PTOTOtherFrontiers in rehabilitation sciences2022

Responding to stakeholder needs to engage rehabilitation professionals in the delivery of evidence-based health programming for adults with osteoarthritis.

Julia Chevan, Maureen Barrett, Kimberly Nowakowski and 4 others

PMID 36188917

WHAT IT FOUND

In a physical therapy program, students coaching free self-directed walking sessions reported communication and professional growth. 62 adults with osteoarthritis completed six weeks; 23 withdrew.

Participants said coaching kept them interested and the program motivated them to become more active.

Key findings

01Students who coached participants reported communication skills and professional growth as main themes.

02The program was delivered to 62 participants who completed the entire 6-week program; 23 started but withdrew.

03Post-session survey feedback was generally positive; respondents said coaching kept them interested and the program motivated them to become more active.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

This is a descriptive implementation report, not a clinical trial, so it cannot show that the program or coaching improved osteoarthritis symptoms or function. Participants received the self-directed Walk With Ease program together with weekly student coaching and a grant-funded guidebook, so the paper cannot separate what any one component contributed. Only 62 adults completed the program, and 23 withdrew; the paper attributes withdrawals partly to the pandemic, personal reasons, illness, and technology problems. Student reflections are self-reported and come from a single Doctor of Physical Therapy program, so they may not reflect other clinics or professions. Participant survey results are described as generally positive and majority agreement, but the text does not give exact counts or percentages. The program was run by students under faculty supervision, not by licensed clinicians, and required faculty time and adaptation for scheduling, attrition, and technology issues. The authors' claims that the model is scalable and could be adopted by other programs are opinions from the paper, not tested results.

Declared interests

The project was funded by the U.S. Centers for Disease Control and Prevention and the Department of Health and Human Services with a $2,000,000 award, 100% funded by CDC/HHS. The authors declared no commercial conflicts of interest.

The easy way to misread this

Do not conclude that student coaching improves osteoarthritis outcomes. The paper reports implementation and satisfaction, not a tested effect; participants also received the Walk With Ease walking program itself, so the contribution of coaching cannot be separated from the walking program. The positive survey comments are about the experience, not measured pain or function.

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