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4-2-2020
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Behavioural change in paediatricphysiotherapy: ‘what moves you?!’
Eline Bolster, PhDSander Hermsen, PhD Wendy Scholtes-Bos PPTManon Bloemen, PhD
Impact your future
Content
• Introduction• Design ‘What moves you?!’• Toolbox ‘What moves you?!’• Behavioural change and tools• Value co-design with stakeholders• Discussion
• Fyzie
• Fyon
• Groepspraktijk
Deventer
• Sportservice
Tubbergen
Care Sport connectors
Pediatric Physical Therapist Practice
Conclusion
Bloemen et al. 2015; Bloemen et al. 2015
Individual approachLook at the possibilitiesConnect to important life events of a childDevelop facilitating factors• Self-efficacy and insight into one's own abilities• A solution-oriented approach• Skills, a step further than we may be used to….• Fitness• Instructing the environment• Adequate (mobility)aids• …….
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Bloemen et al. 2017
Level I evidence for no effect of physical training on objectively measured physical activity
Conflicting level II evidence for interventions with a behavioural component on the increase of objectively
measured physical activity directly after the intervention, and level II evidence for no effect during
follow-up.
What moves you?!
Pediatric physical
therapists
Main research questions“What moves you?!’
How can we promote physical activity in everyday life settings in children withphysical disabilities (6 – 12 years) and theirparents?1. Which toolkit with behavioural change
interventions can we develop to stimulate physical activity in everyday life settings?
2. can we promote a collaboration
between pediatric physical therapists
and care sport connectors
Co-design
Care sport connectors Researchers DesignersParents association
BOSKCo-designers
Pediatric physical
therapists
Behavourial
scientists
Sleeswijk-Visser 2005; Sanders 2008
Design sprints After the design sprints
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Wendy Scholtes-Bos
What moves you from a pediatric physicaltherapists perspective
Problems for thepediatric physicaltherapist1. Actually supporting participation in children
with diabilities outside of practice2. Support on behavior of children, parents
and surrounding participants in motivation, confindence and participation is difficult
3. To tranfer the knowledge to neigbourhoodsport coach and volunteers at the sport clubs
Paediatric physical therapistWhat gives effective support?
1. We need tools to make the tranfer from thephysical therapy to every day movement andsport outside easier for children, parents , teachers etc.
2. The new role of the physiotherapist asks fora different aproach.
3. The cross over between healthcare and sport is challenging for both child and therapist
Pediatric physical
therapists
?
Method
By co-design we deliver a toolbox by shared vision, social learning andmutual understanding
Start involvement
Inspirational sessions with physicaltherapists, care sport connectors, designers, researchers
Interactive sessions: we talkedabout different cases and what we needed to make the transfer fromtherapy to sport easier
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Exchange experiencesWe talked about the different tools we usedduring therapy
The experiences were varied in testing andusing the different tools
At first the prototypes were a suprise even forus
Conclusion
• Co-design is an effective way to explore new tools and opportunities for pediatric physical therapists > the chances of developing more satisfactory tools increase
• Pediatric physical therapists seem to benefit from this co-design approach because it affords a better understanding of their needs
Sander Hermsen
The Behavioural Lenses
A practical approach to use theoryfrom the behavioural sciences toinform behaviour change interventions
Sander HermsenSander Hermsen
Social Psychologist (MSc, Radboud University Nijmegen),
PhD, VU University Amsterdam)
Graphic Designer (BDes, Artez AvBK Arnhem)
Utrecht University of Applied Science: research on theory-
driven and effective designs for behavioural change
http://nl.linkedin.com/in/sanderhermsen
@sanderhermsen
Behaviour Change is hard...
Can we use theory from the behavioural sciences to inform our work? So many theories, where to start?
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Habits and Impulses
Knowing and
Believing
Seeing and RealisingWanting and
Being able to
Doing and
PersistingBehaviour
Change
Habits and Impulses
Knowing and
Believing
Seeing and RealisingWanting and
Being able to
Doing and
PersistingBehaviour
Change
praatplaat, een dag:
mapping routines
keycord: disrupting undesired impulses
Habits and Impulses
Knowing and
Believing
Seeing and
Realising
Wanting and
Being able to
Doing and
PersistingBehaviour
Change
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Knowing and Believing
Photoframe: informing other physical activity professionals
Habits and Impulses
Knowing and
Believing
Seeing and
Realising
Wanting and
Being able to
Doing and
PersistingBehaviour
Change
Seeing and Realising
seeing and realising
stickers, plexiglas
Habits and Impulses
Knowing and
Believing
Seeing and
Realising
Wanting and
Being able to
Doing and
PersistingBehaviour
Change
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Wanting and Being Able To Wanting and Being Able To
praatplaat: where are the opportunities
for physical activity in your neighbourhood?card set: fears, dreams, actions
to make motivation and barriers available
Habits and Impulses
Knowing and
Believing
Seeing and
Realising
Wanting and
Being able to
Doing and
PersistingBehaviour
Change
Doing and Persisting
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dobbelsteen: exploring strategies for sustainable behaviour change
Habits and Impulses
Knowing and
Believing
Seeing and
Realising
Wanting and
Being able to
Doing and
PersistingBehaviour
Change
Childin
Motion
