Objective The purpose of this study was to characterize factors that influence physical therapist... more Objective The purpose of this study was to characterize factors that influence physical therapists’ physical activity (PA) promotion practices and map these factors to the Theoretical Domains Framework (TDF) to inform future implementation efforts. Methods Six databases (MEDLINE, EMBASE, Scopus, CINAHL, PsychInfo, and Web of Science) were searched from inception to March 11, 2021. Studies were included if they reported physical therapists’ PA promotion practices and factors influencing these practices. Study quality was assessed with a modified Newcastle-Ottawa Scale and the Critical Appraisal Skills Programme checklist. Studies were excluded if they did not separate physical therapist PA promotion practices and influencing factors from other health professionals. Results The search yielded 12,835 references and 27 included studies. Twenty studies were included in a meta-analysis of proportions, whereas 15 studies were included in a meta-analysis of correlations. Very-low to moderat...
Diet and nutrition are critical components of health, recovery from disease and illness, performa... more Diet and nutrition are critical components of health, recovery from disease and illness, performance, and normal growth across the lifespan. Thus, it is important for physical therapists to be knowledgeable about nutrition and to have competency in providing information and guidance to patients/clients. Yet, there is an overwhelming amount of diet and nutrition information available from numerous sources, which makes it difficult to reach conclusions and determine the importance and relevance to patient care. The purpose of this perspective paper is to increase the knowledge and skills of physical therapists by providing guidelines for healthy eating and outlining diet and nutrition information most relevant for physical therapist practice and to clarify professional scope of practice related to diet and nutrition, including boundaries created by law, and the connection between healthy eating and health outcomes, muscle strength, bone health, and wound healing.
University employee wellness programs have potential to support positive changes in employee heal... more University employee wellness programs have potential to support positive changes in employee health, thereby improving productivity and mitigating the rise in health care costs. The purpose of this article is to describe a theory-driven approach to systematically planning, developing, and implementing a comprehensive university employee wellness program. Long-term program goals were to improve employee health, well-being, and productivity by focusing on decreasing sedentary behavior, increasing physical activity, improving dietary habits, and reducing stress. An ecological approach was taken to identify levels of influence specific to a university setting: intrapersonal, interpersonal, department/college/division, and university. This framework guided the development of program components and strategies, which were grounded in several health behavior change theories. Input from supervisors and employees was incorporated throughout program development. A 15-week trial run, involving ...
The leading cause of morbidity and mortality in the United States is chronic, or noncommunicable,... more The leading cause of morbidity and mortality in the United States is chronic, or noncommunicable, diseases. The impact of chronic diseases on health and wellness can be significantly altered by individual health and behavior choices or modifications. Furthermore, the burden of chronic disease goes beyond health and the health care system and may influence an individual's wellness. The purposes of this article are: (1) to provide a basis for understanding the terms “health” and “wellness,” (2) to identify the knowledge and skills physical therapists need to address behaviors that promote health and wellness and treat and protect against chronic disease, and (3) to discuss barriers and opportunities associated with integrating the promotion of health and wellness into physical therapist practice.
ABSTRACT Assessed the psychometric properties of the Principle-Centered Living Survey (PCLS) and ... more ABSTRACT Assessed the psychometric properties of the Principle-Centered Living Survey (PCLS) and explored the relationships between principle-centeredness (PC) and global self-esteem (SE), wellness orientation (WO), physical self-esteem (PSE), and physical activity (PA). Ss were 232 physical therapy practice employees, fitness club members, and undergraduates. Principal axis factoring determined the PCLS possesses factorial validity. Adequate content and face validity were determined. Internal consistency was identical to the 60-item pilot version indicating the 26-item version is equally reliable. PC was significantly correlated with WO, SE, PSE, and PA but was not correlated with demographics. Principle-centered individuals may have more positive feelings about themselves, may be more internally directed in their approach toward wellness, and may be more likely to participate in PA. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
For more than 20 years, the faculty of the Program in Physical Therapy at Washington University i... more For more than 20 years, the faculty of the Program in Physical Therapy at Washington University in St Louis has focused on diagnosis and classification. Steven Rose, PT, PhD, FAPTA, who directed the program in the 1980s, and Shirley Sahrmann, PT, PhD, FAPTA, Associate Director for Doctoral (PhD) Studies, were the primary initiators of the efforts made by many faculty members to conduct research and refine, elaborate, clarify, and teach the concepts. The program often had considered hosting a conference on diagnosis and classification. After Cynthia Zadai, PT, DPT, CCS, FAPTA, delivered the 2004 John P Maley Lecture at the PT 2004 Meeting in Chicago, it was clear that the time was right for planning an invitational conference. (See page 641 for a Perspective1 adapted from that seminal lecture, from which the title of this editorial is borrowed.) “Diagnosis Dialog I: Defining the ‘ x ’ in D x PT” was held at Washington University in St Louis in July 2006 (Diagnosis Dialog II was held at the Institute of Health Professions of Massachusetts General Hospital in Boston in February 2007). Participants from many different areas of the profession were invited to attend—individuals with recognized expertise in major areas of clinical practice, editors of Association and section journals, Association leaders and senior staff, researchers, academicians—all of whom were known to have an interest in diagnosis. First, the group reviewed a history of diagnosis in physical therapy based on a collection of publications and personal accounts of events. Then, the participants determined the agenda for the rest of the meeting by rank ordering, based on perceived importance, a set of 16 questions derived from the pre-meeting survey that they had completed. There were no formal presentations, just free and open discussions that were spirited, respectful, and extremely rich in information …
The purpose of this study was to identify the personality types of physical therapy (PT) intervie... more The purpose of this study was to identify the personality types of physical therapy (PT) interviewers and applicants, using the Personality Styles (PS) assessment tool, and to determine whether an interview team's personality type influences the rating score given. The PS was validated in a study of 298 students who completed the Myers-Briggs Type Indicator (MBTI) Form G and a PS assessment. By chi-square analysis the PS model appears to be a valid representation of the MBTI (chi 2 = 86.62, p < 0.00001). Subjects for the interview portion of the study were 282 student applicants, 19 faculty, and 47 clinicians from two PT programs. A randomly assigned faculty/clinician team interviewed each applicant. Two one-way ANOVAs were performed with interview score as the dependent variable and 1) applicant personality type in relation to faculty/clinician team (same, different from both, like one) and 2) applicant personality type as the independent variables. Internal consistency of t...
ABSTRACTNon-communicable diseases (NCDs) are the leading cause of death and disability worldwide.... more ABSTRACTNon-communicable diseases (NCDs) are the leading cause of death and disability worldwide. Four chronic NCDs, including cardiovascular disease, cancer, chronic respiratory disease, and diabetes are responsible for more than 80% of NCD-related deaths. Unhealthy behaviors, such as physical inactivity, smoking, poor nutrition, and excessive alcohol consumption are significant causes of chronic NCDs. However, even when faced with potentially debilitating effects associated with chronic NCDs, it is difficult for individuals to change their behaviors and adopt more healthful practices, such as being physically active, refraining from smoking, eating a healthful diet, and refraining from excess alcohol intake. Sometimes barriers seem insurmountable, and affected individuals need guidance. A potential resource that can help individuals overcome personal barriers and successfully improve their health behaviors is the health care provider. However, while health care providers are being...
It has been established that physical therapist practice includes screening for and providing inf... more It has been established that physical therapist practice includes screening for and providing information on diet and nutrition to patients, clients, and the community. Yet, an overwhelming amount of often contradictory diet and nutrition information poses a challenge for physical therapists to identify and maintain knowledge that they can rely on to screen for and discuss these topics with their patients, clients, and community members. The purposes of this perspective paper are to summarize the best known screening tools for general health, diet, and nutrition; provide intervention strategies that can be used to support behavior change related to diet and nutrition; and identify the most relevant resources and approaches from which physical therapist clinicians can build skill in addressing the nutritional needs of patients, clients, and the community.
OBJECTIVE Noncommunicable diseases (NCDs) have increased in prevalence and are now responsible fo... more OBJECTIVE Noncommunicable diseases (NCDs) have increased in prevalence and are now responsible for the majority of the burden of disease. Aligning entry-level physical therapy education with these changing societal needs may position physical therapists to best address them. However, no comprehensive understanding of the practices and attitudes related to population health, prevention, health promotion, and wellness (PHPW) content among accredited United States (US) entry-level Doctor of Physical Therapy (DPT) programs has been established. This study aims to identify practices and attitudes related to PHPW content among accredited US entry-level DPT programs. METHODS A mixed-methods cross-sectional design using an electronic survey was utilized. Program directors of each accredited DPT program were identified using an official CAPTE list and invited to ascertain the perceived importance of PHPW, describe the delivery of PHPW content, and identify factors that influence inclusion of...
Objective The purpose of this study was to characterize factors that influence physical therapist... more Objective The purpose of this study was to characterize factors that influence physical therapists’ physical activity (PA) promotion practices and map these factors to the Theoretical Domains Framework (TDF) to inform future implementation efforts. Methods Six databases (MEDLINE, EMBASE, Scopus, CINAHL, PsychInfo, and Web of Science) were searched from inception to March 11, 2021. Studies were included if they reported physical therapists’ PA promotion practices and factors influencing these practices. Study quality was assessed with a modified Newcastle-Ottawa Scale and the Critical Appraisal Skills Programme checklist. Studies were excluded if they did not separate physical therapist PA promotion practices and influencing factors from other health professionals. Results The search yielded 12,835 references and 27 included studies. Twenty studies were included in a meta-analysis of proportions, whereas 15 studies were included in a meta-analysis of correlations. Very-low to moderat...
Diet and nutrition are critical components of health, recovery from disease and illness, performa... more Diet and nutrition are critical components of health, recovery from disease and illness, performance, and normal growth across the lifespan. Thus, it is important for physical therapists to be knowledgeable about nutrition and to have competency in providing information and guidance to patients/clients. Yet, there is an overwhelming amount of diet and nutrition information available from numerous sources, which makes it difficult to reach conclusions and determine the importance and relevance to patient care. The purpose of this perspective paper is to increase the knowledge and skills of physical therapists by providing guidelines for healthy eating and outlining diet and nutrition information most relevant for physical therapist practice and to clarify professional scope of practice related to diet and nutrition, including boundaries created by law, and the connection between healthy eating and health outcomes, muscle strength, bone health, and wound healing.
University employee wellness programs have potential to support positive changes in employee heal... more University employee wellness programs have potential to support positive changes in employee health, thereby improving productivity and mitigating the rise in health care costs. The purpose of this article is to describe a theory-driven approach to systematically planning, developing, and implementing a comprehensive university employee wellness program. Long-term program goals were to improve employee health, well-being, and productivity by focusing on decreasing sedentary behavior, increasing physical activity, improving dietary habits, and reducing stress. An ecological approach was taken to identify levels of influence specific to a university setting: intrapersonal, interpersonal, department/college/division, and university. This framework guided the development of program components and strategies, which were grounded in several health behavior change theories. Input from supervisors and employees was incorporated throughout program development. A 15-week trial run, involving ...
The leading cause of morbidity and mortality in the United States is chronic, or noncommunicable,... more The leading cause of morbidity and mortality in the United States is chronic, or noncommunicable, diseases. The impact of chronic diseases on health and wellness can be significantly altered by individual health and behavior choices or modifications. Furthermore, the burden of chronic disease goes beyond health and the health care system and may influence an individual's wellness. The purposes of this article are: (1) to provide a basis for understanding the terms “health” and “wellness,” (2) to identify the knowledge and skills physical therapists need to address behaviors that promote health and wellness and treat and protect against chronic disease, and (3) to discuss barriers and opportunities associated with integrating the promotion of health and wellness into physical therapist practice.
ABSTRACT Assessed the psychometric properties of the Principle-Centered Living Survey (PCLS) and ... more ABSTRACT Assessed the psychometric properties of the Principle-Centered Living Survey (PCLS) and explored the relationships between principle-centeredness (PC) and global self-esteem (SE), wellness orientation (WO), physical self-esteem (PSE), and physical activity (PA). Ss were 232 physical therapy practice employees, fitness club members, and undergraduates. Principal axis factoring determined the PCLS possesses factorial validity. Adequate content and face validity were determined. Internal consistency was identical to the 60-item pilot version indicating the 26-item version is equally reliable. PC was significantly correlated with WO, SE, PSE, and PA but was not correlated with demographics. Principle-centered individuals may have more positive feelings about themselves, may be more internally directed in their approach toward wellness, and may be more likely to participate in PA. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
For more than 20 years, the faculty of the Program in Physical Therapy at Washington University i... more For more than 20 years, the faculty of the Program in Physical Therapy at Washington University in St Louis has focused on diagnosis and classification. Steven Rose, PT, PhD, FAPTA, who directed the program in the 1980s, and Shirley Sahrmann, PT, PhD, FAPTA, Associate Director for Doctoral (PhD) Studies, were the primary initiators of the efforts made by many faculty members to conduct research and refine, elaborate, clarify, and teach the concepts. The program often had considered hosting a conference on diagnosis and classification. After Cynthia Zadai, PT, DPT, CCS, FAPTA, delivered the 2004 John P Maley Lecture at the PT 2004 Meeting in Chicago, it was clear that the time was right for planning an invitational conference. (See page 641 for a Perspective1 adapted from that seminal lecture, from which the title of this editorial is borrowed.) “Diagnosis Dialog I: Defining the ‘ x ’ in D x PT” was held at Washington University in St Louis in July 2006 (Diagnosis Dialog II was held at the Institute of Health Professions of Massachusetts General Hospital in Boston in February 2007). Participants from many different areas of the profession were invited to attend—individuals with recognized expertise in major areas of clinical practice, editors of Association and section journals, Association leaders and senior staff, researchers, academicians—all of whom were known to have an interest in diagnosis. First, the group reviewed a history of diagnosis in physical therapy based on a collection of publications and personal accounts of events. Then, the participants determined the agenda for the rest of the meeting by rank ordering, based on perceived importance, a set of 16 questions derived from the pre-meeting survey that they had completed. There were no formal presentations, just free and open discussions that were spirited, respectful, and extremely rich in information …
The purpose of this study was to identify the personality types of physical therapy (PT) intervie... more The purpose of this study was to identify the personality types of physical therapy (PT) interviewers and applicants, using the Personality Styles (PS) assessment tool, and to determine whether an interview team's personality type influences the rating score given. The PS was validated in a study of 298 students who completed the Myers-Briggs Type Indicator (MBTI) Form G and a PS assessment. By chi-square analysis the PS model appears to be a valid representation of the MBTI (chi 2 = 86.62, p < 0.00001). Subjects for the interview portion of the study were 282 student applicants, 19 faculty, and 47 clinicians from two PT programs. A randomly assigned faculty/clinician team interviewed each applicant. Two one-way ANOVAs were performed with interview score as the dependent variable and 1) applicant personality type in relation to faculty/clinician team (same, different from both, like one) and 2) applicant personality type as the independent variables. Internal consistency of t...
ABSTRACTNon-communicable diseases (NCDs) are the leading cause of death and disability worldwide.... more ABSTRACTNon-communicable diseases (NCDs) are the leading cause of death and disability worldwide. Four chronic NCDs, including cardiovascular disease, cancer, chronic respiratory disease, and diabetes are responsible for more than 80% of NCD-related deaths. Unhealthy behaviors, such as physical inactivity, smoking, poor nutrition, and excessive alcohol consumption are significant causes of chronic NCDs. However, even when faced with potentially debilitating effects associated with chronic NCDs, it is difficult for individuals to change their behaviors and adopt more healthful practices, such as being physically active, refraining from smoking, eating a healthful diet, and refraining from excess alcohol intake. Sometimes barriers seem insurmountable, and affected individuals need guidance. A potential resource that can help individuals overcome personal barriers and successfully improve their health behaviors is the health care provider. However, while health care providers are being...
It has been established that physical therapist practice includes screening for and providing inf... more It has been established that physical therapist practice includes screening for and providing information on diet and nutrition to patients, clients, and the community. Yet, an overwhelming amount of often contradictory diet and nutrition information poses a challenge for physical therapists to identify and maintain knowledge that they can rely on to screen for and discuss these topics with their patients, clients, and community members. The purposes of this perspective paper are to summarize the best known screening tools for general health, diet, and nutrition; provide intervention strategies that can be used to support behavior change related to diet and nutrition; and identify the most relevant resources and approaches from which physical therapist clinicians can build skill in addressing the nutritional needs of patients, clients, and the community.
OBJECTIVE Noncommunicable diseases (NCDs) have increased in prevalence and are now responsible fo... more OBJECTIVE Noncommunicable diseases (NCDs) have increased in prevalence and are now responsible for the majority of the burden of disease. Aligning entry-level physical therapy education with these changing societal needs may position physical therapists to best address them. However, no comprehensive understanding of the practices and attitudes related to population health, prevention, health promotion, and wellness (PHPW) content among accredited United States (US) entry-level Doctor of Physical Therapy (DPT) programs has been established. This study aims to identify practices and attitudes related to PHPW content among accredited US entry-level DPT programs. METHODS A mixed-methods cross-sectional design using an electronic survey was utilized. Program directors of each accredited DPT program were identified using an official CAPTE list and invited to ascertain the perceived importance of PHPW, describe the delivery of PHPW content, and identify factors that influence inclusion of...
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Papers by Janet Bezner