Jiali Lu, Fei Li, Mei Ye
PANoptosis and Autophagy-Related Molecular Signature and Immune Landscape in Ulcerative Colitis: Integrated Analysis and Experimental Validation
Journal of inflammation research
article reports recent randomized clinical trial showed personalized approach physical therapy coach2move physical therapist specialized geriatrics ptg costeffective usual physical therapy care people mobility problems n 130 mean age 78 years used explanatory mixedmethods sequential design alongside randomized clinical trial gain insight contrast 2 interventions b fidelity coach2move delivery c ptgs experiences coach2move possible barriers facilitators future implementation study included 13 ptgs educated strategy 13 physical therapists expertise geriatrics delivering usual care total 106 medical records available assessment 57 85 coach2move 49 75 usual care quantitative process indicators used analyze electronic medical records determine contrasts phases clinical reasoning fidelity delivery tested using indicator scores focusing 4 key elements coach2move indepth interviews coach2move therapists thematically analyzed explore experiences facilitatorsbarriers related implementation indicator scores showed significant clinically relevant contrasts phases clinical reasoning consistently higher scores among ptgs except treatment plan moreover fidelity coach2move delivery 70 phases except evaluation phase 53 experiences coach2move positive particular extended intake allowing motivational interviewing physical examination indepth problem analysis shared goal setting considered valuable facilitators implementation addition coach2move medical record frequent coaching researcher readiness change therapist barriers 1 use 2 parallel electronic medical record systems 2 clear calendar schedule intake 90 minutes 3 fear losing income 4 sense patients want change lifestyle 5 acknowledging increasing physical activity important goal older adults mobility problems physical therapy based coach2move strategy substantially different usual care future implementation focus increasing regular evaluation feedback taking account individuals contextual factors improving organizational facilities mitigating income loss