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  4. Professionals’ knowledge, skills and confidence on using the best practices for spinal cord injury physical activity counseling in Canada and the Netherlands

Professionals’ knowledge, skills and confidence on using the best practices for spinal cord injury physical activity counseling in Canada and the Netherlands

The Journal of Spinal Cord Medicine, 2025 · DOI: 10.1080/10790268.2024.2391595 · Published: September 18, 2024

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

This study investigates how well Canadian and Dutch professionals know, can do, and feel confident in using the recommended methods for advising people with spinal cord injuries (SCI) about physical activity (PA). The study found that professionals in both countries generally have good knowledge, skills, and confidence in using these best practices, especially regarding how to have conversations and what to discuss during them. The findings suggest that ongoing efforts to promote PA for people with SCI in both countries may have contributed to the high skill levels. The results will be used to create training programs to improve SCI PA counseling further.

Study Duration
Not specified
Participants
45 Canadian and 41 Dutch respondents
Evidence Level
Not specified

Key Findings

  • 1
    Canadian and Dutch respondents scored generally high on their knowledge, skills and confidence levels for using the SCI PA counseling best practices.
  • 2
    Dutch respondents scored themselves generally higher compared to Canadians regarding confidence levels on how to have a PA conversation, focusing on building rapport, using a client-centered approach and tailoring the support.
  • 3
    A significant number of respondents reported barriers to improving their knowledge and skills, with lack of time and reimbursement being prominent issues, especially in Canada.

Research Summary

This study aimed to compare the knowledge, skills, and confidence of Canadian and Dutch counselors regarding best practices for physical activity (PA) counseling for individuals with spinal cord injury (SCI). The results indicated that both Canadian and Dutch counselors generally reported high levels of knowledge, skills, and confidence in delivering PA counseling, potentially due to existing SCI-specific PA promotion efforts in both countries. The study identified some differences between the two countries, such as Dutch respondents reporting higher confidence in certain counseling techniques and Canadians facing more barriers related to resources and reimbursement.

Practical Implications

Training Module Development

The survey findings were used to inform the development of evidence-based training modules on SCI PA counseling, tailored to address the specific challenges and needs identified by counselors.

Cross-Country Collaboration

The study may inspire cross-country collaboration and exchange to optimize the organization and delivery of PA counseling services for adults with SCI.

Targeted Support

Recognizing the barriers faced by counselors, particularly in Canada, can lead to the development of targeted support systems to address issues such as lack of time and reimbursement.

Study Limitations

  • 1
    No validated survey was used.
  • 2
    The study had a relatively small sample size.
  • 3
    Most respondents identified themselves as a woman, were straight, and of European descent.

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