A Call to Arms (and Legs): Exercise Prescription for Medical Students

Phillips, Edward M.

doi:10.1016/j.pmrj.2012.09.1159

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…Thus, incorporating prenatal physical activity into the medical and nursing training schools would empower the healthcare providers with the knowledge and requisite skills they need to assist pregnant women in terms of prenatal physical activity prescription and advice. Therefore, there is a 'call to action' for policy makers to integrate physical activity and exercise prescription as part of the curricula training of medical students [48,49], and across all health professions saddle with the responsibility of antenatal care [50], such as midwives [28,51] and exercise physiologists [52].…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Okafor

Goon

2021

Healthcare

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Women rarely participate in physical activity during pregnancy, despite scientific evidence emphasising its importance. This study sought to develop an intervention strategy to promote prenatal physical activity in Buffalo City Municipality, Eastern Cape Province, South Africa. A multi-stage approach was utilised. The Strength, Weakness, Opportunity and Threat (SWOT) approach was applied to the interfaced empirical findings on prenatal physical activity in the setting. Subsequently, the Build, Overcome, Explore and Minimise model was then used to develop strategies based on the SWOT findings. A checklist was administered to key stakeholders to validate the developed strategies. Key strategies to promote prenatal physical activity include the application of the Mom-Connect (a technological device already in use in South Africa to promote maternal health-related information for pregnant women) in collaboration with cellphone and network companies; the South African government to integrate prenatal physical activity and exercise training in the medical and health curricula to empower the healthcare providers with relevant knowledge and skills to support pregnant women in prenatal physical activity counselling; provision of increased workforce and the infrastructure necessary in antenatal sessions and antenatal physical exercise classes and counselling; the government, in partnership with various stakeholders, to provide periodical prenatal physical activity campaigns based in local, community town halls and clinics to address the lack of awareness, misrepresentations and concerns regarding the safety and benefits of physical activity during pregnancy. The effective implementation of this developed prenatal physical activity by policymakers and health professionals may help in the promotion of physical activity practices in the context of women in the setting.

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Section: Discussionmentioning

confidence: 99%

Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Okafor

Goon

2021

Healthcare

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“…Although many feel comfortable giving general advice, healthcare professionals are less confident addressing detailed physical activity advice [84] and inhibited by the possibility of patients experiencing adverse events following their advice [87]. This deficit reflects inadequate training both in undergraduate and postgraduate curricula [23,[88][89][90].…”

Section: Knowledgementioning

confidence: 99%

Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare

et al. 2022

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Background An implementation gap exists between the evidence supporting physical activity in the prevention and management of long-term medical conditions and clinical practice. Person-centred conversations, i.e. focussing on the values, preferences and aspirations of each individual, are required from healthcare professionals. However, many currently lack the capability, opportunity, and motivation to have these conversations. This study uses the Behaviour Change Wheel (BCW) to inform the development of practical and educational resources to help bridge this gap. Methods The BCW provides a theoretical approach to enable the systematic development of behaviour change interventions. Authors followed the described eight-step process, considered results from a scoping review, consulted clinical working groups, tested and developed ideas across clinical pathways, and agreed on solutions to each stage by consensus. Results The behavioural diagnosis identified healthcare professionals’ initiation of person-centred conversations on physical activity at all appropriate opportunities in routine medical care as a suitable primary target for interventions. Six intervention functions and five policy categories met the APEASE criteria. We mapped 17 Behavioural Change Techniques onto BCW intervention functions to define intervention strategies. Conclusions This study uses the BCW to outline a coherent approach for intervention development to improve healthcare professionals’ frequency and quality of conversations on physical activity across clinical practice. Time-sensitive and role-specific resources might help healthcare professionals understand the focus of their intervention. Educational resources aimed at healthcare professionals and patients could have mutual benefit, should fit into existing care pathways and support professional development. A trusted information source with single-point access via the internet is likely to improve accessibility. Future evaluation of resources built and coded using this framework is required to establish the effectiveness of this approach and help improve understanding of what works to change conversations around physical activity in clinical practice.

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“…Many students feel disappointed that their education is failing to mirror NHS, and global priorities,1 of using physical activity as a modality for prevention and treatment of non-communicable diseases. Weiler et al 2 in the UK and Edward Phillips3 in the USA have highlighted this dearth of physical activity teaching and Joy et al 4 has stated a call to action to develop programmes to provide this education to students and physicians.…”

Section: Introductionmentioning

confidence: 99%

Sport and exercise medicine in the undergraduate curriculum. Are we inspiring the next generation of sport and exercise medicine doctors and helping them overcome the barriers they face getting into the specialty?

West¹

2013

Br J Sports Med

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A Call to Arms (and Legs): Exercise Prescription for Medical Students

Cited by 4 publications

References 18 publications

Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare

Sport and exercise medicine in the undergraduate curriculum. Are we inspiring the next generation of sport and exercise medicine doctors and helping them overcome the barriers they face getting into the specialty?

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