Designing the Whole Day Matters Toolkit for Physiotherapists to Enhance Movement Behaviour Discussions: Findings from a Multi-Study Usability and Consensus-Building Process

Purpose: The Canadian 24-Hour Movement Guidelines for Adults (24HMG) provide evidence-based recommendations for optimal levels of movement behaviours. Physiotherapists are well positioned to promote health through 24HMG discussions but are not the intended users of the existing Whole Day Matters Toolkit created to facilitate these discussions. This study aimed to understand the specific needs and preferences of physiotherapists for a toolkit that facilitates 24HMG discussions with their patients and to design and develop an effective, user-friendly one. Method: We undertook a two-phase research process. We collected perceptions from eight physiotherapists about the existing toolkit using think-aloud, near-live, and interview methods. Using the findings, we revised the existing toolkit to create a draft Physiotherapy Toolkit. Twenty-one physiotherapists then completed a modified Delphi study to reach consensus on the draft toolkit. Results: Physiotherapists felt positively toward having a toolkit and thought it facilitated a client-centred approach; however, barriers included 24HMG knowledge and discussion initiation. Consensus was reached on the draft toolkit in three rounds of the modified Delphi. Conclusions: The Whole Day Matters Toolkit for Physiotherapists addresses barriers to 24HMG discussions by providing 24HMG knowledge, a questionnaire, and a handout. The toolkit supports physiotherapists’ roles in health promotion through movement behaviour counselling.