Therapists
  • Humans
  • Exercise
  • Allied Health Personnel
  • 4201 Allied health and rehabilitation science
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

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Rethorn, Z. D., Covington, J. K., Cook, C. E., & Bezner, J. R. (2022). Physical Therapists' Knowledge, Skills, Beliefs, and Organizations Impact Physical Activity Promotion: A Systematic Review and Meta-Analysis. Phys Ther, 102(3). https://doi.org/10.1093/ptj/pzab291
Rethorn, Zachary D., J Kyle Covington, Chad E. Cook, and Janet R. Bezner. “Physical Therapists' Knowledge, Skills, Beliefs, and Organizations Impact Physical Activity Promotion: A Systematic Review and Meta-Analysis.Phys Ther 102, no. 3 (March 1, 2022). https://doi.org/10.1093/ptj/pzab291.
Rethorn, Zachary D., et al. “Physical Therapists' Knowledge, Skills, Beliefs, and Organizations Impact Physical Activity Promotion: A Systematic Review and Meta-Analysis.Phys Ther, vol. 102, no. 3, Mar. 2022. Pubmed, doi:10.1093/ptj/pzab291.
Journal cover image

Published In

Phys Ther

DOI

EISSN

1538-6724

Publication Date

March 1, 2022

Volume

102

Issue

3

Location

United States

Related Subject Headings

  • Rehabilitation
  • Physical Therapists
  • Humans
  • Exercise
  • Allied Health Personnel
  • 4201 Allied health and rehabilitation science
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences