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

O’Brien, Myles W.; Shields, Christopher; Oh, Paul; Fowles, Jonathon R.

doi:10.1139/apnm-2016-0413

Cited by 68 publications

(100 citation statements)

References 28 publications

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“…A total of 12 studies included in this review addressed barriers to implementing PA intervention by PCPs . No studies that included rheumatologist‐addressed barriers were found.…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity Intervention in Primary Care and Rheumatology for the Management of Knee Osteoarthritis: A Review

Waugh

King

Gakhal

et al. 2019

Arthritis Care & Research

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Physical activity (PA) is recommended by osteoarthritis (OA) international organizations as an essential component of first-line management of knee OA. Primary care physicians (PCP) and rheumatologists can play a key role in promoting PA but the extent that PA recommendation is occurring in primary and rheumatology care is unclear. This review provides an overview of current practice of PCP- and rheumatology-delivered PA intervention in the United States, Canada and Europe for the management of knee OA and explores barriers to implementing PA intervention in primary and rheumatology care. A search of MEDLINE from 2000-April 2017 was conducted, 848 abstracts were identified from which 22 relevant articles were selected for this review. Overall, recommendation of PA is suboptimal - the majority of studies reported that < 50% of PCPs and rheumatologists make this recommendation to people with knee OA. Key barriers identified were time constraints, lack of patient motivation, PA-specific resources and financial reimbursement, concerns about inadequate training and knowledge for detailed exercise prescription and beliefs about the efficacy of exercise in the management of OA and their role in providing PA intervention. There is a sparsity of data about rheumatology practice and barriers to PA intervention among this group. In summary, this review suggests that there is a notable gap between what clinical guidelines recommend and what is happening in clinical practice. Addressing this practice gap through addressing key barriers provides an opportunity for improving OA care and ultimately, the health and quality of life of people with OA. This article is protected by copyright. All rights reserved.

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“…A total of 12 studies included in this review addressed barriers to implementing PA intervention by PCPs . No studies that included rheumatologist‐addressed barriers were found.…”

Section: Introductionmentioning

confidence: 99%

“…Only 1 study directly addressed barriers to PA intervention specifically for the management of knee OA . Nine studies used questionnaires to identify key barriers , and 3 studies used qualitative methods to examine attitudes and behaviors regarding exercise prescription . (Table )…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Intervention in Primary Care and Rheumatology for the Management of Knee Osteoarthritis: A Review

Waugh

King

Gakhal

et al. 2019

Arthritis Care & Research

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“…Primary Care Providers (PCPs) have been identified as serving a key role in promoting PA to their patients and PCP-provided PA counselling and exercise prescription has been show to increase patients' PA levels (Dasgupta et al 2017;Orrow et al 2012). Unfortunately, only 16% of Canadian family physicians provide written PA prescriptions to their patients (Petrella et al 2007) owing to barriers including lack of time, knowledge, education, training, and lack of tools or resources reported by family physicians (Smith et al 2011;Hébert et al 2012;O'Brien et al 2017). Family physician education in specific skills of PA prescription increases physicians' self-efficacy and frequency of PA prescription to their patients (Jorgensen et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Exercise is Medicine Canada physical activity counselling and exercise prescription training improves counselling, prescription, and referral practices among physicians across Canada

Fowles

O’Brien

Solmundson

et al. 2018

Appl. Physiol. Nutr. Metab.

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Exercise is Medicine Canada (EIMC) is an initiative that promotes physical activity (PA) counselling and exercise prescription within health care. The purpose of this study was to compare physicians' perceptions and practices around PA counselling and exercise prescription following EIMC training. Physicians (n = 46) from 7 different provinces completed questionnaires initially and 3 months following an EIMC workshop. Three months after intervention, physicians reported greater confidence compared with baseline for providing physical activity and exercise (PAE) information to patients (79% vs 55%; p < 0.001), assessing patients' PAE (69% vs 44%, p = 0.005), answering patients' PAE questions (78% vs 54%, p < 0.001), providing PAE advice (71% vs 43%, p < 0.001), and identifying which patients would benefit from referral to qualified exercise professionals (77% vs 52%, p = 0.002). At follow-up, physicians reported PA prescription barriers as less impactful (out of 4; all p < 0.05), including perceived patients' lack of interest (2.75 to 2.25), lack of available resources (2.59 to 2.00), and lack of time (2.41 to 2.14). The proportion of physicians providing written exercise prescriptions increased from 20% to 74%. This study suggests that the completion of a 1-day EIMC workshop increases physicians' confidence, knowledge, and counselling behaviours of physicians in prescribing PAE.

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“…Research shows that healthcare professionals have access to a large proportion of the sedentary population [7,8] and therefore, physicians have been identified as having a critical role in addressing the prevalence of physical inactivity [9]. Health care professionals(HCPs) have the best opportunity to question and counsel patients about the importance of physical activity as many people go to them for lifestyle advice [2,3,10]. They are therefore considered to be well positioned to champion the course of prevention of chronic diseases by prescribing physical activity during standard consultation [1,4] Counseling by physicians and other healthcare professionals (HCPs) has proven to be useful in helping patients improve their lifestyles [6].…”

Section: Introductionmentioning

confidence: 99%

Exercise Prescription: Practices of Healthcare Professionals in Hospital Setting, Kenya

Olutende¹,

Bukhala²,

Wesonga³

2018

JPAR

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Physical inactivity is a serious epidemic that affects one's health and there's evidence that exercise can improve quality of life and health. The healthcare setting has been recognized as an appropriate and promising venue for counseling and prescribing physical activity to increase activity index of the population. An exercise prescription from a healthcare professional will remind the patient that physical activity is part of their treatment plan and should be adhered to with the same diligence with which their medication is taken. However, limited research on the topic suggests that many healthcare professionals are not incorporating exercise into treatment, and many lack the confidence to do so. The purpose of this study was to evaluate current exercise prescription trends among practicing healthcare professionals in Kakamega County, Kenya. A cross-sectional study was carried out in public health facilities in Kakamega County. The target population was nurses, medical officers and clinical officers. Data was collected using self-administered questionnaires and a total of 280 healthcare professionals from 7 government hospitals in Kakamega county participated in the study. From these hospitals 221 healthcare professionals (medical officers=11,5%, nurses= 165,75% and clinical officers=71,32%) completed the questionnaire. Healthcare professionals (HCPs) reported that, they occasionally (n=75, 33.9%) referred patients to other professionals for fitness assessment or appraisal, they occasionally (n=78, 35.3%) provided patients with verbal directions for a physical activity program, they very rarely (n=73, 33%) provided patients with written directions for a physical activity program, they frequently (n=71 32.1%) counselled PA (verbal or written prescription) for purposes of preventing chronic disease, they occasionally (n=76, 34.4%) discussed about physical activity with their patients and 59 (26.7%) very rarely participated in exercise session at least three times a week. The independent between-group ANOVA yielded a non-statistically significantly effect, F (2, 218) = 1.132, p = .324, ƞ p 2 = .01. Statistical power was not adequate and was equal to .248. Thus, the null hypothesis of no significant differences in knowledge of exercise prescription in health professionals at public health facilities in Kakamega was accepted. In conclusion these findings lend support for further training, increased incorporation, and further growth needed in healthcare professionals' self-efficacy in the prescription of exercise.

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

Cited by 68 publications

References 28 publications

Physical Activity Intervention in Primary Care and Rheumatology for the Management of Knee Osteoarthritis: A Review

Physical Activity Intervention in Primary Care and Rheumatology for the Management of Knee Osteoarthritis: A Review

Exercise is Medicine Canada physical activity counselling and exercise prescription training improves counselling, prescription, and referral practices among physicians across Canada

Exercise Prescription: Practices of Healthcare Professionals in Hospital Setting, Kenya

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