Comparing Coach2Move and Usual Physical Therapy Among Older Adults: A Qualitative Study

Area of Science:

• Gerontology
• Physical Therapy
• Behavioral Science

Background:

• Many older adults in the US do not meet recommended physical activity levels.
• The Coach2Move program shows promise for improving physical activity.
• Limited research exists on patient perspectives comparing Coach2Move to usual physical therapy.

Purpose of the Study:

• To examine older adults' perceptions and experiences of the Coach2Move program compared to usual physical therapy care.
• To understand patient preferences regarding different physical therapy approaches for promoting physical activity.

Main Methods:

• Qualitative study using semi-structured interviews and reflexive thematic analysis.
• 15 community-dwelling older adults (≥65 years) with common age-related health issues participated.
• Participants underwent two randomized physical therapy evaluations: Coach2Move and usual care.

Main Results:

• Four key themes emerged: evaluation style, therapist characteristics, person-centeredness, and behavior change.
• Both physical therapy approaches were viewed positively by participants.
• Coach2Move was frequently favored for its challenging nature, person-centered approach, and support for behavior change.

Conclusions:

• Coach2Move received positive patient perceptions, suggesting its collaborative and tailored approach is beneficial.
• The program's focus on personalized activity may enhance behavior change and physical activity engagement in older adults.
• Findings offer insights into effective strategies for promoting physical activity and behavior change in the geriatric population.