Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial
Abstract Background Physical inactivity is a leading risk factor for chronic disease. Brief physical activity counselling delivered within healthcare systems has been shown to increase physical activity levels; however, implementation efforts have mostly targeted primary healthcare and uptake has be...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Implementation Science Communications |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43058-022-00291-5 |
| _version_ | 1811291099147272192 |
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| author | Leanne Hassett Matthew Jennings Bernadette Brady Marina Pinheiro Abby Haynes Balwinder Sidhu Lauren Christie Sarah Dennis Alison Pearce Kirsten Howard Colin Greaves Catherine Sherrington |
| author_facet | Leanne Hassett Matthew Jennings Bernadette Brady Marina Pinheiro Abby Haynes Balwinder Sidhu Lauren Christie Sarah Dennis Alison Pearce Kirsten Howard Colin Greaves Catherine Sherrington |
| author_sort | Leanne Hassett |
| collection | DOAJ |
| description | Abstract Background Physical inactivity is a leading risk factor for chronic disease. Brief physical activity counselling delivered within healthcare systems has been shown to increase physical activity levels; however, implementation efforts have mostly targeted primary healthcare and uptake has been sub-optimal. The Brief Physical Activity Counselling by Physiotherapists (BEHAVIOUR) trial aims to address this evidence-practice gap by evaluating (i) the effectiveness of a multi-faceted implementation strategy, relative to usual practice for improving the proportion of patients receiving brief physical activity counselling as part of their routine hospital-based physiotherapy care and (ii) effectiveness of brief physical activity counselling embedded in routine physiotherapy care, relative to routine physiotherapy care, at improving physical activity levels among patients receiving physiotherapy care. Methods Effectiveness-implementation hybrid type II cluster randomised controlled trial with embedded economic evaluation, qualitative study and culturally adapted patient-level outcome measures. The trial will be conducted across five hospitals in a local health district in Sydney, Australia, with a lower socioeconomic and culturally diverse population. The evidence-based intervention is brief physical activity counselling informed by the 5As counselling model and behavioural theory, embedded into routine physiotherapy care. The multi-faceted strategy to support the implementation of the counselling intervention was developed with key stakeholders guided by the Consolidated Framework for Implementation Research and the Capabilities, Opportunities, Motivation-Behaviour (COM-B) theoretical model, and consists of clinician education and training, creating a learning collaborative, tailored strategies to address community referral barriers, team facilitation, and audit and feedback. Thirty teams of physiotherapists will be randomised to receive the multi-faceted implementation strategy immediately or after a 9-month delay. Each physiotherapy team will recruit an average of 10 patients (n=300) to collect effectiveness outcomes at baseline and 6 months. The primary effectiveness outcome is self-reported planned physical activity using the Incidental and Planned Exercise Questionnaire, and the primary implementation outcome is reach (proportion of eligible new physiotherapy patients who receive brief physical activity counselling). Secondary effectiveness and implementation outcomes will also be collected. Discussion This project focuses on physiotherapists as health professionals with the requisite skills and patterns of practice to tackle the increasing burden of chronic disease in a high-risk population. Trial registration ANZCTR, ACTRN12621000194864 . Registered on 23 February 2021. |
| first_indexed | 2024-04-13T04:23:20Z |
| format | Article |
| id | doaj.art-b477eed32f9541d49b659ce3a025ae18 |
| institution | Directory Open Access Journal |
| issn | 2662-2211 |
| language | English |
| last_indexed | 2024-04-13T04:23:20Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj.art-b477eed32f9541d49b659ce3a025ae182022-12-22T03:02:38ZengBMCImplementation Science Communications2662-22112022-04-013111810.1186/s43058-022-00291-5Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trialLeanne Hassett0Matthew Jennings1Bernadette Brady2Marina Pinheiro3Abby Haynes4Balwinder Sidhu5Lauren Christie6Sarah Dennis7Alison Pearce8Kirsten Howard9Colin Greaves10Catherine Sherrington11Institute for Musculoskeletal Health, The University of Sydney/Sydney Local Health DistrictLiverpool Hospital, South Western Sydney Local Health DistrictSydney School of Health Sciences, Faculty of Medicine and Health, University of SydneyInstitute for Musculoskeletal Health, The University of Sydney/Sydney Local Health DistrictInstitute for Musculoskeletal Health, The University of Sydney/Sydney Local Health DistrictMulticultural Health Unit, South Western Sydney Local Health DistrictLiverpool Hospital, South Western Sydney Local Health DistrictSydney School of Health Sciences, Faculty of Medicine and Health, University of SydneySydney School of Public Health, Faculty of Medicine and Health, The University of SydneySydney School of Public Health, Faculty of Medicine and Health, The University of SydneyUniversity of BirminghamInstitute for Musculoskeletal Health, The University of Sydney/Sydney Local Health DistrictAbstract Background Physical inactivity is a leading risk factor for chronic disease. Brief physical activity counselling delivered within healthcare systems has been shown to increase physical activity levels; however, implementation efforts have mostly targeted primary healthcare and uptake has been sub-optimal. The Brief Physical Activity Counselling by Physiotherapists (BEHAVIOUR) trial aims to address this evidence-practice gap by evaluating (i) the effectiveness of a multi-faceted implementation strategy, relative to usual practice for improving the proportion of patients receiving brief physical activity counselling as part of their routine hospital-based physiotherapy care and (ii) effectiveness of brief physical activity counselling embedded in routine physiotherapy care, relative to routine physiotherapy care, at improving physical activity levels among patients receiving physiotherapy care. Methods Effectiveness-implementation hybrid type II cluster randomised controlled trial with embedded economic evaluation, qualitative study and culturally adapted patient-level outcome measures. The trial will be conducted across five hospitals in a local health district in Sydney, Australia, with a lower socioeconomic and culturally diverse population. The evidence-based intervention is brief physical activity counselling informed by the 5As counselling model and behavioural theory, embedded into routine physiotherapy care. The multi-faceted strategy to support the implementation of the counselling intervention was developed with key stakeholders guided by the Consolidated Framework for Implementation Research and the Capabilities, Opportunities, Motivation-Behaviour (COM-B) theoretical model, and consists of clinician education and training, creating a learning collaborative, tailored strategies to address community referral barriers, team facilitation, and audit and feedback. Thirty teams of physiotherapists will be randomised to receive the multi-faceted implementation strategy immediately or after a 9-month delay. Each physiotherapy team will recruit an average of 10 patients (n=300) to collect effectiveness outcomes at baseline and 6 months. The primary effectiveness outcome is self-reported planned physical activity using the Incidental and Planned Exercise Questionnaire, and the primary implementation outcome is reach (proportion of eligible new physiotherapy patients who receive brief physical activity counselling). Secondary effectiveness and implementation outcomes will also be collected. Discussion This project focuses on physiotherapists as health professionals with the requisite skills and patterns of practice to tackle the increasing burden of chronic disease in a high-risk population. Trial registration ANZCTR, ACTRN12621000194864 . Registered on 23 February 2021.https://doi.org/10.1186/s43058-022-00291-5Physical activityPhysical therapyCounsellingImplementationHealthcareBehaviour change |
| spellingShingle | Leanne Hassett Matthew Jennings Bernadette Brady Marina Pinheiro Abby Haynes Balwinder Sidhu Lauren Christie Sarah Dennis Alison Pearce Kirsten Howard Colin Greaves Catherine Sherrington Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial Implementation Science Communications Physical activity Physical therapy Counselling Implementation Healthcare Behaviour change |
| title | Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial |
| title_full | Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial |
| title_fullStr | Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial |
| title_full_unstemmed | Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial |
| title_short | Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial |
| title_sort | brief physical activity counselling by physiotherapists behaviour protocol for an effectiveness implementation hybrid type ii cluster randomised controlled trial |
| topic | Physical activity Physical therapy Counselling Implementation Healthcare Behaviour change |
| url | https://doi.org/10.1186/s43058-022-00291-5 |
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