Health Promotion and Wellness in Neurologic Physical Therapy: Strategies to Advance Practice.
Miriam R Rafferty, Elissa C Held Bradford, Stacy Fritz and 4 others
PMID 34507339WHAT IT FOUND
Seven expert clinicians outlined four strategies for neurologic PTs to integrate health promotion: defining scope, sharing resources, adopting delivery models, and building partnerships.
These are consensus recommendations for practice structure, not tested interventions with proven patient outcomes.
Key findings
01The paper proposes four strategies for advancing health promotion in neurologic PT: developing a consensus scope of practice, increasing knowledge of resources, promoting delivery models, and encouraging advocacy and partnerships.
02Four specific delivery models were identified to address barriers: acute-to-outpatient continuum, proactive consultative 'dental' model, skilled maintenance model, and health promotion center model.
03The authors explicitly state the work lacks systematic review and formal Delphi consensus, relying instead on environmental scanning and expert opinion.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The strategies are based on expert consensus and an environmental scan, not on a systematic review or formal Delphi process. The suggested strategies primarily target clinicians and may not address problems experienced by clients in underserved communities or specific geographic areas. Limited information is provided on how to change processes and policies at the level of health systems or payers. The paper does not report patient outcomes or test the effectiveness of the proposed strategies.
Declared interests
The paper represents the work of the ANPT HPW Task Force. The ANPT Board of Directors selected Task Force members. The work was supported by the NIH and other government/non-US government sources as listed in publication types, but specific financial conflicts of interest for the authors are not detailed in the provided text beyond the organizational affiliation.
The easy way to misread this
Do not interpret these strategies as evidence-based interventions proven to improve patient outcomes. The paper describes consensus recommendations for how to structure health promotion in neurologic PT, not clinical trial results showing that these models work.