Article

Educating people with stroke about community-based exercise programs
(CBEPs) is a recommended practice that physical therapists are well positioned to
implement.
The aim of this study was to evaluate the provision of
education about CBEPs to people with stroke, barriers to providing education, and
preferences for resources to facilitate education among physical therapists in
neurological practice. DESIGN:
A cross-sectional e-survey of physical therapists
treating adults with stroke in Ontario, Canada, was conducted. METHODS: A link to
the questionnaire was emailed to physical therapists in a provincial stroke
network, a provincial physical therapy association, and on hospital and previous
research lists. RESULTS: Responses from 186 physical therapists were analyzed.
The percentage of respondents who reported providing CBEP education was 84.4%.
Only 36.6% reported typically providing education to >/=7 out of 10 patients with
stroke. Physical (90.5%) and preventative (84.6%) health benefits of exercise
were most frequently discussed. Therapists reported most commonly delivering
education at discharge (73.7%). Most frequently cited barriers to educating
patients were a perceived lack of suitable programs (53.2%) and a lack of
awareness of local CBEPs (23.8%). Lists of CBEPs (94.1%) or brochures (94.1%)
were considered to be facilitators. The percentage of physical therapists
providing CBEP education varied across acute, rehabilitation, and public
outpatient settings. LIMITATIONS: The percentage of physical therapists providing
education may have been overestimated if respondents who deliver CBEP education
were more likely to participate and if participants answered in a socially
desirable way. CONCLUSIONS: Even though a high proportion of physical therapists
provide CBEP education, education is not consistently delivered to the majority
of patients poststroke. Although a CBEP list or brochure would facilitate
education regarding existing CBEPs, efforts to implement CBEPs are needed to help
overcome the lack of suitable programs.
CI - (c) 2016 American Physical Therapy Association.

Langue : ANGLAIS