15 maio 2021
PT, PhD - The University of British Columbia, Faculty of Medicine, Department of Physical Therapy, Vancouver, Canada
Objetivos de aprendizagem
At the end of the workshop, participants will be able to assess health and lifestyle behaviors and prescribe effective strategies for effective lifestyle behavior change, simply and within the context of a typical physical therapy visit. Objectives include:
- The rationale for physical therapists being leaders in healthy living and health behavior change regardless of practice setting
- The relevance of the International Classification of Function, Disability and Health as a basis for health focused care and the World Health Organization definition of health
- Health measurement and its unique features
- Behavior change theories and their applications
- Measures and measuring health behaviors (smoking, nutrition, physical activity, sleep, stress, alcohol)
- The importance of ‘effect size’ (dose response relationship) in the context of health behavior change with reference to smoking cessation, healthy nutrition, healthy weight, being physically active, sleeping well, and stress management
- Tools for assessing motivation and self-efficacy
- The fundamentals of motivational interviewing, cognitive behavior therapy, behavior therapy, feedback strategies, the 5 A’s and the 5 R’s
- The need for a multipronged approach to addressing NCDs ranging from government policy, health professional bodies, health professional education programs, research, as well as clinicians; and inter-professional core competencies in health assessment and behavior change
Healthy living practices maximize health throughout the life cycle as well as constitute first-line interventions to prevent lifestyle-related non-communicable diseases (NCDs) (e.g., cardiovascular conditions, chronic lung conditions, cerebrovascular conditions, type 2 diabetes mellitus, obesity, and some cancers), reverse them in some cases, as well as manage them. In addition, the risk factors for NCDs are those for musculoskeletal conditions, conditions most frequently managed by physical therapists. This workshop focuses on health care or health practice based on the World Health Organization definition of health; health care is distinct from conventional biomedical illness care (often erroneously termed health care). It focuses on health practice (theory and application) as clinical competencies for physical therapists, and its implementation in mainstream primary care. Standard health competencies for physical therapists are described in relation to smoking cessation, maximal nutrition, weight control, physical activity and exercise promotion, and stress management. These competencies need to be integrated into standard physical therapy management of all patients regardless of their presenting diagnoses and conditions. The literature with respect to maximizing health through healthy living (individual and societal levels) is presented, and the impact of a health focus in people who are ill, disabled or injured, as well as those who are free of illness conditions is described. Finally, the impact of individual health on collective societal health is discussed.
Metodologias de ensino
Through a series of case studies and small and large group discussions, participants will be able to identify the impact of lifestyle behavior change on symptom eradication or reduction in their patients with the assurance of improved long-term health and functioning.
Recursos didáticos necessários
The necessary required reading materials are marked with ‘***’. Please bring ‘3 copies’ of The Health Improvement Card to the workshop. Website for its pdf is in bibliography below.
O 4º Webinar será em inglês, sem tradução.
Total de horas
Este webinar decorrerá a 15 de Maio às 17h00 e terá a duração de 3 horas.
As inscrições para o 4º Webinar terminam a 13-05-2021.
***Dean E, Skinner M....Stensdotter A-K, Wong WP. Health competency standards in physical therapist practice. Phys Ther. 2019; Jun 12. pii: pzz087. doi: 10.1093/ptj/pzz087.
***The Health Improvement Card. World Health Professions Alliance. https://www.whpa.org/sites/default/files/2018-12/ncd_Health-Improvement-Card_web.pdf. (each participant will need to bring 3 copies to the workshop).
***Dean E, Söderlund A. What is the role of lifestyle behaviour change associated with non-communicable disease risk in managing musculoskeletal health conditions with special reference to chronic pain? BMC Musculoskelet Disord. 2015 Apr 13;16:87. doi: 10.1186/s12891-015-0545-y.
Dean E, Greig A, Murphy S….Garland JS. Raising the priority of lifestyle-related non-communicable diseases in physical therapy curricula. Phys Ther 2015; Dec 17. http://ptjournal.apta.org/content/early/2015/12/16/ptj.2015014. doi: 10.2522/ptj.20150141.
Dean E, Moffat M….Skinner M, Söderlund A. Toward core inter-professional health-based competencies to address the non-communicable diseases and their risk factors: Curriculum content analysis. BMC Pub Health. 2014; 14:717 doi:10.1186/1471-2458-14-717.
Dean E….Skinner M….Wong WP (28 international contributors across WCPT regions). The Second Physical Therapy Summit on Global Health: Developing an action plan to promote health in daily practice and reduce the burden of non-communicable diseases. Physiother Theory Pract 2013, ahead of print. http://informahealthcare.com/doi/pdf/10.3109/09593985.2013.856977. Physiother Theory Pract. 2014 May;30(4):261-75. doi: 10.3109/09593985.2013.856977. Epub 2013 Nov 19.
World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. Geneva: Switzerland, 2013. Available from: http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf.
Dean E, Al-ObaidI S, Dornelas de Andrade A….Skinner M, Wong WP. (33 international contributors across WCPT regions). The First Physical Therapy Summit on Global Health: Implications and recommendations for the 21st century. Physiother Theory Pract. 2011;May 25. [Epub ahead of print]; http://dx.doi.org/10.3109/09593985.2010.544052.
***Beaglehole R, Bonita R, Alleyne G, et al, for The Lancet NCD Action Group: UN high-level meeting on non-communicable disease: addressing four questions. Lancet. 2011;378:449-456.
Dean E. Physical Therapy Practice in the 21st Century: A New Evidence-informed Paradigm and Implications. Invited Special Issue Editor. Physiother Theory Pract 2009;25:327-462.