Exercise: the miracle cure for surgeons to fix the NHS and social care

Sa, McNally

doi:10.1308/rcsbull.2020.28

Cited by 11 publications

(11 citation statements)

References 13 publications

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“…The percentage scores were classified into low (<50%), medium (50-80%) or high (>80%) quality evidence for easy identification. The QATSDD criteria included: (1) 10) fit between research question and method of data collection (Quantitative only); (11) fit between research question and data collection method (Qualitative only); (12) fit between research question and method of analysis; (13) good justification for analytical method selected; (14) reliability of analytical process (Qualitative only); (15) evidence of user involvement in design; (16) strengths and limitations.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

“…Physical activity (PA) has been described as a wonder drug [1]; owing to its positive impacts on physical and mental wellbeing [2,3] and its ability to prevent disability [4] and myriads of chronic diseases [5]. World Health Organization (WHO) defines PA as any bodily movement produced by the skeletal muscles that requires increased energy expenditure above resting requirements and involves household tasks, leisure time activity, and structured physical activity [6].…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals

Albert

Crowe

Malau‐Aduli

et al. 2020

IJERPH

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Physical activity (PA) is a cost-effective and non-pharmacological foundation for the prevention and management of chronic and complex diseases. Healthcare professionals could be viable conduits for PA promotion. However, the evidence regarding the effectiveness and benefits of the current forms of PA promotion are inconclusive. Healthcare professionals’ perceptions on key determinants impact on the optimum promotion of PA were explored in this review. Thirty-four (34) studies were identified after systematically searching seven databases for peer-reviewed articles published within the last decade. PA advice or counselling was the most recorded form of PA promotion, limited counselling time was the most reported obstacle while providing incentives was viewed as a key facilitator. There is widespread consensus among healthcare professionals (HCPs) on some aspects of PA promotion. Utilisation of all PA promotional pathways to their full potential could be an essential turning point towards the optimal success of PA promotional goals. Hence, strategies are required to broaden chronic disease treatment methods to include preventive and integrative PA promotion approaches particularly, between frontline HCPs (e.g., GPs) and PA specialists (e.g., EPs). Future studies could explore the functionality of GP to EP referral pathways to determining what currently works and areas requiring further development.

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Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals

Albert

Crowe

Malau‐Aduli

et al. 2020

IJERPH

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“…Primary care practitioners are well placed to help address the problems of physical inactivity (Hoffmann et al , 2016, Thornton et al , 2016). They have greater access to the population as a whole than any other single health professional (Gates, 2016, McNally, 2015), frequent engagement with those most in need of PA advice (McNally, 2015), and are a trusted source of lifestyle advice and information (Weiler et al , 2012a). Primary care professionals (e.g.…”

Section: Healthcare Professionals’ Perspectivesmentioning

confidence: 99%

Physical activity promotion in primary care: a Utopian quest?

Lion

Vuillemin

Thornton

et al. 2018

Health Promotion International

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The health benefits of physical activity (PA) are acknowledged and promoted by the scientific community, especially within primary care. However, there is little evidence that such promotion is provided in any consistent or comprehensive format. Brief interventions (i.e. discussion, negotiation or encouragement) and exercise referral schemes (i.e. patients being formally referred to a PA professional) are the two dominant approaches within primary care. These cost-effective interventions can generate positive changes in health outcomes and PA levels in inactive patients who are at increased risk for non-communicable diseases. Their success relies on the acceptability and efficiency of primary care professionals to deliver PA counselling. To this end, appropriate training and financial support are crucial. Similarly, human resourcing and synergy between the different stakeholders must be addressed. To obtain maximum adherence, specific populations should be targeted and interventions adapted to their needs. Key enablers include motivational interviewing, social support and multi-disciplinary approaches. Leadership and lines of accountability must be clearly delineated to ensure the success of the initiatives promoting PA in primary care. The synergic and multisectoral action of several stakeholders, especially healthcare professionals, will help overcome physical inactivity in a sustainable way.

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“…Clinicians should encourage patients to take more physical exercise to improve health and reduce the spiralling costs of social care, said a paper in the Royal College of Surgeons of England Bulletin 3. Author Scarlett McNally, a consultant orthopaedic surgeon and member of the college’s council, said, “Every healthcare worker should be offering the same clear messages that every person should aim to get 150 minutes per week of exercise.” The paper includes toolkits (www.movingmedicine.ac.uk) to support motivational interviewing skills and to help people talk about what they can do.…”

Section: Exercisementioning

confidence: 99%

Seven days in medicine: 1-7 Jan 2020

2020

BMJ

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Exercise: the miracle cure for surgeons to fix the NHS and social care

Abstract: What are the benefits of exercise, and how can we encourage its uptake?

Cited by 11 publications

References 13 publications

Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals

Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals

Physical activity promotion in primary care: a Utopian quest?

Seven days in medicine: 1-7 Jan 2020

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