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首页> 外文期刊>Physiotherapy theory and practice >A clinical reasoning model focused on clients' behaviour change with reference to physiotherapists: its multiphase development and validation
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A clinical reasoning model focused on clients' behaviour change with reference to physiotherapists: its multiphase development and validation

机译：着重于客户理疗师行为改变的临床推理模型：其多阶段开发和验证

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Background and purpose: A biopsychosocial approach and behaviour change strategies have long been proposed to serve as a basis for addressing current multifaceted health problems. This emphasis has implications for clinical reasoning of health professionals. This study's aim was to develop and validate a conceptual model to guide physiotherapists' clinical reasoning focused on clients' behaviour change. Methods: Phase 1 consisted of the exploration of existing research and the research team's experiences and knowledge. Phases 2a and 2b consisted of validation and refinement of the model based on input from physiotherapy students in two focus groups (n = 5 per group) and from experts in behavioural medicine (n = 9). Results: Phase 1 generated theoretical and evidence bases for the first version of a model. Phases 2a and 2b established the validity and value of the model. The final model described clinical reasoning focused on clients' behaviour change as a cognitive, reflective, collaborative and iterative process with multiple interrelated levels that included input from the client and physiotherapist, a functional behavioural analysis of the activity-related target behaviour and the selection of strategies for behaviour change. Conclusions: This unique model, theory-and evidence-informed, has been developed to help physiotherapists to apply clinical reasoning systematically in the process of behaviour change with their clients.
机译：背景和目的：长期以来，人们一直提出一种生物社会心理方法和行为改变策略，以作为解决当前多方面健康问题的基础。这种强调对卫生专业人员的临床推理有影响。这项研究的目的是开发和验证一个概念模型，以指导物理治疗师针对客户行为改变的临床推理。方法：第一阶段包括对现有研究的探索以及研究团队的经验和知识。阶段2a和2b包括根据两个焦点小组中的物理治疗学生（每组n = 5）和行为医学专家（n = 9）的输入对模型进行验证和完善。结果：第一阶段为模型的第一个版本生成了理论和证据基础。阶段2a和2b确定了模型的有效性和价值。最终模型描述了临床推理，将客户的行为改变作为认知，反思，协作和迭代的过程，具有多个相互关联的水平，包括客户和物理治疗师的输入，与活动有关的目标行为的功能行为分析以及对行为的选择。行为改变策略。结论：这种独特的模型具有理论和证据依据，旨在帮助物理治疗师在与客户的行为改变过程中系统地应用临床推理。

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