The implementation of a physical activity counseling program in rehabilitation care: findings from the ReSpAct study

Hoekstra, Femke, Hoekstra, Trynke, van der Schans, Cees P., Hettinga, Florentina, van der Woude, Lucas H. V. and Dekker, Rienk (2021) The implementation of a physical activity counseling program in rehabilitation care: findings from the ReSpAct study. Disability and Rehabilitation, 43 (12). pp. 1710-1721. ISSN 0963-8288

The implementation of a physical activity counseling program in rehabilitation care findings from the ReSpAct study.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0.

Download (2MB) | Preview
Official URL:


Purpose: This study aimed to evaluate the implementation of a physical activity counseling program in rehabilitation and to study heterogeneity in received counseling and investigate its association with changes in patients’ physical activity outcomes. Methods: This prospective cohort study was conducted in 18 rehabilitation institutions. Data were collected using surveys completed by professionals (n= ±70) and patients (n = 1719). Implementation was evaluated using different process outcomes: reach, dosage, satisfaction, maintenance. Patients’ physical activity outcomes included changes in total minutes/week of physical activity. Latent class analyses were conducted to identify profiles of received counseling characteristics and multilevel models were used to investigate associations with physical activity outcomes. Results: 5873 Patients were provided with motivational interviewing-based counseling after rehabilitation. Professionals and patients were positive about the program. Sixteen institutions (89%) formally agreed to continue the program. The four identified profiles of counseling characteristics illustrate a large variation in received counseling among patients. No substantial differences in physical activity outcomes were found between profiles. Conclusion: After a three-year program period, the physical activity counseling centers were sustainably implemented in Dutch rehabilitation care. This study illustrated an innovative approach to assess heterogeneity in implementation outcomes (e.g., counseling profiles) in relation to program outcomes (e.g., physical activity).Implications for rehabilitation Physical activity counseling after rehabilitation is important to support people with disabilities in making the step from rehabilitation-based physical activities to community-based physical activities. Establishing “Physical Activity Counseling Centers” is a promising “disability-overarching” strategy to promote physical activity after rehabilitation. Although the actual received counseling (dosage) varied among patients, this did not coincide with large differences in physical activity outcomes. The training in Motivational Interviewing, the financial incentives, and the advisory support were considered as important or essential ingredients for a successful implementation of the counseling program in rehabilitation practice.

Item Type: Article
Additional Information: Funding Information: This study was funded by the Dutch Ministry of Health, Welfare and Sport [grant no. 319758] and Stichting Beatrixoord Noord-Nederland. The study was supported by Stichting Onbeperkt Sportief (since 2016 part of the Knowledge Centre for Sport Netherlands and Stichting Special Heroes Nederland).
Uncontrolled Keywords: counseling, Exercise, health promotion, implementation, latent class analyses, people with disabilities
Subjects: B100 Anatomy, Physiology and Pathology
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Rachel Branson
Date Deposited: 01 Jun 2022 14:21
Last Modified: 01 Jun 2022 14:30

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics