ERA

Download the full-sized PDF of Intentions of Canadian healthcare professionals to prescribe exercise to people with amyotrophic lateral sclerosisDownload the full-sized PDF

Analytics

Share

Permanent link (DOI): https://doi.org/10.7939/R3TQ5RN7F

Download

Export to: EndNote  |  Zotero  |  Mendeley

Communities

This file is in the following communities:

Graduate Studies and Research, Faculty of

Collections

This file is in the following collections:

Theses and Dissertations

Intentions of Canadian healthcare professionals to prescribe exercise to people with amyotrophic lateral sclerosis Open Access

Descriptions

Other title
Subject/Keyword
ALS
Healthcare Professional
Theory of Planned Behaviour
Exercise
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Merali, Aaliya S
Supervisor and department
Dal Bello-Haas, Vanina (School of Rehabilitation Science McMaster University)
Berry, Tanya (Physical Education and Recreation)
Jones, Kelvin (Physical Education and Recreation)
Examining committee member and department
Berry, Tanya (Physical Education and Recreation)
Jones, Kelvin (Physical Education and Recreation)
Cleary, Stuart (Communication Sciences and Disorders)
Dal Bello-Haas, Vanina (School of Rehabilitation Science McMaster University)
Department
Physical Education and Recreation
Specialization

Date accepted
2015-09-04T09:27:04Z
Graduation date
2015-11
Degree
Master of Science
Degree level
Master's
Abstract
Lack of effective treatment options exist for individuals with amyotrophic lateral sclerosis (ALS). A relatively inexpensive treatment option for people with ALS (PALS) is exercise. However, it is unclear whether healthcare professionals (HCP’s), working in ALS clinics across Canada, currently prescribe exercise to PALS. The aim of this study is to measure HCP’s intentions towards exercise for their patients with ALS. The theory of planned behaviour (TPB) was used to create and structure items in the survey. The web survey was sent to 17 ALS clinics in Canada. A total of 84 HCP’s completed the survey. We analyzed factors facilitating or hindering HCP’s to prescribe strength, aerobic and flexibility exercise to PALS. Results demonstrate that HCP’s are divided in their intentions to prescribe exercise to their patients with ALS. Perceived behavioural control (PBC) was the only TPB construct significantly related to the intention to prescribe all three exercise modes among physicians in the sample. For the non-physician HCP group, a significant correlation was found between the PBC construct and the intention to prescribe flexibility exercise (P < 0.01). Significant correlations in the non-physician group were also found between intentions to prescribe exercise for all three modes of exercise and: use, familiarity, and proportion of patients capable of exercising according to the ACSM guidelines and extent of team involvement present (P < 0.01). Qualitative themes revealed that the main reasons physicians do not prescribe exercise are related to: lack of confidence and competence (31% physicians), perceptions of lack of evidence supporting benefits of exercise in PALS (22%) and lack of time, space and resources to prescribe exercise to PALS (22%). The main reasons non-physician HCP’s did not prescribe exercise to their patients were related to: lack of confidence and competence (32% non-physician) and patient compliance and tolerance (30%). Our study suggests that a main deterrent among physicians are their perceptions regarding sufficient scientific evidence to reinforce the benefits of exercise prescription for PALS. Finding from our study also indicate that 55% of non-physician HCP’s believe prescribing exercise to PALS is outside their scope of practice. These results imply that different approaches may be required to increase exercise prescription intentions among different HCP specialities.
Language
English
DOI
doi:10.7939/R3TQ5RN7F
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
Citation for previous publication

File Details

Date Uploaded
Date Modified
2015-09-04T15:27:05.451+00:00
Audit Status
Audits have not yet been run on this file.
Characterization
File format: pdf (PDF/A)
Mime type: application/pdf
File size: 2490585
Last modified: 2016:06:24 17:46:42-06:00
Filename: Merali_Aaliya_S_201508_MSc.pdf
Original checksum: d581f3cbf405a3508efe2f46cbe99683
Activity of users you follow
User Activity Date