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Söderlund, A. (2019). Artificial intelligence and physiotherapy - editorial. European Journal of Physiotherapy, 21(1), 1-1
Open this publication in new window or tab >>Artificial intelligence and physiotherapy - editorial
2019 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 21, no 1, p. 1-1Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2019
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-44331 (URN)10.1080/21679169.2019.1569850 (DOI)000470063000001 ()2-s2.0-85061242540 (Scopus ID)
Available from: 2019-06-20 Created: 2019-06-20 Last updated: 2019-10-11Bibliographically approved
Arkkukangas, M., Söderlund, A., Eriksson, S. & Johansson, A.-C. (2019). Fall Preventive Exercise with or without behavior change support for community-dwelling older adults: A Randomized Controlled Trial With Short-Term Follow-up.. Journal of Geriatric Physical Therapy, 42(1), 9-17
Open this publication in new window or tab >>Fall Preventive Exercise with or without behavior change support for community-dwelling older adults: A Randomized Controlled Trial With Short-Term Follow-up.
2019 (English)In: Journal of Geriatric Physical Therapy, ISSN 1539-8412, E-ISSN 2152-0895, Vol. 42, no 1, p. 9-17Article in journal (Refereed) Published
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-34994 (URN)10.1519/JPT.0000000000000129 (DOI)000457564600002 ()28244890 (PubMedID)2-s2.0-85051527684 (Scopus ID)
Available from: 2017-03-03 Created: 2017-03-03 Last updated: 2019-03-29Bibliographically approved
Dean, E., Skinner, M., Myezwa, H., Mkumbuzi, V., Mostert, K., Parra, D. C., . . . Group, G. H. (2019). Health Competency Standards in Physical Therapist Practice. Physical Therapy, 99(9), 1242-1254
Open this publication in new window or tab >>Health Competency Standards in Physical Therapist Practice
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2019 (English)In: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 99, no 9, p. 1242-1254Article in journal (Refereed) Published
Abstract [en]

Although the physical therapist profession is the leading established, largely nonpharmacological health profession in the world and is committed to health promotion and noncommunicable disease (NCD) prevention, these have yet to be designated as core physical therapist competencies. Based on findings of 3 Physical Therapy Summits on Global Health, addressing NCDs (heart disease, cancer, hypertension, stroke, diabetes, obesity, and chronic lung disease) has been declared an urgent professional priority. The Third Summit established the status of health competencies in physical therapist practice across the 5 World Confederation for Physical Therapy (WCPT) regions with a view to establish health competency standards, this article's focus. Three general principles related to health-focused practice emerged, along with 3 recommendations for its inclusion. Participants acknowledged that specific competencies are needed to ensure that health promotion and NCD prevention are practiced consistently by physical therapists within and across WCPT regions (ie, effective counseling for smoking cessation, basic nutrition, weight control, and reduced sitting and increased activity/exercise in patients and clients, irrespective of their presenting complaints/diagnoses). Minimum accreditable health competency standards within the profession, including use of the WCPT-supported Health Improvement Card, were recommended for inclusion into practice, entry-to-practice education, and research. Such standards are highly consistent with the mission of the WCPT and the World Health Organization. The physical therapist profession needs to assume a leadership role vis-à-vis eliminating the gap between what we know unequivocally about the causes of and contributors to NCDs and the long-term benefits of effective, sustained, nonpharmacological lifestyle behavior change, which no drug nor many surgical procedures have been reported to match.

Place, publisher, year, edition, pages
NLM (Medline), 2019
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45258 (URN)10.1093/ptj/pzz087 (DOI)2-s2.0-85071856171 (Scopus ID)
Available from: 2019-09-19 Created: 2019-09-19 Last updated: 2019-09-20Bibliographically approved
Söderlund, A. (2019). Health promotion for older persons by decreasing sedentary behaviour–Editorial. European Journal of Physiotherapy, 21(3)
Open this publication in new window or tab >>Health promotion for older persons by decreasing sedentary behaviour–Editorial
2019 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 21, no 3Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
Taylor and Francis Ltd, 2019
National Category
Other Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45019 (URN)10.1080/21679169.2019.1640346 (DOI)000482502500001 ()2-s2.0-85070333836 (Scopus ID)
Available from: 2019-08-15 Created: 2019-08-15 Last updated: 2019-10-11Bibliographically approved
Kyhlbäck, M., Söderlund, A., Thierfelder, T., Frykberg, G. & Elmgren, G. (2019). Physiotherapy treatment of the diabetic shoulder: health-related quality of life and measures of shoulder function regarding patients with type 1 diabetes. Disability and Rehabilitation, 41(12), 1435-1442
Open this publication in new window or tab >>Physiotherapy treatment of the diabetic shoulder: health-related quality of life and measures of shoulder function regarding patients with type 1 diabetes
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2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, no 12, p. 1435-1442Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to investigate how health-related quality of life (HRQoL) and functional shoulder range of motion are affected among patients with diabetes with shoulder problems, treated with a specific physiotherapy programme. A further aim was to investigate how health-related quality of life, functional shoulder range of motion, pain intensity, and shoulder function correlate within the group of patients after the treatment period. Method: A pre-post treatment design was applied for a study group of ten patients with type 1 diabetes and shoulder problems. The physiotherapy treatment consisted of exercises promoting enhanced micro-circulation in the shoulder tissues, optimal shoulder co-ordination, and muscle relaxation. The Short Form-36 (SF-36), shoulder range of motion measures, the Shoulder Rating Scale - Swedish version, and pain intensity measures were used. The results regarding SF-36 were compared with the results of a control group of patients having either type 1 or type 2 diabetes and shoulder problems that did not receive any specific physiotherapy treatment. Results: As a potential result of physiotherapy training, a significant change towards higher scores was observed in the physical component summary (PCS) measure of SF-36. There was a significant improvement regarding PCS in the study group as compared with the control group. There were negative correlations between the four aspects of pain intensity and PCS and Shoulder Rating Scale - Swedish version, respectively, but a positive correlation between PCS and Shoulder Rating Scale - Swedish version. "Hand-raising" and "hand-behind-back" were significantly improved, and proved to be positively correlated with Shoulder Rating Scale - Swedish version. Conclusions: The results of this study indicate that patients with type 1 diabetes and shoulder problems, treated with a specific physiotherapy programme, may improve with respect to physical aspects of health-related quality of life, and partially regain their range of motion in the shoulder joint. Based on these results, the associated treatment protocol may be recommended for physiotherapy treatment in such patients.

National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-41325 (URN)10.1080/09638288.2018.1430177 (DOI)000465205000008 ()29363341 (PubMedID)2-s2.0-85040990882 (Scopus ID)
Available from: 2018-11-13 Created: 2018-11-13 Last updated: 2019-06-11Bibliographically approved
Elvén, M., Hochwälder, J., Dean, E. & Söderlund, A. (2019). Predictors of Clinical Reasoning Using the Reasoning 4 Change Instrument With Physical Therapist Students. Physical Therapy, 99(8), 964-976
Open this publication in new window or tab >>Predictors of Clinical Reasoning Using the Reasoning 4 Change Instrument With Physical Therapist Students
2019 (English)In: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 99, no 8, p. 964-976Article in journal (Refereed) Published
Abstract [en]

Although physical therapist students must be well prepared to integrate biopsychosocial and behavioral perspectives into their clinical reasoning, there is a lack of knowledge regarding factors that influence such competence. This study explored the associations among the independent variables-knowledge, cognition, metacognition, psychological factors, contextual factors, and curriculum orientation vis-a-vis behavioral medicine competencies-and the dependent variables-outcomes of input from client (IC), functional behavioral analysis (FBA), and strategies for behavior change (SBC) as levels in physical therapist students' clinical reasoning processes. This study used an exploratory cross-sectional design. The Reasoning 4 Change instrument was completed by 151 final-semester physical therapist students. Hierarchical multiple regression analyses for IC, FBA, and SBC were conducted. In the first step, curriculum orientation was inserted into the model; in the second step, self-rated knowledge, cognition, and metacognition; and in the third step, psychological factors. All independent variables except contextual factors explained 37% of the variance in the outcome of IC. Curriculum orientation explained 3%, cognitive and metacognitive factors an additional 22%, and attitudes another 15%. Variance in the outcomes of FBA and SBC were explained by curriculum orientation only (FBA change in R-2=0.04; SBC change in R-2=0.05). Higher scores of the dependent variables were associated with a curriculum having behavioral medicine competencies. The limitations of this study are that it was cross-sectional. Cognitive and metacognitive capabilities and skills and positive attitudes are important predictors of physical therapist students' clinical reasoning focused on behavior change at the IC level. Curricula with behavioral medicine competencies are associated with positive outcomes at all clinical reasoning levels.

National Category
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-42932 (URN)10.1093/ptj/pzz044 (DOI)000482424200003 ()30869789 (PubMedID)2-s2.0-85070756500 (Scopus ID)
Available from: 2019-03-18 Created: 2019-03-18 Last updated: 2019-10-14Bibliographically approved
Eklund, C., Elfström, M., Eriksson, Y. & Söderlund, A. (2019). User experiences from a web-based, self-management programme: struggling with what I need when stress management is about me. European Journal of Physiotherapy, 39-48
Open this publication in new window or tab >>User experiences from a web-based, self-management programme: struggling with what I need when stress management is about me
2019 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, p. 39-48Article in journal (Refereed) Published
Abstract [en]

Objectives: To explore users’ experiences of a tailored, interactive web application that supports behaviour change in stress management and to identify if and in that case what in the web-based programme that needed further development or adjustment to be feasible in a randomised controlled trial.

Method: The design of this study was explorative with a qualitative approach. Nine individuals were recruited among the staff at a university. Semi-structured individual interviews were conducted and analysed using qualitative content analysis, after the participants had completed the web-based stress management programme.

Results: One theme was identified, Struggling with what I need when stress management is about me, describing the paradox in having a programme that is perceived as supporting stress management while also being perceived as extensive and time consuming. The theme was divided in two categories: Defining the needs, where the users expressed what they needed from the programme and their everyday environment, to be able to use the programme, and It is about me, where the programme was described as helping the users understand their own stress.

Conclusion: The participants expressed acceptance of using a web-based programme for stress related problems. The perceived extensiveness of the programme must be considered in further development.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
Keywords
stress management, behaviour change, behaviour medicine, content analysis, e-health
National Category
Medical and Health Sciences Other Medical Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-40273 (URN)10.1080/21679169.2018.1468814 (DOI)000470063000008 ()2-s2.0-85046429289 (Scopus ID)
Available from: 2018-07-20 Created: 2018-07-20 Last updated: 2019-06-20Bibliographically approved
Gustavsson, C., Nordlander, J. & Söderlund, A. (2018). Activity and life-role targeting rehabilitation for persistent pain: feasibility of an intervention in primary healthcare.. European Journal of Physiotherapy, 20(3), 141-151
Open this publication in new window or tab >>Activity and life-role targeting rehabilitation for persistent pain: feasibility of an intervention in primary healthcare.
2018 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 20, no 3, p. 141-151Article in journal (Refereed) Published
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-41324 (URN)10.1080/21679169.2018.1426784 (DOI)000444273400004 ()2-s2.0-85041005065 (Scopus ID)
Available from: 2018-11-13 Created: 2018-11-13 Last updated: 2018-11-14Bibliographically approved
Elvén, M., Hochwälder, J., Dean, E., Hällman, O. & Söderlund, A. (2018). Criterion scores, construct validity and reliability of a web-based instrument to assess physiotherapists' clinical reasoning focused on behaviour change: 'Reasoning 4 Change'. AIMS PUBLIC HEALTH, 5(3), 235-259
Open this publication in new window or tab >>Criterion scores, construct validity and reliability of a web-based instrument to assess physiotherapists' clinical reasoning focused on behaviour change: 'Reasoning 4 Change'
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2018 (English)In: AIMS PUBLIC HEALTH, ISSN 2327-8994, Vol. 5, no 3, p. 235-259Article in journal (Refereed) Published
Abstract [en]

Background and aim: 'Reasoning 4 Change' (R4C) is a newly developed instrument, including four domains (D1-D4), to assess clinical practitioners' and students' clinical reasoning with a focus on clients' behaviour change in a physiotherapy context. To establish its use in education and research, its psychometric properties needed to be evaluated. The aim of the study was to generate criterion scores and evaluate the reliability and construct validity of a web-based version of the R4C instrument. Methods: Fourteen physiotherapy experts and 39 final-year physiotherapy students completed the R4C instrument and the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT). Twelve experts and 17 students completed the R4C instrument on a second occasion. The R4C instrument was evaluated with regard to: internal consistency (five subscales of D1); test-retest reliability (D1-D4); inter-rater reliability (D2-D4); and construct validity in terms of convergent validity (D1.4, D2, D4). Criterion scores were generated based on the experts' responses to identify the scores of qualified practitioners' clinical reasoning abilities. Results: For the expert and student samples, the analyses demonstrated satisfactory internal consistency (alpha range: 0.67-0.91), satisfactory test-retest reliability (ICC range: 0.46-0.94) except for D3 for the experts and D4 for the students. The inter-rater reliability demonstrated excellent agreement within the expert group (ICC range: 0.94-1.0). The correlations between the R4C instrument and PABS-PT (r range: 0.06-0.76) supported acceptable construct validity. Conclusions: The web-based R4C instrument shows satisfactory psychometric properties and could be useful in education and research. The use of the instrument may contribute to a deeper understanding of physiotherapists' and students' clinical reasoning, valuable for curriculum development and improvements of competencies in clinical reasoning related to clients' behavioural change.

Place, publisher, year, edition, pages
AMER INST MATHEMATICAL SCIENCES-AIMS, 2018
Keywords
assessment, behaviour change, clinical reasoning, education, physiotherapy, psychometrics, reliability, validity, web application
National Category
Health Sciences
Research subject
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-40738 (URN)10.3934/publichealth.2018.3.235 (DOI)000442478900004 ()30280115 (PubMedID)
Available from: 2018-09-06 Created: 2018-09-06 Last updated: 2019-03-21Bibliographically approved
Elvén, M., Hochwälder, J., Dean, E. & Söderlund, A. (2018). Development and initial evaluation of an instrument to assess physiotherapists' clinical reasoning focused on clients' behavior change. Physiotherapy Theory and Practice, 34(5), 367-383
Open this publication in new window or tab >>Development and initial evaluation of an instrument to assess physiotherapists' clinical reasoning focused on clients' behavior change
2018 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 34, no 5, p. 367-383Article in journal (Refereed) Published
Abstract [en]

Background and Aim: A systematically developed and evaluated instrument is needed to support investigations of physiotherapists' clinical reasoning integrated with the process of clients' behavior change. This study's aim was to develop an instrument to assess physiotherapy students' and physiotherapists' clinical reasoning focused on clients' activity-related behavior and behavior change, and initiate its evaluation, including feasibility and content validity. Methods: The study was conducted in three phases: 1) determination of instrument structure and item generation, based on a model, guidelines for assessing clinical reasoning, and existing measures; 2) cognitive interviews with five physiotherapy students to evaluate item understanding and feasibility; and 3) a Delphi process with 18 experts to evaluate content relevance. Results: Phase 1 resulted in an instrument with four domains: Physiotherapist; Input from client; Functional behavioral analysis; and Strategies for behavior change. The instrument consists of case scenarios followed by items in which key features are identified, prioritized, or interpreted. Phase 2 resulted in revisions of problems and approval of feasibility. Phase 3 demonstrated high level of consensus regarding the instrument's content relevance. Conclusions: This feasible and content-validated instrument shows potential for use in investigations of physiotherapy students' and physiotherapists' clinical reasoning, however continued development and testing are needed.

Keywords
Behavior change, clinical reasoning, instrument development, physiotherapy, validity
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42887 (URN)10.1080/09593985.2017.1419521 (DOI)000425789400004 ()29405848 (PubMedID)2-s2.0-85041579507 (Scopus ID)
Available from: 2019-03-11 Created: 2019-03-11 Last updated: 2019-04-11Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4537-030X

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