The Role of Health Promotion in Physical Therapy

PART I: Physical Therapist Characteristics and Health Promotion Practice Patterns.

A.Physical Therapist Characteristics

1.Sex: 1 Male2 Female

2.Year of Birth: 19___

3.Ethnicity: (check up to two as needed)

1 African American 5 Asian

2 Native-American6 Hispanic

3 White

4Other______(please specify)

4.Highest physical therapy degree: (check one)

1 Bachelors

2 Masters

3 Clinical Doctorate (DPT)

4 Academic Doctorate (DScPT or DPTSc)

5.State and School from which you graduated:

Statea ______Schoolb ______

6.Year of graduation from highest physical therapy degree: ______

7.Which state are you currently practicing in? (check one)

1 California4 None of these

2 Tennessee5 Not practicing

3 New York

8.How many hours per week are you currently practicing as a physical therapist? (check one)

1 Not practicing4 21-30 hours

2 1-10 hours5 31-40 hours

3 11-20 hours6 40+ hours

9.On average, how many patients do you see per hour? _____

10.What setting are you currently practicing in and what type of patients do you primarily treat? (check one box for each column)

SettingType of Patients

1a Inpatient1b Neurology

2a Outpatient2b Orthopedic

3a Home Health3b Pediatric

4a School Setting4b Sports

5b General Medicine

11.How long have you been working in the setting indicated above? _____ (years)

  1. Did you receive any education in health promotion or wellness while in physical therapy school?

1 No 2 Yes 3 Don’t Know

13.Have you attended any continuing education classes in health promotion or wellness since graduation?

1 No (Skip 13a & b) 2Yes (answer 13a & b)

13a.Which of these topics did the classes you took cover? (check all that apply)

1a Sadness and depression

1b Nutrition and overweight

1c Physical activity

1d Smoking Cessation

1e Other:____________

13b.Name all health promotion or wellness continuing education classes you took: ______

______

14.Have you received any degree in addition to your physical therapy degree that would have educated you in the area of health promotion or wellness (i.e. exercise physiology, health science, or health promotion and education).

1 No 2 Yes Degree: a ______

B.PT Health Promotion Patterns

1. a. What percent of your patients do you feel are unhappy, sad, depressed, or unsatisfied with life? ____%

b. What percent of the time do you assist these patients in reducing feelings ofsadness, unhappiness, or depression and increasing feelings of satisfaction with life? ____%

c. What percent of the time do you use any of the following four methods to assist these patients?

discuss or listen a____%refer c____%

develop & set goals b____%educate d____%

2. a. What percent of your patients do you feel are overweight? ____%

b. What percent of the time do you assist your overweight in making healthier food choices to promote a healthier weight? ____%

c. What percent of the time do you use any of the following four methods to assist these patients?

discuss or listen a____%refer c____%

develop & set goals b____%educate d____%

3.a. What percent of your patients don’t get much exercise? ____%

b. What percent of the time do you assist these patients with increasing cardiovascular fitness? ____%

c. What percent of the time do you use any of the following four methods to assist these patients?

discuss or listen a____%refer c____%

develop & set goals b____%educate d____%

4.a. What percent of your patients smoke? ____%

b. What percent of the time do you assist your smoking patients in reducing their smoking habits? ____%

c. What percent of the time do you use any of the following four methods to assist these patients?

discuss or listen a____%refer c____%

develop & set goals b____%educate d____%

PART II: Self-Efficacy and Outcome Expectations In Four Healthy People 2010 Focus Areas

A.Self-Efficacy Questions: Directions for parts A: Circle one number for each statement according to the 1-6 Likert scale with 1 being Very Sure You Could Assist and 6 being Very Sure You Could Not Assist. Please answer even if you are not currently addressing these issues with your patients because these questions are trying to determine what would make it easier or more difficult for you to address these issues.

Example: How sure are you that you could assist your patients with psychological well-being issues when the patient is aware of the problem? Answer: Circle 1 if the patient being aware of the problem makes you very sure you could assist or circle 6 if the patient being aware of the problem makes you very sure you could not assist with the issue of psychological well-being.

1.How sure are you that you could assist your patients in reducing feelings of sadness, unhappiness, or depression and increasing feelings of satisfaction with life?

  1. When the patient is aware of the problem and/or desires to improve
  2. When significant other/family is not supportive
  1. When you have more time allotted per patient than currently available
  2. When you are adequately educated to address psychological wellness
  3. When you have observed another PT promote psychological wellness successfully
  4. When you do not have the support of the referring physician
  5. When you have the proper supportive materials to provide for the patient
  6. When psychological issues interfere with PT goals
  1. When the patient is already seeing a professional for psychological wellness
  2. When you have an appropriate source to refer the patient to for additional assistance if needed
  3. When the patient has low socioeconomic status
  1. When there is a language barrier

Very Sure I Could Assist Very Sure I Could NOT Assist

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

2.How sure are you that you could assist your patients in making healthier food choices to promote a healthy weight?

  1. When the patient is aware of the problem and/or desires to improve
  2. When significant other/family is not supportive
  1. When you have more time allotted per patient than currently available
  2. When you are adequately educated to address nutrition and weight issues
  3. When you have observed another PT promote healthy food choices and a healthy weight
  4. When you do not have the support of the referring physician
  5. When you have the proper supportive materials to provide for the patient
  6. When weight issues interfere with PT goals
  1. When the patient is already seeing a professional for nutrition/weight issues
  2. When you have an appropriate source to refer the patient to for additional assistance if needed
  3. When the patient has low socioeconomic status
  1. When there is a language barrier

Very Sure I Could Assist Very Sure I Could NOT Assist

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

3.How sure are you that you could assist your patients with increasing cardiovascular fitness for overall health benefits?

  1. When the patient is aware of the problem and/or desires to improve
  2. When significant other/family is not supportive
  1. When you have more time allotted per patient than currently available
  2. When you are adequately educated to address cardiovascular fitness
  3. When you have observed another PT promote cardiovascular fitness/health
  4. When the physician is supportive and provides safe physiological parameters as a guide
  5. When you have the proper supportive materials to provide for the patient
  6. When cardiovascular fitness is linked with specific diagnoses and/or is a part of PT goals
  7. When the proper facilities and equipment are available to the PT and/or patient
  8. When the patient exhibits low functional status

Very Sure I Could Assist Very Sure I Could NOT Assist

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

4.How sure are you that you could assist your smoking patients in reducing their smoking habits?

  1. When the patient is aware of the problem and/or desires to improve
  2. When significant other/family is not supportive
  1. When you have more time allotted per patient than currently available
  2. When you are adequately educated to address smoking cessation
  3. When you have observed another PT promote smoking cessation successfully
  4. When you do not have the support of the referring physician
  5. When you have the proper supportive materials to provide for the patient
  6. When smoking is linked with specific diagnoses or interferes with PT goals
  7. When the patient is already seeing a professional for smoking cessation issues
  8. When you have an appropriate source to refer the patient to for additional assistance if needed

Very Sure I Could Assist Very Sure I Could NOT Assist

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

------

B.Outcome Expectation Questions: Directions for parts B: Circle one number for each statement according to the 1-6 Likert scale with 1 being Bad end results or outcomes and 6 being Good end results or outcomes. Please answer even if you are not currently addressing these issues with your patients because the questions are trying to determine what various outcomes may influence whether you would address these issues.

Example: How good or bad do you feel the outcome of being more rushed with your patient is if or when you assist with the issue of psychological well-being? Answer: Circle 1ifbeing rushed with your patient is a bad outcome or circle 6 if being rushed with your patient is a good outcome when you assist your patient with psychological well-being issues.

1.How good or bad do you feel the following end results or outcomes related to assisting your patients in reducing feelings of sadness, unhappiness, or depression and increasing feelings of satisfaction with life are to you?

  1. More rushed with your patient
  1. Patient develops more positive feelings and reports increased satisfaction with life
  2. Patient is able to address and achieve PT goals more readily
  3. You are addressing an issue that is beyond the normal PT scope of practice
  4. Patient rapport is hindered/weakened

BadGood

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

2.How good or bad do you feel the following end results or outcomes related to assisting your patients in making healthier food choices to promote a healthy weight are to you?

  1. More rushed with your patient
  1. Patient demonstrates healthier food choices or achieves a healthier weight
  2. Patient is able to address and achieve PT goals more readily
  3. You are addressing an issue that is beyond the normal PT scope of practice
  4. Patient rapport is hindered/weakened
  1. You are reimbursed for assisting with nutrition/weight issues

BadGood

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

3.How good or bad do you feel the following end results or outcomes related to assisting your patients with increasing their cardiovascular fitness are to you?

  1. More rushed with your patient
  1. Patient demonstrates measurable improvements in cardiovascular fitness/health
  2. Patient is able to address and achieve PT goals more readily
  3. You are addressing an issue that is beyond the normal PT scope of practice
  4. Patient rapport is hindered/weakened
  1. You are reimbursed for assisting with cardiovascular fitness for overall health benefit

BadGood

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

4.How good or bad do you feel the following end results or outcomes related to assisting your smoking patients in reducing smoking habits are to you?

  1. More rushed with your patient
  1. Patient demonstrates reduced smoking habits
  1. Patient is able to address and achieve PT goals more readily
  2. You are addressing an issue that is beyond the normal PT scope of practice
  3. Patient rapport is hindered/weakened
  1. You are reimbursed for assisting with smoking cessation

BadGood

------

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

1 2 3 4 5 6

Thank you for your time!!