Evidence map›Paper›PMID 41430610›Full record

ArticleBMC health services research2025

Using context mapping for planning implementation of movement behavior change in physiotherapy.

Sofie van Rongen, Joan M Dallinga, Anita Feleus, Ingrid Rosbergen, Alice Schut, Myrenka Bik, Petra Siemonsma, Sanne I de Vries, Arlette E Hesselink

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Sofie van Rongen *Research Group Healthy Lifestyle in a Supporting Environment, The Hague University of Applied Sciences, The Hague, The Netherlands.
Joan M Dallinga *Research Group Healthy Lifestyle in a Supporting Environment, The Hague University of Applied Sciences, The Hague, The Netherlands. j.m.dallinga@hhs.nl.
Anita FeleusResearch Center Innovations in Care and Department of Physiotherapy, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Ingrid RosbergenResearch group Self-Management in Physical Therapy and Human Movement Care, Department of Physical Therapy, Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands.
Alice SchutResearch Group Healthy Lifestyle in a Supporting Environment, The Hague University of Applied Sciences, The Hague, The Netherlands.
Myrenka BikResearch group Self-Management in Physical Therapy and Human Movement Care, Department of Physical Therapy, Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands.
Petra SiemonsmaResearch group Self-Management in Physical Therapy and Human Movement Care, Department of Physical Therapy, Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands.
Sanne I de VriesResearch Group Healthy Lifestyle in a Supporting Environment, The Hague University of Applied Sciences, The Hague, The Netherlands.
Arlette E HesselinkResearch group Self-Management in Physical Therapy and Human Movement Care, Department of Physical Therapy, Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands.

Funding

Nationaal Regieorgaan Praktijkgericht Onderzoek SIA RAAK.MKB15.004
6 · The paper itself

Abstract

backgroundPhysiotherapists often lack a comprehensive understanding of self-management and encounter challenges in providing self-management support. The Keep Moving Support Tool (KMST) was developed to support physiotherapists in their role as health promotors and to stimulate physical activity in patients with (risk of) chronic conditions. The KMST requires a change in workflow and behaviour of professionals, therefore it is crucial to meticulously identify barriers and facilitators during the pre-implementation stage to address them before the actual implementation. The aim of this study was to develop an implementation plan directed at the integration of the KMST within everyday practice in multiple physiotherapy clinics.

methodsA two-step research approach was applied using the Consolidated Framework for Implementation Research. First, a needs assessment was performed to identify barriers and facilitators for the implementation of the KMST. This process involved semi-structured interviews with four implementation experts with scientific knowledge and experience in the physiotherapeutic field and three context mapping sessions with four physiotherapists. Second, implementation strategies were selected and combined with their proposed operationalization (materials and actions) to address the barriers and facilitators.

resultsThe inventory of barriers and facilitators was grouped into five themes; (1) the KMST needs to be understood and appreciated, (2) physiotherapists need to feel and be competent to work with the KMST, (3) the KMST needs to be applied in physiotherapy clinics and implementation needs to be monitored, (4) several interest holders need to be involved, and (5) resources are necessary to facilitate implementation. Each theme included both barriers and facilitators. The developed implementation plan consists of various implementation strategies and practical materials and actions: develop communication materials and an e-learning to train physiotherapists how to apply the KMST, compose a core team of early adoptors and a learning community, align the KMST with the electronic patient file, monitor and evaluate application of the KMST.

conclusionsThe combined data from the interviews and context mapping sessions helped to identify key factors that need to be addressed to enhance successful implementation of the KMST in daily practice of physiotherapy clinics. A future effect study should assess whether the implementation materials and actions effectively support physiotherapists in applying the KMST, and whether this leads to sustained physical activity among their patients.

Indexed as

ExerciseHealth PromotionPhysical TherapistsPhysical Therapy ModalitiesSelf-ManagementHumansInterviews as TopicNeeds AssessmentBehaviour changeHealth promotionImplementationPhysical activityPhysical therapist

Identifiers

PMID41430610
PMCPMC12838495

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