Open Access Repository

FITTSBALL - a dynamic tool for supervision of clinical exercise prescription

Ranasinghe, C, King, NA, Arena, R and Hills, AP ORCID: 0000-0002-7787-7201 2018 , 'FITTSBALL - a dynamic tool for supervision of clinical exercise prescription' , Disability and Rehabilitation , pp. 1-11 , doi: 10.1080/09638288.2018.1489564.

Full text not available from this repository.

Abstract

Introduction: Exercise rehabilitation/training is integral in the prevention and management of chronic, lifestyle-related diseases. Poor long-term adherence to exercise by patients is a challenging problem for health professionals. Despite the evidence of appropriate supervision with improved exercise adherence, the supervision process is not adequately described in the literature. Further, the co-existing Technical and Cognitive Behavioral components of exercise supervision are commonly described separately.Methodology: The literature search included (a) reviewing the Technical Domain (TD) of exercise prescription; and (b) Cognitive Behavioral Domain (CBD) of exercise adoption and adherence. CB theories were selected based upon their scientific evidence base demonstrating efficacy in intervention trails. The FITTSBALL tool was developed combining TD and CBD identifying multiple interactions. The tool was applied to 3 case scenarios to demonstrate efficacy.Results: “FITTSBALL” combined the technical domain of “FITT” (Frequency, Intensity, Time, and Type of exercise) and the cognitive behavioral domain (combining five theories and additional constructs) explained by “SBALL” (Stage of change, Belief and Ability of the client, Limitations and Life satisfaction). The tool describes the exercise supervision process and its associations as a three dimensional “sphere” traveling in a particular trajectory. Case scenarios on exercise adoption, maintenance, and relapse are described.Discussion: The “FITTSBALL” tool developed and detailed in this article provides both a meaningful description of supervision and a logical, generic framework for exercise prescription, concentrating on adherence and behavior change. The tool could be used by all staff responsible for supervision. This approach describes how the technical “FITT” principle of prescribing exercise can coexist with a range of cognitive and behavioral theories that have been posited to describe approaches to encourage behavior change and support adherence to such changes. Many such approaches have been widely studied over recent decades using interventional trials.Conclusion: “FITTSBALL” is a logical, generic framework for exercise prescription, concentrating on adherence and behavior change. To the best of our knowledge, such a comprehensive and coherent tool has not been presented to date.

Item Type: Article
Authors/Creators:Ranasinghe, C and King, NA and Arena, R and Hills, AP
Keywords: exercise, supervision, adherence, prescription, behavior change
Journal or Publication Title: Disability and Rehabilitation
Publisher: Taylor & Francis
ISSN: 0963-8288
DOI / ID Number: 10.1080/09638288.2018.1489564
Copyright Information:

Copyright 2018 Informa UK Limited, trading as Taylor & Francis Group

Related URLs:
Item Statistics: View statistics for this item

Actions (login required)

Item Control Page Item Control Page
TOP