Factors Influencing Primary Health Care Professionals’ Physical Activity Promotion Behaviors: A Systematic Review

Huijg, Johanna M.; Gebhardt, Winifred A.; Verheijden, Marieke W.; Zouwe, N. van der; Vries, Juriena D. de; Middelkoop, Barend J C; Crone, Mathilde R.

doi:10.1007/s12529-014-9398-2

Cited by 124 publications

(135 citation statements)

References 74 publications

Supporting

Mentioning

127

Contrasting

Unclassified

Order By: Relevance

“…In line with current literature in general healthcare settings [30], this perceived lack of education had a negative influence on the physiotherapists PA promotional practices. In addition to the existing literature, this study highlighted the understanding physiotherapists gained about the importance of PA was "tacit knowledge" gained through experience rather than "explicit knowledge" gained through training.…”

Section: Discussionsupporting

confidence: 81%

“…[29] Furthermore, a qualitative investigation will allow for more clarity on how these factors influence PA promotion under a variety of circumstances within SCI rehabilitation. [30] Therefore the purpose of this study was to explore the perceptions of physiotherapists in SCI rehabilitation on PA for people with SCI, and what is done to promote PA.…”

Section: Introductionmentioning

confidence: 99%

“…[30] For example, physiotherapists need to be informed of the time, effort and resources required to take part in ABR, as well as the likely impact on health and well-being. This would enable patients with SCI to make informed decisions with their physiotherapists about engaging in such programs.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Williams

Smith

Papathomas

2016

Disability and Rehabilitation

View full text Add to dashboard Cite

Purpose: It is vital that people with spinal cord injury (SCI) lead a physically active lifestyle to promote long term health and well-being. Yet within rehabilitation and upon discharge into the community, people with SCI are largely inactive. Physiotherapists are well placed to promote a physically active lifestyle and are valued and trusted messengers of physical activity (PA) by people with SCI. Therefore this study aimed to explore the perceptions of physiotherapists in SCI rehabilitation on PA for people with SCI, and what is done to promote PA. Method: Semistructured interviews were completed with eighteen neurological physiotherapists (2-22 years experience) from SCI centres in the United Kingdom and Ireland. Framed by interpretivism, an inductive thematic analysis was conducted. Results: Three themes were identified: 1) perceived importance of PA; 2) inconsistent PA promotion efforts; and 3) concern regarding community PA. Conclusions: This article makes a significant contribution to the literature by identifying that although physiotherapists value PA, active promotion of PA remains largely absent from their practice. To enable physiotherapists to promote and prescribe PA as a structured and integral component of their practice, effective knowledge strategies need designing and implementing at the macro, meso and micro levels of healthcare.

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Williams

Smith

Papathomas

2016

Disability and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Few physicians report being very or extremely knowledgeable (9%) compared with 89% who report having at least some difficulty. This is especially important as the knowledge of, and confidence towards PAE counselling and prescription is indicative of how frequently they perform such actions (Pinto et al 1998;Huijg et al 2015).…”

Section: Discussionmentioning

confidence: 99%

Health care provider confidence and exercise prescription practices of Exercise is Medicine Canada workshop attendees

O’Brien

Shields

et al. 2017

Appl. Physiol. Nutr. Metab.

View full text Add to dashboard Cite

Abstract:The Exercise is Medicine Canada (EIMC) initiative promotes physical activity counselling and exercise prescription within health care. The purpose of this study was to evaluate perceptions and practices around physical activity counselling and exercise prescription in health care professionals before and after EIMC training. Prior to and directly following EIMC workshops, 209 participants (physicians (n = 113); allied health professionals (AHPs) (n = 54), including primarily nurses (n = 36) and others; and exercise professionals (EPs) (n = 23), including kinesiologists (n = 16), physiotherapists (n = 5), and personal trainers (n = 2)) from 7 provinces completed self-reflection questionnaires. Compared with AHPs, physicians saw more patients (78% > 15 patients/day vs 93% < 15 patients/day; p < 0.001) and reported lower frequencies of exercise counselling during routine client encounters (48% vs 72% in most sessions; p < 0.001). EPs had higher confidence providing physical activity information (92 ± 11%) compared with both physicians (52 ± 25%; p < 0.001) and AHPs (56 ± 24%; p < 0.001). Physicians indicated that they experienced greater difficulty including physical activity and exercise counselling into sessions (2.74 ± 0.71, out of 5) compared with AHPs (2.17 ± 0.94; p = 0.001) and EPs (1.43 ± 0.66; p < 0.001). Physicians rated the most impactful barriers to exercise prescription as lack of patient interest (2.77 ± 0.85 out of 4), resources (2.65 ± 0.82 out of 4), and time (2.62 ± 0.71 out of 4). The majority of physicians (85%) provided a written prescription for exercise in <10% of appointments. Following the workshop, 87% of physician attendees proposed at least one change to practice; 47% intended on changing their practice by prescribing exercise routinely, and 33% planned on increasing physical activity and exercise counselling, measured through open-ended responses.Key words: Exercise is Medicine, physical inactivity, exercise prescription, primary care.

show abstract

“…The key findings of the most pertinent studies are described in the following section, and a full summary of the reviewed studies is presented in Table 1. Of note, Huijg et al (16) conducted a systematic review of 59 studies assessing primary health care providers' physical activity interventions and the factors influencing their promotion of physical activity behaviors. They reported evidence suggesting that physical activity counseling, prescription, and referrals to community-based physical activity resources from primary health care physicians are effective (6,16,24,30) and noted the importance of identifying key influencing factors for promoting physical activity.…”

Section: Physician Referral To Fitness Professionals: What the Evidenmentioning

confidence: 99%

The Role of the Fitness Professional in the Clinical Setting

Muth¹,

Vargo

Bryant

2015

Current Sports Medicine Reports

View full text Add to dashboard Cite

While fitness professionals have not historically been considered an extension of the health care team, there is a growing movement in health care to provide more complete and effective team-based care and to better integrate clinical and community resources. One way to do this is through physician referrals to community-based fitness professionals who can help patients translate clinician-advised exercise recommendations into individualized and effective exercise programs. Fitness professionals are uniquely qualified to fulfill this role given their training and practical expertise in exercise physiology, exercise program design and implementation, and health behavior change principles.

show abstract

Factors Influencing Primary Health Care Professionals’ Physical Activity Promotion Behaviors: A Systematic Review

Cited by 124 publications

References 74 publications

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Physical activity promotion for people with spinal cord injury: physiotherapists’ beliefs and actions

Health care provider confidence and exercise prescription practices of Exercise is Medicine Canada workshop attendees

The Role of the Fitness Professional in the Clinical Setting

Contact Info

Product

Resources

About