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A clinical reasoning model focused on clients’ behaviour change with reference to physiotherapists: Its multiphase development and validation
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0001-5356-916X
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-8865-6818
University of British Columbia, Canada .
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-4537-030X
2015 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 31, no 4, p. 231-243Article in journal (Refereed) Published
Abstract [en]

Background and purpose: A biopsychosocial approach and behaviour change strategies have long been proposed to serve as a basis for addressing current multifaceted health problems. This emphasis has implications for clinical reasoning of health professionals. This study's aim was to develop and validate a conceptual model to guide physiotherapists' clinical reasoning focused on clients' behaviour change. Methods: Phase 1 consisted of the exploration of existing research and the research team's experiences and knowledge. Phases 2a and 2b consisted of validation and refinement of the model based on input from physiotherapy students in two focus groups (n=5 per group) and from experts in behavioural medicine (n=9). Results: Phase 1 generated theoretical and evidence bases for the first version of a model. Phases 2a and 2b established the validity and value of the model. The final model described clinical reasoning focused on clients' behaviour change as a cognitive, reflective, collaborative and iterative process with multiple interrelated levels that included input from the client and physiotherapist, a functional behavioural analysis of the activity-related target behaviour and the selection of strategies for behaviour change. Conclusions: This unique model, theory- and evidence-informed, has been developed to help physiotherapists to apply clinical reasoning systematically in the process of behaviour change with their clients. 

Place, publisher, year, edition, pages
2015. Vol. 31, no 4, p. 231-243
National Category
Physiotherapy
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-26525DOI: 10.3109/09593985.2014.994250ISI: 000353919600001Scopus ID: 2-s2.0-84928895635OAI: oai:DiVA.org:mdh-26525DiVA, id: diva2:762476
Available from: 2014-11-11 Created: 2014-11-11 Last updated: 2017-12-05Bibliographically approved

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Elvén, MariaHochwälder, JacekSöderlund, Anne

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