Validation of a model for integration of health promotion and wellness in physical therapist practice

  • Clark D
  • Graham C
  • Lein D
  • et al.
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Abstract

Center and involved an Interdisciplinary Care Plan activity in which over 600 students from 8 disciplines participated in the development of care plans for an elderly individual. Sec-ond, a simulation activity that included high fidelity manikins and standardized patients in a medical intensive care setting involved students from 7 disciplines and focused on red flag identification and communication. Student feedback was col-lected through post-activity surveys and debriefing for each activity. Results: Student feedback was exceptionally positive for the activities. Common themes involved a reframing of pro-fessional roles to center on the needs of the patient, an increase in knowledge of the scope of practice of other pro-fessionals and how care is improved with consultation and collaboration with other professions. Conclusion(s): Introduction of interprofessional practices and skills at the entry-level program provides the foundation for the development of future collaboration and interdepen-dent practice models. Students were engaged and reported a new awareness of the benefits derived from collaboration. Future plans to develop activities that foster interprofessional practice during clinical internships are being considered to determine if skills are carried over to the patient care envi-ronment. As a result of these experiences, faculty members from the physical and occupational therapy programs have integrated content from courses related to neurological man-agement and communication to engage students from both programs in role playing and case study analyses to further build team based care. Implications: Students benefit from interprofessional education in entry-level programs. Beginning the transfor-mation from discipline specific to team-based care at this level is crucial to the improvement of care in the dimensions of quality, cost and outcomes. Background: When considering the health issues fac-ing today's society, modifiable lifestyle and behavior factors underlie many of the problems challenging our health care system. Despite advances in medical care, the prevalence of non-communicable lifestyle-related health conditions con-tinues to rise worldwide. Physical therapists are ideally suited to take a leadership role in addressing these issues. However, there is not a specific model for integrating health promo-tion and wellness activities into physical therapy (PT) clinical practice. Informed by key documents including findings from the 2007 WCPT Global Health Summit and Dean's work published in the 2009 Special Issue of Physiotherapy Theory and Practice, we drafted a Health Focused Physical Ther-apy (HFPT) model to describe health focused care clinical decision-making steps that should be incorporated into PT practice. Purpose: The purpose of this presentation is to describe the steps taken to develop and validate the HFPT model and provide recommendations for use. Methods: The validation process included two steps. To inform the practice model, we convened a 3-hour Summit which included individuals with expertise in the manage-ment of selected health behaviors associated with chronic disease. Eighteen professionals from a variety of disciplines with experience in health behavior issues including physical activity/fitness, nutrition and weight management, smoking cessation, sleep health, stress management, and/or alcohol moderation participated in the meeting. We provided intro-ductory background information and the proposed HFPT Practice Model. Participants then engaged in a structured discussion using a World Café Format. The Summit con-cluded with a large group discussion to allow for questions and summary comments; which were also recorded. Find-ings were compiled and sent to participants for approval and further comment. In the second phase, content validity was established using a Delphi process with 9 physical therapists with content expertise in health promotion and wellness. Results: Key components of feedback from Summit par-ticipants indicated that:

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Clark, D. E., Graham, C., Lein, D. H., & Morris, D. M. (2015). Validation of a model for integration of health promotion and wellness in physical therapist practice. Physiotherapy, 101, e256–e257. https://doi.org/10.1016/j.physio.2015.03.439

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