Professionals' knowledge, skills and confidence on using the best practices for spinal cord injury physical activity counseling in Canada and the Netherlands.

The generally high counseling skills reported by Canadian and Dutch respondents may be due to the history of SCI-specific PA promotion projects conducted in both countries. These survey findings were used to inform the development of evidence-based training modules on SCI PA counseling. This study may inspire cross-country collaboration and exchange to optimize the organization and delivery of PA counseling services for adults with SCI.