Table 4.
Matrices of change objectives for implementation of Coach2Move by physical therapists.
| Performance objectives | Determinants | |||
|---|---|---|---|---|
| Knowledge | Skills and self-efficacy | Outcome expectations | Perceived norms | |
| Evaluate personal strengths and challenges in delivering Coach2Move | Describe components of effective delivery strategies alongside self-evaluation | Expresses confidence reflecting on and assessing own practice | Expects reflective practice will improve proficiency | Recognizes responsibility for own professional development |
| Use motivational interviewing to elicit reasons to change PA | Describe key components of motivational interviewing | Demonstrate proficiency in motivational interviewing skills Take action, e.g., use Coach2Move template to guide conversations about PA |
Expect that motivational discussions around physical activity will increase patient activation and engagement | Recognizes that motivational interviewing is within the scope of physical therapy practice and aligns with the vision of the profession. |
| Tailor program to individual functional needs and readiness to change | Describe potential analyses for common functional impairments Explain how to modify treatment to align with patient presentation |
Design task analysis appropriate for patient goals Confident in adapting treatment plan to patient presentation |
Evaluate how task analysis can improve patient engagement, efficiency, and treatment planning | |
| Identify inspiring and measurable goals | Describe how to identify and quantify an inspirational goal | Demonstrate how to progress from a functional impairment to understanding a patient's motivation to change | Describe how an inspirational goal improves patient adherence | |
| Use appropriate measurement across the episode of care | Select appropriate measurement tools for patient presentation | Explain how measurement relates to patient goals | Expect that regular measurement can improve decision-making | Recognize professional obligation to support clinical decisions through measurement |
| Empower patient to monitor their own progress and identify solutions | Identify different methods for negotiating a treatment plan with patient | Demonstrate ability to collaborate with patient on treatment planning Demonstrate MI techniques to elicit patient ideas and commitment to monitoring |
Recognize that empowering patients will lead to improved adherence at the patient level and job satisfaction for the physical therapist | Recognize physical therapists need to improve person-centered communication to increase engagement and self-management |