Development of a coaching protocol to enhance self-efficacy within outpatient physical therapy

Review written by Dr Mariana Wingood info

Key Points

  1. 70% of patients did not adhere to a home exercise program.
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The benefits of physical therapy are maximized and maintained through Home Exercise Programs (HEP) (1). Completing HEPs as prescribed improves patients’ exercise levels and mobility (1). Despite the benefits of HEPs, 70% of patients do not adhere to them.

The vast benefits of HEP and the current low adherence rates highlight the vital need to identify and evaluate strategies that can address low HEP adherence, and impact mobility short-term and long-term (2).

The aim of this study was to describe the development of the S pecific, M easurable, A ction-Oriented, R ealistic, and T imed (SMART) Coaching Protocol to increase exercise self-efficacy in middle-aged and older adults participating in the Live Long Walk Strong Rehabilitation Program (LLWS).

Completing home exercise programs as prescribed improves patients’ exercise levels and mobility.
Each session in the SMART Coaching protocol focuses on a different aspect of the patient’s end goal.


Design: A Knowledge to Action Framework embedded study within a randomized controlled trial.

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