Physical activity and physical fitness counseling patterns of adult nurse practitioners

Buchholz, Susan Weber; Purath, Janet

doi:10.1111/j.1745-7599.2006.00197.x

Cited by 31 publications

(43 citation statements)

References 14 publications

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“…Other researches done on the same issue (Buchholz and Purath, 2007;Roos, 2014;Abramson et al, 2008) show time and knowledge being the major barriers to exercise prescription. In a review done by Seth (2014) in the United Kingdom(UK) showed that barriers to exercise prescription in the UK included scarcity of referral pathways, lack of time, not having adequate access to reference material to guide them in the practical aspects of exercise prescription and a lack of confidence in the services they are referred to.It should be considered that relative contraindications e.g.…”

Section: Effectiveness Of Primary Care Interventionsmentioning

confidence: 99%

Untitled

2017

IRJPEH

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Exercise is healthy, and it plays a practical and safe means to decrease the burden of non-communicable diseases. Physical activity(PA) and exercise are key interventions for use in primary and secondary prevention of chronic diseases and especially when physical activity and exercise are part of a medical management plan. There is a need for PA promotion interventions in primary care and evidence that providers want to provide PA information to their patients. Several quasi-experimental and randomized trials have been conducted evaluating the efficacy and effectiveness of primary care PA promotion interventions . While not all primary care PA promotion interventions were successful from the review, the majority of studies support this approach to increasing PA. The health care system should play a role in supporting patients and the population at large to increase their PA to sufficient level for prevention and control of these chronic diseases. Even though being physically active for health and well-being is accepted by much of the general population, the majority of people in developed countries fail to meet even minimal requirements. Considering the numerous preventative and therapeutic health benefits associated with a physically active lifestyle, the effectiveness of exercise to treat various chronic diseases, the limited side effects associated with exercise in comparison to pharmaceutical therapies and the role health providers can play in the promotion of physically active lifestyles, health providers should take an active role in exercise prescription for the patient's sake. The Exercise is Medicine Initiative is being used in other parts of the world however, is has not fully taken off in many developing countries.

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Section: Effectiveness Of Primary Care Interventionsmentioning

confidence: 99%

Untitled

2017

IRJPEH

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“…A second, even more important barrier is the lack of education and training health care providers have with regard to physical activity counseling and prescription (Buchholz and Purath, 2007;Douglas et al, 2006;Gornall et al, 2008;McKenna et al, 1998). It has been found that the main source of physical activity information is the mass media for 27% of current health care providers and 48% of future health care providers (Parker et al, 2009).…”

Section: Barriers To Providing Physical Activity Counselingmentioning

confidence: 99%

“…One of the main concerns cited is a lack of time (Buchholz and Purath, 2007;Harris et al, 2004;McKenna et al, 1998;Parker et al, 2009;Schmid et al, 2009). Although physicians see the primary care system and their role in primary prevention as important (Schmid et al, 2009), they do not believe that using appointments for behaviour change counseling would be appropriate (Harris et al, 2004) and they feel that their time could be better spent addressing more important concerns (Buchholz and Purath, 2007).…”

Section: Barriers To Providing Physical Activity Counselingmentioning

confidence: 99%

“…Most health care providers ask about the patients" current physical activity level (Buchholz and Purath, 2007;Harris et al, 2004;Petrella et al, 2007) but the assistance is reduced significantly after this questioning. Less than 67% of health care providers advised on physical activity (Buccholz and Purath, 2007), and this is mainly via verbal counseling rather than written prescription (Petrella et al, 2007).…”

Section: Current Health Care Provider Counselingmentioning

confidence: 99%

“…However, many barriers (including lack of time, lack of education and training, and safety concerns) often arise for health care professionals and the support is not always delivered most effectively in practice (Buchholz and Purath, 2007;Douglas et al, 2006;Gornall et al, 2008;Harris et al, 2004;McKenna et al, 1998;Parker et al, 2010;Schmid et al, 2009) The Canadian Diabetes Association (CDA) has recognized the role of physical activity in the health care system and has recommended aerobic and resistance exercise as part of their 2008 Clinical Practice Guidelines for health care professionals. The guidelines are intended to be used as recommendations for practice based on the best knowledge to date in the field.…”

Section: Chapter 1: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Physical Activity Supports Provided by Healthcare Providers to Patients with Type 2 Diabetes

Hnatiuk

Duhamel

Katz

et al. 2012

Canadian Journal of Diabetes

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Narrative review – Barriers and facilitators to promotion of physical activity in primary care

2023

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The objective to provide an overview of the literature on the barriers and facilitators to physical activity (PA) promotion in primary care, as experienced by practitioners and patients. Method A search strategy of the English‐language literature was conducted in EMBASE, MEDLINE and the COCHRANE LIBRARY. Search terms were primary care OR general practice OR family medicine OR family practitioner AND physical activity OR exercise AND barriers OR facilitators. Databases were searched from inception until 21 October 2022. Results After screening, 63 articles were included within the summary and content analysis of this review. Analysis of the barriers to the implementation of PA highlighted four main themes perceived by practitioners: time, knowledge/skills, resources/support and financial implications. Analysis of the patient perspective identified themes which were categorised into individual (pre‐existing health conditions, knowledge of benefits of PA, time/capacity), societal (social support and cultural norms) and environmental (availability of facilities and weather). Conclusions As the importance of PA increases through the manifestation of sedentary behaviour‐related disease, a combined primary care and public health approach to increase PA is required. By identifying the main barriers to PA promotion in primary care, resources and funding can be directed to address this. This is particularly relevant in the United Kingdom, with the re‐negotiation of the primary care contract and the changes to healthcare delivery as a consequence of the Covid‐19 pandemic. Throughout this review, we have explored ways of addressing the identified barriers through evidence‐based interventions.

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Physical activity and physical fitness counseling patterns of adult nurse practitioners

Abstract: NPs can use specific physical fitness measures to help assess, guide, and/or motivate physical activity in their patients.

Cited by 31 publications

References 14 publications

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Physical Activity Supports Provided by Healthcare Providers to Patients with Type 2 Diabetes

Narrative review – Barriers and facilitators to promotion of physical activity in primary care

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