{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:35:18Z","timestamp":1791999318064,"version":"4.4.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"ZonMw, Dutch Organization for Health Research and Development","award":["843002703"],"award-info":[{"award-number":["843002703"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The aims of this study were to evaluate the adoption of and fidelity to the Coach2Move approach; identify differences between physical therapists with a specialization in geriatrics and physical therapists without a specialization; explore if level of adoption and specialization explain variances in effectiveness; and explore group differences in attitudes and experiences with implementation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A multi-methods process evaluation of Coach2Move implementation through 2 education days, 3 peer-assessment meetings, and an adapted electronic health record was performed alongside a cluster randomized stepped-wedge trial comparing regular care physical therapy with Coach2Move. Participants were 36 physical therapists with a specialization (n\u2009=\u200917) and without a specialization (n\u2009=\u200919) who treated 292 community-dwelling older adults. Level of adoption and fidelity were analyzed by comparing preimplementation scores with scores 1\u00a0year later. Coach2Move adoption was measured by e-assessment scores, and fidelity through health record indicators. The impact of specialization and adoption on health outcomes was examined using a mixed-model analysis of variance. Therapists\u2019 attitudes and experiences were collected through a survey based on semistructured interviews.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Mean (SD) total indicator scores on the e-assessment (adoption of a Coach2Move mindset) increased from baseline 17% (5%) to 47% (9%) at follow-up. Physical therapists with a specialization in geriatrics scored (mean [SD]) higher than physical therapists without (54% [6%] vs 41% [6%]). Mean (SD) indicator scores on health records (fidelity) increased from 35% (12%) at baseline to 47% (15%) at follow-up. Mean scores of physical therapists with a specialization in geriatrics were higher. Level of adoption and specialization (yes\/no) did not explain the variance in effectiveness. Physical therapists identified important facilitators, including tailored education and peer-assessment meetings, whereas adequate reimbursement for the extra time investment was considered a necessity. Different workflows in practices were perceived as a barrier.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Implementation led to increased adoption and fidelity of the Coach2Move intervention by physical therapists but shows room for improvement. Attitudes toward the approach and its implementation were positive. Future implementation efforts on adoption could be improved by focusing on a fair compensation structure by third-party payers and insurance companies and optimizing organizational and financial context within practices.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>This study evaluated the implementation of Coach2Move, a clinical reasoning approach designed to increase physical activity and improve self-efficacy in older adults. Overall, the study demonstrates the potential of Coach2Move to be effectively adopted by physical therapists. However, addressing therapist compensation and adapting to practice workflows are important considerations for successful large-scale implementation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzae093","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T05:15:43Z","timestamp":1721020543000},"source":"Crossref","is-referenced-by-count":2,"title":["Implementing the Effective Coach2Move Approach for Community-Dwelling Older Adults With Mobility Limitations in Physical Therapist Practice: A Multi-Methods Process Evaluation"],"prefix":"10.1093","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6839-880X","authenticated-orcid":false,"given":"Ward","family":"Heij","sequence":"first","affiliation":[{"name":"Radboud Institute for Health Sciences , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Department of Physical Therapy and Athletic Training , , Salt Lake City, Utah ,","place":["United States"]},{"name":"University of Utah , , Salt Lake City, Utah ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lieke","family":"Sweerts","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud Institute for Health Sciences , Orthopedic Research Lab, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , Orthopedic Research Lab, , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Bart","family":"Staal","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Musculoskeletal Rehabilitation Research Group , School for Allied Health, , Nijmegen ,","place":["the Netherlands"]},{"name":"HAN University of Applied Sciences , School for Allied Health, , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip J","family":"van der Wees","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud Institute for Health Sciences , Department of Rehabilitation, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , Department of Rehabilitation, , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Thackeray","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Athletic Training , , Salt Lake City, Utah ,","place":["United States"]},{"name":"University of Utah , , Salt Lake City, Utah ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria W G","family":"Nijhuis-van der Sanden","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J","family":"Hoogeboom","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud University Medical Center , IQ Healthcare, , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"key":"2024112501054886900_ref1","doi-asserted-by":"publisher","first-page":"pzac138","DOI":"10.1093\/ptj\/pzac138","article-title":"Implementing a personalized physical therapy approach (Coach2Move) is effective in increasing physical activity and improving functional mobility in older adults: a cluster-randomized, stepped wedge trial","volume":"102","author":"Heij","year":"2022","journal-title":"Phys Ther"},{"key":"2024112501054886900_ref2","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1002\/jcsm.12091","article-title":"Patient-centred physical therapy is (cost-) effective in increasing physical activity and reducing frailty in older adults with mobility problems: a randomized controlled trial with 6 months follow-up","volume":"7","author":"Vries","year":"2016","journal-title":"J Cachexia Sarcopenia 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