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. 2022 Jul 11;10:908484. doi: 10.3389/fpubh.2022.908484

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