Physical activity advice in the primary care setting: results of a population study in New Zealand

Croteau, Karen A.; Schofield, Grant; McLean, Grant

doi:10.1111/j.1467-842x.2006.tb00868.x

Cited by 33 publications

(34 citation statements)

References 16 publications

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“…However, less than one half of physicians screen patients for physical inactivity (Sherman & Hershman, 1993;Walsh, Swangard, Davis & McPhee, 1999) and less than one third of patients report receiving PA advice in the previous year (Croteau, Schofield & McLean, 2006;Eakin, Brown, Marshall, Mummery & Larsen, 2004;Wee, McCarthy, Davis & Phillips, 1999). The main factors associated with the increased likelihood of physicians providing PA advice include physicians' beliefs (Sherman & Hershman, 1993), knowledge (Rogers et al, 2006), and attitudes toward PA advising (Rogers et al, 2002), their confidence and prior training in PA advising, and their personal lifestyle (Frank, Hedgecock & Elon, 2004;Frank, Rothenberg, Lewis & Belodoff, 2000;Frank, Tong, Lobelo, Carrera & Duperly, 2008).…”

Section: Introductionmentioning

confidence: 99%

A Physical Activity Learning Module Improves Medical Students’ Skills and Confidence for Advising Patients about Physical Activity

Mandic¹,

Wilson²,

Clark-Grill³

et al. 2018

Monten. J. Sports Sci. Med.

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Physicians' knowledge, confidence, and prior training will influence physical activity (PA) counselling in general practice. This study evaluated the effects of a PA learning module on knowledge, skills, and attitudes toward PA counselling in third-year medical students. Students (n=216; age: 21.1±2.2 years; 47% males; participation rate 91%) participated in a PA learning module that included tutorials, lectures, and experiential learning through providing health checks to adults. At baseline and four months after the intervention, students completed a paper questionnaire about their awareness of current PA guidelines, benefits of, and attitudes toward PA advising, perceived competence/importance of PA advising skills, and personal PA habits. Data were analysed using a t-test for dependent samples and Chi-square analysis. After the intervention, students reported a greater awareness of the PA guidelines (pre vs. post: 3.1±1.1 vs. 3.8±0.9), the national PA initiative (4.2±0.9 vs. 4.7±0.7), the importance of PA counselling in general practice (4.1±0.8 vs. 4.3±0.8), and their confidence (3.2±0.9 vs. 3.9±0.8), and perceived competence (3.1±0.8 vs. 3.8±0.8, all p<0.05) in providing PA advice compared to baseline. In conclusion, exposure to a PA learning module increased medical students' awareness and knowledge of the current PA guidelines and improved their confidence and perceived competence in providing PA advice. However, even after the training, students on average perceived themselves to be only moderately competent in providing PA advice. Therefore, clinical training for medical students should be designed to improve students' competence and skills in PA counselling.

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Section: Introductionmentioning

confidence: 99%

A Physical Activity Learning Module Improves Medical Students’ Skills and Confidence for Advising Patients about Physical Activity

Mandic¹,

Wilson²,

Clark-Grill³

et al. 2018

Monten. J. Sports Sci. Med.

View full text Add to dashboard Cite

show abstract

“…Furthermore, exercise has intrinsic benefi ts for students in terms of their own health and wellbeing (Dyrbye, Satele, & Shanafelt, 2016). Although physicians can be eff ective in increasing patients' health-promoting behaviours, including exercise (Elley, Kerse, Arroll, & Robinson, 2003;Harsha, Saywell, Th ygerson, & Panozzo, 1996;Swinburn, Walter, Arroll, Tilyard, & Russell, 1998), less than half of physicians provide physical activity (PA) screening (Sherman & Hershman, 1993;Walsh, Swangard, Davis, & McPhee, 1999) and less than one third of patients report receiving advice about PA within the previous year (Croteau, Schofi eld, & McLean, 2006;Eakin, Brown, Marshall, Mummery, & Larsen, 2004;Wee, McCarthy, Davis, & Phillips, 1999). Physicians' beliefs (Sherman & Hershman, 1993), knowledge (Rogers et al, 2006), and attitudes toward PA advising (Rogers et al, 2002), their confi dence and prior training in PA advising, and their personal lifestyle (Frank, Hedgecock, & Elon, 2004;Frank, Rothenberg, Lewis, & Belodoff , 2000) are the main factors associated with an increased likelihood of physicians' providing PA advice.…”

Section: Introductionmentioning

confidence: 99%

Medical Students’ Awareness of the Links between Physical Activity and Health

Mandic¹,

Wilson²,

Clark-Grill³

et al. 2017

Monten. J. Sports Sci. Med.

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Th e eff ectiveness of physicians in providing advice to patients about physical activity (PA) is infl uenced by their own understanding of the links between PA and health, as well as by their own PA habits. Th is study involved pre-clinical medical students in New Zealand, examining their baseline knowledge, skills, and attitudes towards advising patients about PA, as well as eliciting their personal exercise habits. A total of 234 students (age 20.9±2.9 years; 46% males; participation rate: 99%) completed a paper questionnaire assessing their awareness of current PA guidelines, the benefi ts of PA, their attitudes toward PA advising, perceived competence and importance of PA-advising skills, and personal PA habits. Data were analysed using descriptive statistics. Most students were aware of the benefi ts of PA and were regularly active. Students perceived PA advising as a high priority in general practice (79%) but only 37% felt confi dent in their ability to provide PA advice. At this point in their training, students considered PA advice to be important (4.7±0.8 out of 6), yet perceived themselves to be only moderately competent in providing patient-oriented exercise prescriptions (3.1±0.8 out of 6). However, students who had regular exercise felt more confi dent in providing PA advice (3.0±0.9 vs. 3.3±0.9, p=0.009). In conclusion, medical students were generally active and had a good understanding of the links between PA and health, but were lacking skills for PA advising. Competence and skills in PA counselling need to be further developed within clinical training as part of an overall curriculum strategy.

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“…17 In 2003, only 13% of New Zealanders reported receiving PA advice from their general practitioner or practice nurse in the last year. 18 Yet these rates were lower than those found in 2008 in Pelotas, Brazil, where 56% of individuals aged 20-69 years reported receiving PA advice; for 92% of subjects the advice was given by physicians, and walking was by far the most frequent recommendation. 19 These findings, however, cannot be directly compared with ours because of differences in dates of data collection, age-range of participants, wording of questions, and access to the healthcare system; furthermore, one of these studies used physician rather than patient data to estimate the frequency of PA counseling.…”

Section: Discussionmentioning

confidence: 52%

Reach and equity of primary care-based counseling to promote walking among the adult population of Spain

Martínez‐Gómez

León‐Muñoz

Guallar‐Castillón

et al. 2013

Journal of Science and Medicine in Sport

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Physical activity advice in the primary care setting: results of a population study in New Zealand

Abstract: Objectives: To determine the prevalence of physical activity advice, including the Green Prescription (a physical activity scripting scheme), given in the primary care setting, and the characteristics of New Zealanders who receive such advice.

Cited by 33 publications

References 16 publications

A Physical Activity Learning Module Improves Medical Students’ Skills and Confidence for Advising Patients about Physical Activity

A Physical Activity Learning Module Improves Medical Students’ Skills and Confidence for Advising Patients about Physical Activity

Medical Students’ Awareness of the Links between Physical Activity and Health

Reach and equity of primary care-based counseling to promote walking among the adult population of Spain

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