Older adult perceptions of the physicians’ role in promoting physical activity

Costello, Ellen; Leone, James E.; Ellzy, Megan; Miller, Todd A.

doi:10.3109/09638288.2012.726314

Cited by 21 publications

(19 citation statements)

References 32 publications

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“…PTs received patient requests for advice about PA, suggesting that they are seen as a trusted source of information and have the potential to influence older adult behavior. This is consistent with previous studies describing the positive impact that providers can make on patient health behavior (Boehm et al, 2013;Costello et al, 2013). However, it is important to consider factors that prevent PA in older adults.…”

Section: Discussionsupporting

confidence: 90%

“…Barriers to older adult participation in PA include lack of professional guidance and information about available PA programs (Bethancourt, Rosenberg, Beatty, & Arterburn, 2014;Der Ananian, Wilcox, Saunders, Watkins, & Evans, 2006). Increasing provider-patient communication related to PA could reduce these barriers, as older adults value their primary care physician's advice and expect guidance concerning healthy lifestyle modifications (Costello, Leone, Ellzy, & Miller, 2013). Multiple studies have found physician recommendation and encouragement for PA to be facilitators to patient participation (Boehm et al, 2013;Hirvensalo, Heikkinen, Lintunen, & Rantanen, 2003;Jackson, Leclerc, Erskine, & Linden, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Provider–Patient Communication and Involvement in Physical Activity Programs Among Patients Receiving Physical Therapy Services: A Qualitative Study

et al. 2019

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Objectives: To describe how physical therapy providers and their patients interact and communicate about physical activity (PA), and explore the barriers and facilitators to patient involvement in PA programs. Method: We conducted 39 direct observations of patient visits with physical therapy providers and 30 telephone interviews with physical therapists (PTs). We conducted a thematic analysis of observation field notes and interview transcripts. Results: PTs and patients engaged in several behaviors to build rapport, discussed PA type and frequency, and exchanged advice and information about PA. Barriers to patient participation in PA programs included low instrumental support, physical limitations, lack of motivation and confidence, and lack of knowledge about available programs. Facilitators included emotional support from friends, peers, and family, and encouragement and information-sharing from providers. Discussion: PTs play an important role in improving older adult PA and could be instrumental in reducing barriers to PA participation.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Provider–Patient Communication and Involvement in Physical Activity Programs Among Patients Receiving Physical Therapy Services: A Qualitative Study

et al. 2019

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“…Physical activity in the form of exercise prescription has been established as a low-cost intervention in chronic illness to improve overall health, quality of life, and physical function in older adults [20][21][22].Many recommendations for clinicians have been made by the CDC, The American College of Sports Medicine (ACSM), and the American Heart Association that health care practitioners provide counseling and referrals of their patients to participate in physical activity programs designed for specialized populations [13,18,23]. Research suggests that if recommended by the patient's care provider or physician, exercise is considered valuable by the patient [24], yet less than one-third of providers recommend exercise counseling or education to their patient population [25]. This pitfall may be associated with the many complications and functional declines seen in the aging population and providing patients with optimized treatment.…”

Section: Discussionmentioning

confidence: 99%

Medically Integrated Fitness Program Review to Improve Health and Functional Outcomes

M.¹,

R.²,

J.L.³

et al. 2021

Int J Sports Exerc Med

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“…In the National Health Survey, compliance rate upon counseling was 52% [20]. Appreciation of physicians' support in increasing PA has been found in various countries and patient groups [46][47][48].…”

Section: Barriersmentioning

confidence: 99%

Physical Activity Counseling in Primary Care in Germany—An Integrative Review

Füzéki

Weber

Groneberg

et al. 2020

IJERPH

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Physical activity counseling in primary health care is regarded as a useful complementary preventive and therapeutic measure and is advocated by leading public health institutions. This integrative review summarizes the available data on physical activity counseling in primary care in Germany. A systematic literature search in various databases (peer reviewed and grey literature) was carried out for quantitative and qualitative studies on physical activity counseling and use of “Exercise on Prescription”. The 25 studies included show a very high methodological diversity and, in some cases, considerable risks of bias, with limited comparability across studies. Counseling was provided in all studies by physicians. They report frequent physical activity counseling, which is partly confirmed and partly refuted by patient data. The use of “Exercise on Prescription” is at a very low level. Information on the frequency of physical activity counseling in Germany varies depending on data source and is sometimes contradictory. Our review provides a synthesis of various perspectives on routine physical activity counseling in primary care in Germany. Future studies using standardized and validated instruments in representative samples are needed to further knowledge on counseling and to be able to establish trends in prevalence. Strengthening the topics of physical activity and health and physical activity counseling in medical curriculum is strongly recommended.

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Older adult perceptions of the physicians’ role in promoting physical activity

Cited by 21 publications

References 32 publications

Provider–Patient Communication and Involvement in Physical Activity Programs Among Patients Receiving Physical Therapy Services: A Qualitative Study

Provider–Patient Communication and Involvement in Physical Activity Programs Among Patients Receiving Physical Therapy Services: A Qualitative Study

Medically Integrated Fitness Program Review to Improve Health and Functional Outcomes

Physical Activity Counseling in Primary Care in Germany—An Integrative Review

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