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Translation of The Otago Exercise Program for Adoption and Implementation in the United States
BACKGROUND: The Otago Exercise Program (OEP) is an evidence-based fall prevention program developed, evaluated, and disseminated in New Zealand. The program was designed for delivery in the home by physical therapists (PTs). It was not known if American PTs would require additional training and reso...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410425/ https://www.ncbi.nlm.nih.gov/pubmed/25964899 http://dx.doi.org/10.3389/fpubh.2014.00152 |
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author | Shubert, Tiffany E. Smith, Matthew Lee Ory, Marcia G. Clarke, Cristine B. Bomberger, Stephanie A. Roberts, Ellen Busby-Whitehead, Jan |
author_facet | Shubert, Tiffany E. Smith, Matthew Lee Ory, Marcia G. Clarke, Cristine B. Bomberger, Stephanie A. Roberts, Ellen Busby-Whitehead, Jan |
author_sort | Shubert, Tiffany E. |
collection | PubMed |
description | BACKGROUND: The Otago Exercise Program (OEP) is an evidence-based fall prevention program developed, evaluated, and disseminated in New Zealand. The program was designed for delivery in the home by physical therapists (PTs). It was not known if American PTs would require additional training and resources to adopt the OEP. This article describes the process of translating the OEP for dissemination in the US. Processes included reviewing and piloting the New Zealand training materials to identify implementation challenges, updating training materials to be consistent with American physical therapy practices, piloting the updated training materials in an online format, and determining if the online format reached the target PT audience. METHODS – PROCESS ACTIVITIES: The New Zealand manual was reviewed by expert American PTs and a training webinar was piloted with 56 American PTs. Feedback suggested that the program itself was understood by PTs, but training materials required modification related to documentation and reimbursement policies. Additional content was developed and integrated into an online training module. The online training was piloted and then deemed adequate by seven PT subject matter experts. The online training was launched in March 2013. Demographic and practice data were collected to characterize the PTs attending the online training as well as perceived barriers and facilitators to implementation (n = 522). Perceived facilitators include the effectiveness of the OEP to facilitate adoption, but the lack of agency support, billing and reimbursement challenges pose a significant barrier to OEP implementation. CONCLUSION: The OEP required additional information to facilitate adoption by American PTs. Online training that specifically targets PTs appears to effectively reach the target audience and be well received by participants. More research is required to determine the impact of online training on a PT’s adoption and implementation of this material into their practice. |
format | Online Article Text |
id | pubmed-4410425 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-44104252015-05-11 Translation of The Otago Exercise Program for Adoption and Implementation in the United States Shubert, Tiffany E. Smith, Matthew Lee Ory, Marcia G. Clarke, Cristine B. Bomberger, Stephanie A. Roberts, Ellen Busby-Whitehead, Jan Front Public Health Public Health BACKGROUND: The Otago Exercise Program (OEP) is an evidence-based fall prevention program developed, evaluated, and disseminated in New Zealand. The program was designed for delivery in the home by physical therapists (PTs). It was not known if American PTs would require additional training and resources to adopt the OEP. This article describes the process of translating the OEP for dissemination in the US. Processes included reviewing and piloting the New Zealand training materials to identify implementation challenges, updating training materials to be consistent with American physical therapy practices, piloting the updated training materials in an online format, and determining if the online format reached the target PT audience. METHODS – PROCESS ACTIVITIES: The New Zealand manual was reviewed by expert American PTs and a training webinar was piloted with 56 American PTs. Feedback suggested that the program itself was understood by PTs, but training materials required modification related to documentation and reimbursement policies. Additional content was developed and integrated into an online training module. The online training was piloted and then deemed adequate by seven PT subject matter experts. The online training was launched in March 2013. Demographic and practice data were collected to characterize the PTs attending the online training as well as perceived barriers and facilitators to implementation (n = 522). Perceived facilitators include the effectiveness of the OEP to facilitate adoption, but the lack of agency support, billing and reimbursement challenges pose a significant barrier to OEP implementation. CONCLUSION: The OEP required additional information to facilitate adoption by American PTs. Online training that specifically targets PTs appears to effectively reach the target audience and be well received by participants. More research is required to determine the impact of online training on a PT’s adoption and implementation of this material into their practice. Frontiers Media S.A. 2015-04-27 /pmc/articles/PMC4410425/ /pubmed/25964899 http://dx.doi.org/10.3389/fpubh.2014.00152 Text en Copyright © 2015 Shubert, Smith, Ory, Clarke, Bomberger, Roberts and Busby-Whitehead. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Shubert, Tiffany E. Smith, Matthew Lee Ory, Marcia G. Clarke, Cristine B. Bomberger, Stephanie A. Roberts, Ellen Busby-Whitehead, Jan Translation of The Otago Exercise Program for Adoption and Implementation in the United States |
title | Translation of The Otago Exercise Program for Adoption and Implementation in the United States |
title_full | Translation of The Otago Exercise Program for Adoption and Implementation in the United States |
title_fullStr | Translation of The Otago Exercise Program for Adoption and Implementation in the United States |
title_full_unstemmed | Translation of The Otago Exercise Program for Adoption and Implementation in the United States |
title_short | Translation of The Otago Exercise Program for Adoption and Implementation in the United States |
title_sort | translation of the otago exercise program for adoption and implementation in the united states |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410425/ https://www.ncbi.nlm.nih.gov/pubmed/25964899 http://dx.doi.org/10.3389/fpubh.2014.00152 |
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