The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners.

Swinburn, Boyd; Walter, Lisa G.; Arroll, Bruce; Tilyard, Murray; Russell, David G.

doi:10.2105/ajph.88.2.288

Cited by 219 publications

(144 citation statements)

References 23 publications

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“…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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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.

View full text Add to dashboard Cite

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“…Physical activity interventions based in primary health care, such as exercise on prescription, have been shown to be effective [6][7][8][9] and cost-effective, 10,11 with a cost-utility ratio comparable to many currently-funded pharmaceutical therapies. A systematic review of the cost-effectiveness of physical activity interventions within primary health care was completed in 2002, in which eight studies were identified, published between 1996 and 2002.…”

Section: Introductionmentioning

confidence: 99%

Are physical activity interventions in primary care and the community cost-effective? A systematic review of the evidence

Garrett¹,

Elley²,

Rose³

et al. 2011

Br J Gen Pract

179

145

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BackgroundThe health and economic burden of physical inactivity is well documented. A wide range of primary care and community-based interventions are available to increase physical activity. It is important to identify which components of these interventions provide the best value for money. AimTo assess the cost-effectiveness of physical activity interventions in primary care and the community. Design of studySystematic review of cost-effectiveness studies based on randomised controlled trials of interventions to increase adult physical activity that were based in primary health care or the community, completed between 2002 and 2009. MethodElectronic databases were searched to identify relevant literature. Results and study quality were assessed by two researchers, using Drummond's checklist for economic evaluations. Cost-effectiveness ratios for moving one person from inactive to active, and costutility ratios (cost per quality-adjusted life-year [QALY]) were compared between interventions.

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“…patients [14,15], it is not always easy or practical for clinicians to deliver physical activity interventions during a routine office visit. Indeed, there are numerous barriers including limited time, a lack of coding options for health behavior counseling, and minimal training in physical activity and counseling.…”

mentioning

confidence: 99%

Peer-delivered physical activity interventions: an overlooked opportunity for physical activity promotion

Ginis

Nigg

Smith

2013

Behav. Med. Pract. Policy Res.

199

176

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The purpose of this systematic review was to catalogue and synthesize published studies that have examined the effects of peer-delivered physical activity interventions on physical activity behavior. Ten published studies were identified that met the inclusion criteria. The following information was extracted from each study: study design and duration; characteristics of the sample, peers, and interventions; and physical activity outcomes. In all articles reporting within-groups analyses, peer-delivered interventions led to increases in physical activity behavior. When compared to alternatives, peer-delivered interventions were just as effective as professionally delivered interventions and more effective than control conditions for increasing physical activity. Only three studies included measures of social cognitive variables, yielding some evidence that peers may enhance self-efficacy and self-determined forms of motivation. Based on these findings, interventionists are encouraged to include peer mentors in their intervention delivery models. Investigators are encouraged to pursue a more comprehensive understanding of factors that can explain and maximize the impact of peer-delivered activity interventions. KeywordsExercise, Fitness, Peer mentors, Social influence, Social cognitive theory, Self-determination theory BACKGROUND Previous research has shown that regular physical activity (PA) contributes to the prevention of overweight/obesity [1-3], decreases risk for obesity-related illnesses [4,5], and is associated with decreased risk for coronary heart disease [6], hypertension, type 2 diabetes mellitus [1,2], and cancer at several sites [7]. These benefits have also been reported in subpopulations such as older adults [8] and persons with disabilities [9]. Unfortunately, most adults do not perform PA at the recommended level to experience such health benefits [10,11]. Indeed, 39 % of adults are completely sedentary [11], and the rate of inactivity increases with age [8,12] and physical impairment (e.g., [13]).Although health care professionals often hold a role of trusted counselor or health mentor for their

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The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners.

Cited by 219 publications

References 23 publications

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

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

Are physical activity interventions in primary care and the community cost-effective? A systematic review of the evidence

Peer-delivered physical activity interventions: an overlooked opportunity for physical activity promotion

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