Bakgrund: Digitala patientmöten ökar med visionen om ökad e-hälsa, det kan användas för att nå fler patienter och verka kompletterande till traditionell fysioterapi. Det finns lite information om digitala patientmöten med fokus på att kunna stödja beteendeförändring. Syfte: Syftet med studien var att undersöka hur fysioterapeuter beskriver sina möjligheter och begränsningar att kunna stödja beteendeförändringar hos patienter i digitala patientmöten.Metod: Studien utfördes som en kvalitativ intervjustudie med en induktiv ansats. Sex fysioterapeuter deltog i studien och data från intervjuerna analyserades med en kvalitativ innehållsanalys. Resultat: Intervjuerna resulterade i fem kategorier med tolv underkategorier. Dessa kategorier var: behov att överbrygga det fysiska avståndet, digital fysioterapi passar kortare, enklare kontakter, krävs mer tydlighet i digitala möten för att få med patienten, avsaknaden av fysisk kontakt vid digital fysioterapi hindrar samt rutin för uppföljning. Slutsatser: Deltagarna beskrev det digitala patientmötet som positivt för enkla och snabba patientkontakter. Dock menade de att det inte kan ersätta traditionell fysioterapi då avsaknaden av den fysiska kontakten och den bristande uppföljningen begränsar deras möjligheter att stödja beteendeförändringar. Studien ger grund för fortsatt forskning om organisatorisk implementering av stödjande arbetssätt för beteendeförändringar i digital / Background: Meeting patients in a digital format increases with the vision of increased e-health. It can be useful to reach more patients and work complementary to traditional physiotherapy. There is little information on digital patient meetings with a focus on being able to support behavioral changes. Aim: The aim of this study was to investigate how physiotherapists describe their possibilities and limitations to support behavioral changes in digital patient meetings.Method: The study was conducted as a qualitative interview study with an inductive approach. Six physiotherapists participated in this study and data from the interviews were analyzed with a qualitative content analysis. Result: The interviews resulted in five categories with twelve subcategories. These categories were: the need to bridge the physical distance, digital physiotherapy fits for shorter, simpler contacts, more clarity is required in digital meetings to engage the patient, the lack of physical contact during digital physiotherapy prevents and routines for follow-up. Conclusions: The participants described the digital patient meetings as positive for simple and quick patient contacts. However, they meant that it could not replace the traditional physiotherapy since the lack of physical contact and the lack of follow-up limits their ability to support behavioral changes. This study provides support for continued research on the organizational implementation of supporting working methods for behavioral change in a digital environment.

Bakgrund: Psykisk ohälsa i samhället ökar och många patienter har svårt att fullfölja behandling som involverar rörelse, vilket kan leda till livslånga symptom och än värre besvär. Starka och påfrestande emotioner har diskuterats som en anledning till bristande följsamhet sett till basal kroppskännedom, men andra orsaker kan också urskiljas. Syfte: Att beskriva fysioterapeuters erfarenhet och upplevelse av faktorer som kan påverka individens följsamhet till basal kroppskännedom som behandling inom psykisk ohälsa ur ett beteendemedicinskt perspektiv.    Metod: Denna kvalitativa studie som bygger på sex semistrukturerade intervjuer har gjorts med en induktiv ansats.    Resultat: Studien fångar upp en upplevd koppling mellan patientens sjukdom och symptom och bristande följsamhet. Vidare är informanternas erfarenhet och upplevelse att vem fysioterapeuten är, hur pass bra patienten förstår vad basal kroppskännedom är, att behandlingen är mer praktisk och involverar mindre prat, att det finns ett gott samarbete mellan fysioterapeut och patienten som leder till en allians samt vem patienten är kan ses som faktorer som tillsammans eller var för sig kan påverka följsamheten.   Slutsats: Utifrån informanternas upplevelser och erfarenheter att det är nödvändigt att ta hänsyn till och hantera även psykologiska och sociala perspektiv hos patienten för att följsamhet till basal kroppskännedom ska uppstå. / Background: Mental illness in society is increasing and many patients find it difficult to adhere to treatment that involves movement, which can lead to lifelong symptoms and increased problems. Strong and stressful emotions have been discussed as a reason for lack of adherence to basic body awareness, but other reasons can also be discerned. Aim: To describe physiotherapists' experiences of factors that can influence the individual's adherence to basic body awareness as treatment in mental illness from a behavioral medicine perspective. Method: This qualitative study, which is based on six semi-structured interviews, has been done with an inductive approach.   Result: The study captures a perceived connection between the patient's illness and symptoms and lack of adherence. Furthermore, the informants' experience is who the physiotherapist is, how well the patient understands what basic body awareness is, that the treatment is more practical and involves less talking, that there is good cooperation between the physiotherapist and the patient which leads to an alliance and who the patient is can be seen as factors that together or individually can affect adherence.   Conclusion: Based on the experiences of the informants, it is necessary to take into account and also to manage the psychological and social perspectives of the patient in order for adherence to basic body awareness treatment to occur.

The current study used a randomized control design to determine if an implementation intention intervention based on the Health Action Process Approach would increase exercise behavior in volunteer firefighters. One hundred forty-seven male and female volunteer firefighters from nine fire departments participated. The treatment group received a survey that prompted them to create exercise implementation intentions by describing "where," "when," and "how" they will exercise, while the control group survey included a general exercise message. We hypothesized that the implementation intervention would increase exercise behavior while the general exercise message would have no effects on exercise, that earlier stage-of-change exercisers would show greater increases in exercise than late-stage exercisers and that there would be an interaction between the intervention and stage membership such that the intervention would be more effective among firefighters in earlier-stage exercisers. We also hypothesized that the intervention would indirectly decrease sedentary behavior. Negative binomial regression showed that the intervention (p = .03) was a statistically significant predictor of exercise minutes, supporting the first hypothesis. However, using exercise sessions and leisure time as dependent variables, no significant effects were found for the intervention. Thus, hypothesis one was only partially supported by the results. A stronger group-administered implementation intention formation intervention may be more effective in increasing exercise behavior in volunteer firefighters. Participants who self-identified as early-stage exercisers were more likely to increase exercise behavior; however, the effects of stage on behavior change were not significant in any of the analyses, leading to the conclusion that hypothesis two had to be rejected. Further, there was no significant stage-by-intervention interaction in any of the analyses, lending no support to hypothesis three. However, a tendency in the expected direction was detected, suggesting that a low-intensity implementation formation intervention may increase exercise time in early-exercise stage volunteer firefighters more than among late-stage members. In conclusion, this research suggests implementation intention formation influences increased exercise behavior in volunteer firefighters who do not exercise or are not regular exercisers. Future research with a stronger intervention is warranted.

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Determinants of wearing a bicycle helmet were examined. Interindividual differences in helmet wearing were formalized with three different health psychological theories. The Protection Motivation Theory (PMT) [1], explains intention for a health behavior using subjective beliefs on the efficacy and costs of a specific health behavior, self-efficacy and risk and severity of negative consequences as well as benefits of not doing said behavior. The Theory of Planned Behavior (TPB) [2] uses attitude, subjective norms and behavioral control about a (health) behavior to predict intention to a behavior, which in turn can predict actual behavior. Lastly, the Health Action Process Approach (HAPA) [3] is similar to PMT, but puts more emphasis on self-efficacy while omitting costs of beneficial behavior. lt includes both intention and behavior, as well as planning as an intermediate step between intention and behavior. [From: Theory]

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