Evidence map›Paper›PMID 25964899›Full record

ArticleFrontiers in public health2014

Translation of the otago exercise program for adoption and implementation in the United States.

Tiffany E Shubert, Matthew Lee Smith, Marcia G Ory, Cristine B Clarke, Stephanie A Bomberger, Ellen Roberts, Jan Busby-Whitehead

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tiffany E ShubertCenter for Aging and Health, University of North Carolina, School of Medicine , Chapel Hill, NC , USA.
Matthew Lee SmithCollege of Public Health, The University of Georgia , Athens, GA , USA.
Marcia G OryDepartment of Health Promotion and Community Health Sciences, Texas A&M School of Public Health , College Station, TX , USA.
Cristine B ClarkeCenter for Aging and Health, University of North Carolina, School of Medicine , Chapel Hill, NC , USA.
Stephanie A BombergerUniversity of North Carolina Center for Health Promotion and Disease Prevention , Chapel Hill, NC , USA.
Ellen RobertsDivision of Geriatrics, University of North Carolina, School of Medicine , Chapel Hill, NC , USA.
Jan Busby-WhiteheadDivision of Geriatrics, University of North Carolina, School of Medicine , Chapel Hill, NC , USA.

Funding

NCCDPHP CDC HHS U48 DP001924NCCDPHP CDC HHS U48 DP001944
6 · The paper itself

Abstract

backgroundThe Otago Exercise Program (OEP) is an evidence-based fall prevention program developed, evaluated, and disseminated in New Zealand. The program was designed for delivery in the home by physical therapists (PTs). It was not known if American PTs would require additional training and resources to adopt the OEP. This article describes the process of translating the OEP for dissemination in the US. Processes included reviewing and piloting the New Zealand training materials to identify implementation challenges, updating training materials to be consistent with American physical therapy practices, piloting the updated training materials in an online format, and determining if the online format reached the target PT audience. METHODS – PROCESS ACTIVITIES: The New Zealand manual was reviewed by expert American PTs and a training webinar was piloted with 56 American PTs. Feedback suggested that the program itself was understood by PTs, but training materials required modification related to documentation and reimbursement policies. Additional content was developed and integrated into an online training module. The online training was piloted and then deemed adequate by seven PT subject matter experts. The online training was launched in March 2013. Demographic and practice data were collected to characterize the PTs attending the online training as well as perceived barriers and facilitators to implementation (n = 522). Perceived facilitators include the effectiveness of the OEP to facilitate adoption, but the lack of agency support, billing and reimbursement challenges pose a significant barrier to OEP implementation.

conclusionThe OEP required additional information to facilitate adoption by American PTs. Online training that specifically targets PTs appears to effectively reach the target audience and be well received by participants. More research is required to determine the impact of online training on a PT's adoption and implementation of this material into their practice.

Indexed as

agingbalancefall preventionhealth promotionphysical therapypolicy

Identifiers

PMID25964899
PMCPMC4410425

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.