Isolated and simultaneous perceived barriers to physical activity counseling

Abstract

The aim of this study was to determine the prevalence of perceived barriers and their isolated and simultaneous association with the practice of counseling for physical activity by primary health care workers. This is a cross-sectional study with 591 health workers, who work in the Family Health Teams. Counseling for physical activity was defined as the accomplishment of such a practice for more than six months. The barriers investigated were lack of time, lack of knowledge, lack of professionals to guide, lack of available instructional material, lack of environmental resources and lack of financial resources of the user. Binary logistic regression was used to evaluate the possible relationships between perceived barriers and the practice of counseling for physical activity. Non-counselors reported a lack of time (68.8%), knowledge (68.5%) and orientation (63.2%) compared to their peer counselors (p ≤ 0.001). Professionals with three or more barriers were more likely not to advise (OR = 3.91; 95%CI: 2.10 - 7.29) when compared to those who reported no concurrent barriers. These results indicate that the simultaneity of perceived barriers is negatively associated to the practice of counseling for physical activity of health workers.

Hypertensive patients compliance for clinician counseling in dessie city, Ethiopia

“…This demonstrates that numerous obstacles exist between clinicians' perceptions and patient action. There are several barriers to successful lifestyle change with counseling, these include lack of time, knowledge, forgetfulness, and orientation about patient compliance towards counseling [ 28 , 29 ]. Most of the patients also did not recall the counseling as well underutilized behavioral and lifestyle therapy for clinician counseling [ 30 , 31 ] Furthermore, while physicians may deliver counseling on certain lifestyle changes, they may not counsel all of their hypertensive patients on the same subject at every appointment [ 32 ].…”

Characteristics and counseling strategies for physical activity used by primary health care professionals

“…Although several studies support the use of the 5As model, little is known about the use of these strategies to advise physical activity applied in the context of PHC in the Sistema Único de Saúde (SUS) 13,[21][22][23] . A study carried out with professionals from the Expanded Center for Family Health and Primary Care (eNASF-AB) identified that the most reported counseling strategies were "advise", "assist" and "ask", with "arrange" being the least reported strategy [24][25][26][27][28] . However, it is necessary to understand how these strategies are used by the other professionals categories that make up the PHC.…”

Características e estratégias de aconselhamento para atividade física utilizadas por profissionais da atenção primária à saúde

“…Embora diversos estudos apoiem o uso do modelo 5As, pouco se sabe sobre o uso dessas estratégias para aconselhar atividade física aplicadas no contexto da APS no Sistema único de Saúde (SUS) 13,[21][22][23] . Estudo conduzido com profissionais da Equipe do Núcleo Ampliado de Saúde da Família e Atenção Básica (eNASF-AB) identificou que as estratégias de aconselhamento mais reportadas foram "aconselhar", "auxiliar" e "perguntar", sendo que "acompanhar" foi a estratégia menos reportada [24][25][26][27][28] . Porém é preciso entender como essas estratégias são utilizadas pelas demais categorias profissionais que compõem a APS.…”