Dissertation
Outpatient physical therapists' knowledge, attitudes, beliefs, and external factors and their influences on utilization of moderate to vigorous intensity cardiovascular training in individuals post-stroke
Doctor of Health Science (D.H.Sc.), Drexel University
Dec 2024
DOI:
https://doi.org/10.17918/00010768
Abstract
Moderate to vigorous aerobic exercise training has emerged as a best practice strategy for the intervention of individuals with stroke. However, knowledge translation and clinical implementation take time for evidence-based practice to reach mainstream clinical interventions. Objective: This study sought to identify the knowledge base, attitudes, beliefs, and factors, that influence the use of moderate to vigorous exercise training in outpatient physical therapy practice. It sought to identify barriers to moderate to vigorous exercise training and if attitudes, beliefs, or barriers impacted the utilization of moderate to vigorous aerobic exercise training. Methods: A web-based anonymous survey was sent to physical therapists from publicly available licensure listings in the United States. Inclusion criteria included those who were licensed to practice physical therapy in the United States, are involved in direct patient care in the outpatient setting for more than 1 hour per week, and those who have treated at least 1 patient with stroke in the last 3 months. Frequency analysis of descriptive statistics, between-group differences, and qualitative analyses were conducted. Results: This study identified a lack of knowledge of aerobic exercise prescription, decreased time available 1:1 with patients, and a lack of staff support as barriers to moderate to vigorous aerobic exercise training. Physical therapist value of intensity-based training, knowledge of exercise prescription, and external influences such as time, staff support, and equipment influenced the frequency of use of moderate and vigorous exercise training in outpatient stroke management. Conclusions: The findings of this study align with previous studies identifying that patient-specific training and improved staffing and equipment resources would improve the use of moderate to vigorous exercise training following stroke.
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Details
- Title
- Outpatient physical therapists' knowledge, attitudes, beliefs, and external factors and their influences on utilization of moderate to vigorous intensity cardiovascular training in individuals post-stroke
- Creators
- Jamie L. O'Brien
- Contributors
- Linda Wilson (Advisor) - Drexel University, College of Nursing and Health ProfessionsFrances Haider Cornelius (Advisor) - Drexel University, Office of the Associate Dean of Nursing
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Health Science (D.H.Sc.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 110, 2 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University; Health Sciences
- Other Identifier
- 991022007597504721