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Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire / N. Coste in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
[article]
Titre : Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire Type de document : texte imprimé Auteurs : N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 202-208 Note générale : doi.org/10.1016/j.rehab.2019.07.009 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Questionnaire Physical activity Barriers Facilitators Construct Validation Résumé : Background
The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population.
Objective
We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis.
Methods
Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort.
Results
Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size.
Conclusions
The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity.Permalink : ./index.php?lvl=notice_display&id=90796
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208[article] Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire [texte imprimé] / N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre . - 2020 . - p. 202-208.
doi.org/10.1016/j.rehab.2019.07.009
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208
Mots-clés : Knee osteoarthritis Questionnaire Physical activity Barriers Facilitators Construct Validation Résumé : Background
The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population.
Objective
We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis.
Methods
Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort.
Results
Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size.
Conclusions
The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity.Permalink : ./index.php?lvl=notice_display&id=90796 Exemplaires (1)
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Exclu du prêtA short educational program to reduce barriers to physical activity in patients with coronary artery disease / Joffrey Drigny in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
[article]
Titre : A short educational program to reduce barriers to physical activity in patients with coronary artery disease Type de document : texte imprimé Auteurs : Joffrey Drigny ; Vincent Gremeaux ; Anthony Peullier ; Emmanuel Reboursière ; Alexis Ruet ; Charles Joussain Année de publication : 2020 Article en page(s) : p. 574-577 Note générale : doi.org/10.1016/j.rehab.2019.12.004 Langues : Anglais (eng) Mots-clés : Coronary artery disease Physical activity Intervention Behavioral Barriers Permalink : ./index.php?lvl=notice_display&id=91475
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 574-577[article] A short educational program to reduce barriers to physical activity in patients with coronary artery disease [texte imprimé] / Joffrey Drigny ; Vincent Gremeaux ; Anthony Peullier ; Emmanuel Reboursière ; Alexis Ruet ; Charles Joussain . - 2020 . - p. 574-577.
doi.org/10.1016/j.rehab.2019.12.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 574-577
Mots-clés : Coronary artery disease Physical activity Intervention Behavioral Barriers Permalink : ./index.php?lvl=notice_display&id=91475 Exemplaires (1)
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Exclu du prêtOccupational therapists’ perspectives on the implementation of client-centred practice in Tanzania / Dominick Mshanga in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)
[article]
Titre : Occupational therapists’ perspectives on the implementation of client-centred practice in Tanzania Type de document : texte imprimé Auteurs : Dominick Mshanga ; Eve M. Duncan ; Helen Buchanan Année de publication : 2019 Article en page(s) : p. 732-742 Note générale : doi.org/10.1177/0308022619858859 Langues : Anglais (eng) Mots-clés : Barriers enablers therapist views occupational therapy Résumé : Introduction
Client-centred practice was theorised by occupational therapists in Canada and subsequently introduced into the Tanzanian occupational therapy curriculum. There has been no critique of its relevance for African countries, nor research into occupational therapists’ perspectives of applying client-centred practice in African world contexts. This study aimed to determine the understanding and use of client-centred practice by occupational therapists in Tanzania.
Method
A descriptive cross-sectional design was used. Working Tanzanian occupational therapists (n=64) completed a questionnaire based on two existing instruments. Data were analysed using SSPS (version 20.0) and qualitative coding.
Results
Barriers were shortage of time (79.7%), client-centred practice is too demanding for the client (78.1%) and the therapist and client have different goals (76.6%). Enablers included education about client-centred practice as a student (98.4%), client involvement in planning services (96.9%) and staff and service provider training (96.9%). Three themes were identified: client-centred practice enriches relationships, is difficult to implement, and needs to be supported by increasing human resources, further training and client education.
Conclusion
The implementation of client-centred practice in Tanzania is compromised by the resource-constrained and hospi-centric health service context. Alternative practice approaches that are aligned with collectivist cultural attitudes could be considered.Permalink : ./index.php?lvl=notice_display&id=85669
in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 732-742[article] Occupational therapists’ perspectives on the implementation of client-centred practice in Tanzania [texte imprimé] / Dominick Mshanga ; Eve M. Duncan ; Helen Buchanan . - 2019 . - p. 732-742.
doi.org/10.1177/0308022619858859
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 732-742
Mots-clés : Barriers enablers therapist views occupational therapy Résumé : Introduction
Client-centred practice was theorised by occupational therapists in Canada and subsequently introduced into the Tanzanian occupational therapy curriculum. There has been no critique of its relevance for African countries, nor research into occupational therapists’ perspectives of applying client-centred practice in African world contexts. This study aimed to determine the understanding and use of client-centred practice by occupational therapists in Tanzania.
Method
A descriptive cross-sectional design was used. Working Tanzanian occupational therapists (n=64) completed a questionnaire based on two existing instruments. Data were analysed using SSPS (version 20.0) and qualitative coding.
Results
Barriers were shortage of time (79.7%), client-centred practice is too demanding for the client (78.1%) and the therapist and client have different goals (76.6%). Enablers included education about client-centred practice as a student (98.4%), client involvement in planning services (96.9%) and staff and service provider training (96.9%). Three themes were identified: client-centred practice enriches relationships, is difficult to implement, and needs to be supported by increasing human resources, further training and client education.
Conclusion
The implementation of client-centred practice in Tanzania is compromised by the resource-constrained and hospi-centric health service context. Alternative practice approaches that are aligned with collectivist cultural attitudes could be considered.Permalink : ./index.php?lvl=notice_display&id=85669 Exemplaires (1)
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Exclu du prêtFaire des courses avec des atteintes cognitives : l’influence des facteurs environnementaux / Stéphanie GAUTHIER in Alter, Vol. 8, n°3 (Juillet / Septembre 2014)
[article]
Titre : Faire des courses avec des atteintes cognitives : l’influence des facteurs environnementaux Titre original : Shopping with an injured brain: Coping with a cognitively complex environment Type de document : texte imprimé Auteurs : Stéphanie GAUTHIER, Auteur Année de publication : 2014 Article en page(s) : p.170 - p.182 Langues : Français (fre) Mots-clés : Traumatisme craniocérébral Environnement Faire les courses Facilitateurs Obstacles Traumatic brain injury Environment Shopping Facilitators Barriers Résumé : Les personnes qui ont subi un traumatisme craniocérébral (TCC) connaissent souvent une diminution de leur indépendance pour réaliser des activités complexes telles que faire les courses, et ces difficultés sont probablement accentuées en raison d’une interaction inadéquate entre les incapacités cognitives de la personne et l’environnement au magasin d’alimentation. L’étude a pour objectif d’identifier les facteurs environnementaux présents au magasin d’alimentation qui influencent, positivement ou négativement, l’indépendance des personnes qui ont subi un TCC dans la réalisation de l’activité de faire les courses. Il s’agit d’une étude exploratoire réalisée sous forme d’analyse qualitative de la performance de dix participants ayant subi un TCC modéré ou sévère procédant à la tâche « faire les courses » du Profil des activités instrumentales. Les principaux facilitateurs observés au magasin d’alimentation sont l’organisation des aliments et la présence d’indications écrites. Les principaux obstacles sont les distractions, la grande variété des aliments et le changement récent d’emplacement d’un aliment. La fréquentation d’un supermarché semble entraîner une augmentation de l’utilisation des facilitateurs environnementaux. Cette étude met en lumière les divers éléments environnementaux qui aident ou nuisent à la réalisation des courses. Lors des interventions auprès de ces personnes, une attention particulière doit être portée aux éléments du magasin qui font le plus obstacles à l’accomplissement des emplettes.
People who have suffered a traumatic brain injury (TBI) often experience a decreased ability to carry out complex daily activities such as shopping, and these difficulties are likely amplified when confronted with a shopping environment that is not adapted to their cognitive difficulties.
Goal
The purpose of this study was to identify the environmental factors present within a grocery store that influence, positively or negatively, the independence of persons who have suffered a TBI within the activity of shopping for groceries. This is an exploratory study in the form of a qualitative analysis of the performance of 10 participants with moderate or severe TBI who completed the “shopping for groceries” task of the IADL Profile. The main facilitators observed at the grocery store were the organization of food and the presence of signs. The main obstacles were the distractions, the wide variety of food and recent changes in food placement. Frequenting a supermarket appears to cause an increase in the use of environmental facilitators. This study highlights the various environmental factors that help or hinder grocery shopping for individuals with cognitive deficits. Particular attention should be paid to environmental obstacles in a grocery store when working with these individuals.Permalink : ./index.php?lvl=notice_display&id=33821
in Alter > Vol. 8, n°3 (Juillet / Septembre 2014) . - p.170 - p.182[article] Faire des courses avec des atteintes cognitives : l’influence des facteurs environnementaux = Shopping with an injured brain: Coping with a cognitively complex environment [texte imprimé] / Stéphanie GAUTHIER, Auteur . - 2014 . - p.170 - p.182.
Langues : Français (fre)
in Alter > Vol. 8, n°3 (Juillet / Septembre 2014) . - p.170 - p.182
Mots-clés : Traumatisme craniocérébral Environnement Faire les courses Facilitateurs Obstacles Traumatic brain injury Environment Shopping Facilitators Barriers Résumé : Les personnes qui ont subi un traumatisme craniocérébral (TCC) connaissent souvent une diminution de leur indépendance pour réaliser des activités complexes telles que faire les courses, et ces difficultés sont probablement accentuées en raison d’une interaction inadéquate entre les incapacités cognitives de la personne et l’environnement au magasin d’alimentation. L’étude a pour objectif d’identifier les facteurs environnementaux présents au magasin d’alimentation qui influencent, positivement ou négativement, l’indépendance des personnes qui ont subi un TCC dans la réalisation de l’activité de faire les courses. Il s’agit d’une étude exploratoire réalisée sous forme d’analyse qualitative de la performance de dix participants ayant subi un TCC modéré ou sévère procédant à la tâche « faire les courses » du Profil des activités instrumentales. Les principaux facilitateurs observés au magasin d’alimentation sont l’organisation des aliments et la présence d’indications écrites. Les principaux obstacles sont les distractions, la grande variété des aliments et le changement récent d’emplacement d’un aliment. La fréquentation d’un supermarché semble entraîner une augmentation de l’utilisation des facilitateurs environnementaux. Cette étude met en lumière les divers éléments environnementaux qui aident ou nuisent à la réalisation des courses. Lors des interventions auprès de ces personnes, une attention particulière doit être portée aux éléments du magasin qui font le plus obstacles à l’accomplissement des emplettes.
People who have suffered a traumatic brain injury (TBI) often experience a decreased ability to carry out complex daily activities such as shopping, and these difficulties are likely amplified when confronted with a shopping environment that is not adapted to their cognitive difficulties.
Goal
The purpose of this study was to identify the environmental factors present within a grocery store that influence, positively or negatively, the independence of persons who have suffered a TBI within the activity of shopping for groceries. This is an exploratory study in the form of a qualitative analysis of the performance of 10 participants with moderate or severe TBI who completed the “shopping for groceries” task of the IADL Profile. The main facilitators observed at the grocery store were the organization of food and the presence of signs. The main obstacles were the distractions, the wide variety of food and recent changes in food placement. Frequenting a supermarket appears to cause an increase in the use of environmental facilitators. This study highlights the various environmental factors that help or hinder grocery shopping for individuals with cognitive deficits. Particular attention should be paid to environmental obstacles in a grocery store when working with these individuals.Permalink : ./index.php?lvl=notice_display&id=33821 Exemplaires (1)
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Exclu du prêt