Physical Therapists, Telephone Coaches, and Patients With Knee Osteoarthritis: Qualitative Study About Working Together to Promote Exercise Adherence

Physical Therapy
Rana S HinmanKim L Bennell

Abstract

Integrated models of care are recommended for people with knee osteoarthritis (OA). Exercise is integral to management, yet exercise adherence is problematic. Telephone-based health coaching is an attractive adjunct to physical therapist-prescribed exercise that may improve adherence. Little is known about the perceptions and interpretations of physical therapists, telephone coaches, and patients engaged in this model of care. The purpose of this study was to explore how stakeholders (physical therapists, telephone coaches, and patients) experienced, and made sense of, being involved in an integrated program of physical therapist-supervised exercise and telephone coaching for people with knee OA. A cross-sectional qualitative design drawing from symbolic interactionism was used. Semistructured interviews with 10 physical therapists, 4 telephone coaches, and 6 patients with painful knee OA. Interviews were audiorecorded, transcribed, and analyzed using thematic analysis informed by grounded theory. Four themes emerged: (1) genuine interest and collaboration, (2) information and accountability, (3) program structure, and (4) roles and communication in teamwork. Patients reported they appreciated personalized, genuine interest fro...Continue Reading

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Citations

Apr 18, 2018·The Cochrane Database of Systematic Reviews·Michael HurleySandy Oliver
May 24, 2018·Physiotherapy Theory and Practice·Nancy AliKate Grafton
Jun 1, 2017·BMC Musculoskeletal Disorders·Victoria Carmona-TerésAnna Berenguera
Sep 23, 2018·American Journal of Preventive Medicine·Michelle TakemotoJacqueline Kerr
Jan 28, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Samantha BunzliNora Shields

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