![]() Online training that specifically targets PTs appears to effectively reach the target audience and be well received by participants. ![]() Perceived facilitators include the effectiveness of the OEP to facilitate adoption, but the lack of agency support, billing and reimbursement challenges pose a significant barrier to OEP implementation.ĬONCLUSION: The OEP required additional information to facilitate adoption by American PTs. Demographic and practice data were collected to characterize the PTs attending the online training as well as perceived barriers and facilitators to implementation (n = 522). The online training was launched in March 2013. The online training was piloted and then deemed adequate by seven PT subject matter experts. ![]() Additional content was developed and integrated into an online training module. Feedback suggested that the program itself was understood by PTs, but training materials required modification related to documentation and reimbursement policies. METHODS: The New Zealand manual was reviewed by expert American PTs and a training webinar was piloted with 56 American PTs. Processes included reviewing and piloting the New Zealand training materials to identify implementation challenges, updating training materials to be consistent with American physical therapy practices, piloting the updated training materials in an online format, and determining if the online format reached the target PT audience. ![]() This article describes the process of translating the OEP for dissemination in the US. It was not known if American PTs would require additional training and resources to adopt the OEP. The program was designed for delivery in the home by physical therapists (PTs). Translation of The Otago Exercise Program for Adoption and Implementation in the United States Frontiers in public healthīACKGROUND: The Otago Exercise Program (OEP) is an evidence-based fall prevention program developed, evaluated, and disseminated in New Zealand. Her clinical interests include geriatric syndromes including urinary and fecal incontinence, memory disorders, falls, functional decline, and polypharmacy. Jan Busby-Whitehead's current research projects include assessment of racial disparities regarding treatment of urinary incontinence in Southeastern United States nursing homes and developing and testing a treatment program for fecal incontinence in frail elders. She is also Director of the HRSA-funded Geriatric Education Center and the Hartford Center of Excellence in Geriatric Medicine and Training.ĭr. Busby-Whitehead is currently a Professor of Medicine, Chief of the Division of Geriatric Medicine, Department of Medicine and Director of the School of Medicine Center for Aging and Health. She was the first fellow in Geriatric Medicine at the VAMC/University of Florida (1980-1982) and was a Medical Staff Fellow at the NIA (1985-1987). Jan Busby-Whitehead, MD, received her medical degree from the University of Texas Medical Branch at Galveston in 1977.
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