Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury

Femke Hoekstra*, Heather L. Gainforth, Rogier Broeksteeg, Stephanie Corras, Delaney Collins, Sonja Gaudet, Emily E. Giroux, Shannon McCallum, Jasmin K. Ma, Diane Rakiecki, Shannon Rockall, Rita van den Berg-Emons, Anniek van Vilsteren, Jereme Wilroy, Kathleen A. Martin Ginis

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

    1 Citaat (Scopus)
    18 Downloads (Pure)


    Objectives: This project used a systematic and integrated knowledge translation (IKT) approach to co-create theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury (SCI). Methods: Guided by the IKT Guiding Principles, we meaningfully engaged research users throughout this project. A systematic approach was used. An international, multidisciplinary expert panel (n = 15), including SCI researchers, counselors, and people with SCI, was established. Panel members participated in two online meetings to discuss the best practices by drawing upon new knowledge regarding counselor-client interactions, current evidence, and members’ own experiences. We used concepts from key literature on SCI-specific physical activity counseling and health behavior change theories. An external group of experts completed an online survey to test the clarity, usability and appropriateness of the best practices. Results: The best practices document includes an introduction, the best practices, things to keep in mind, and a glossary. Best practices focused on how to deliver a conversation and what to discuss during a conversation. Examples include: build rapport, use a client-centred approach following the spirit of motivational interviewing, understand your client’s physical activity barriers, and share the SCI physical activity guidelines. External experts (n = 25) rated the best practices on average as clear, useful, and appropriate. Conclusion: We present the first systematically co-developed theory- and evidence-based best practices for SCI physical activity counseling. The implementation of the best practices will be supported by developing training modules. These new best practices can contribute to optimizing SCI physical activity counseling services across settings.

    Originele taal-2English
    Aantal pagina's14
    TijdschriftJournal of spinal cord medicine
    StatusE-pub ahead of print - 29-mrt.-2023

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