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‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities
BACKGROUND: Healthcare professionals (HCPs) are vital conduits of leisure-time physical activity (LTPA) information; however, few discuss LTPA with their patients with disabilities. ‘Changing Minds, Changing Lives’ (CMCL) is a nationwide, theory- and evidence-based seminar aimed at increasing LTPA-d...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945607/ https://www.ncbi.nlm.nih.gov/pubmed/24581329 http://dx.doi.org/10.1186/1748-5908-9-30 |
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author | Tomasone, Jennifer R Martin Ginis, Kathleen A Estabrooks, Paul A Domenicucci, Laura |
author_facet | Tomasone, Jennifer R Martin Ginis, Kathleen A Estabrooks, Paul A Domenicucci, Laura |
author_sort | Tomasone, Jennifer R |
collection | PubMed |
description | BACKGROUND: Healthcare professionals (HCPs) are vital conduits of leisure-time physical activity (LTPA) information; however, few discuss LTPA with their patients with disabilities. ‘Changing Minds, Changing Lives’ (CMCL) is a nationwide, theory- and evidence-based seminar aimed at increasing LTPA-discussion among HCPs by enhancing their attitudes, subjective norms, perceived behavioural control (PBC), and intentions. The purposes of the current study were to: examine the effectiveness and short- and long-term maintenance of a CMCL seminar on HCPs’ social cognitions to discuss LTPA; and explore key implementation variables that predict changes in HCPs’ social cognitions. METHODS: Prior-to, as well as immediately, one, and six months following a CMCL seminar, 97 HCPs (M(age) ± SD = 36.23 ± 10.42; 69.0% female; 97.9% Caucasian; 38.1% rehabilitation therapists; years in profession = 11.56 ± 9.94) from five Canadian provinces completed questionnaires that assessed the Theory of Planned Behaviour constructs with regard to discussing LTPA with their patients with a physical disability. Key presenter characteristics and intervention delivery components were extracted from presenter demographic questionnaires and seminar checklists, respectively. Separate repeated-measures ANOVAs and post-hoc t-tests evaluated changes in HCPs’ social cognitions. Hierarchical multiple regressions were conducted to predict intentions and to understand which implementation variables may help explain significant changes in social cognitions. RESULTS: Significant increases in HCPs’ social cognitions for discussing LTPA were reported from pre- to post-seminar (ps <0.002); however, increases were not maintained at follow-up. PBC emerged as the strongest predictor of participants’ post-CMCL intentions (β = 0.45, p <0.001). Although several implementation characteristics were related to changes in perceptions, the number of seminars the presenter delivered was the only significant negative predictor of post-seminar PBC (β = -0.18, p <0.05). CONCLUSIONS: Future iterations of the CMCL intervention should include additional strategies to sustain improvements in HCPs’ social cognitions over time. Future CMCL evaluations should measure additional implementation variables so that the key ingredients for ‘Changing Minds’ can continue to be investigated. |
format | Online Article Text |
id | pubmed-3945607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39456072014-03-08 ‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities Tomasone, Jennifer R Martin Ginis, Kathleen A Estabrooks, Paul A Domenicucci, Laura Implement Sci Research BACKGROUND: Healthcare professionals (HCPs) are vital conduits of leisure-time physical activity (LTPA) information; however, few discuss LTPA with their patients with disabilities. ‘Changing Minds, Changing Lives’ (CMCL) is a nationwide, theory- and evidence-based seminar aimed at increasing LTPA-discussion among HCPs by enhancing their attitudes, subjective norms, perceived behavioural control (PBC), and intentions. The purposes of the current study were to: examine the effectiveness and short- and long-term maintenance of a CMCL seminar on HCPs’ social cognitions to discuss LTPA; and explore key implementation variables that predict changes in HCPs’ social cognitions. METHODS: Prior-to, as well as immediately, one, and six months following a CMCL seminar, 97 HCPs (M(age) ± SD = 36.23 ± 10.42; 69.0% female; 97.9% Caucasian; 38.1% rehabilitation therapists; years in profession = 11.56 ± 9.94) from five Canadian provinces completed questionnaires that assessed the Theory of Planned Behaviour constructs with regard to discussing LTPA with their patients with a physical disability. Key presenter characteristics and intervention delivery components were extracted from presenter demographic questionnaires and seminar checklists, respectively. Separate repeated-measures ANOVAs and post-hoc t-tests evaluated changes in HCPs’ social cognitions. Hierarchical multiple regressions were conducted to predict intentions and to understand which implementation variables may help explain significant changes in social cognitions. RESULTS: Significant increases in HCPs’ social cognitions for discussing LTPA were reported from pre- to post-seminar (ps <0.002); however, increases were not maintained at follow-up. PBC emerged as the strongest predictor of participants’ post-CMCL intentions (β = 0.45, p <0.001). Although several implementation characteristics were related to changes in perceptions, the number of seminars the presenter delivered was the only significant negative predictor of post-seminar PBC (β = -0.18, p <0.05). CONCLUSIONS: Future iterations of the CMCL intervention should include additional strategies to sustain improvements in HCPs’ social cognitions over time. Future CMCL evaluations should measure additional implementation variables so that the key ingredients for ‘Changing Minds’ can continue to be investigated. BioMed Central 2014-03-01 /pmc/articles/PMC3945607/ /pubmed/24581329 http://dx.doi.org/10.1186/1748-5908-9-30 Text en Copyright © 2014 Tomasone et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Research Tomasone, Jennifer R Martin Ginis, Kathleen A Estabrooks, Paul A Domenicucci, Laura ‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities |
title | ‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities |
title_full | ‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities |
title_fullStr | ‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities |
title_full_unstemmed | ‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities |
title_short | ‘Changing Minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities |
title_sort | ‘changing minds’: determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals’ intentions to prescribe physical activity to patients with physical disabilities |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945607/ https://www.ncbi.nlm.nih.gov/pubmed/24581329 http://dx.doi.org/10.1186/1748-5908-9-30 |
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