Clinical Counseling for Physical Activity: Translation of a Systematic Review Into Care Recommendations

VanWormer, Jeffrey J.; Pronk, Nicolaas P.; Kroeninger, George J.

doi:10.2337/diaspect.22.1.48

Cited by 33 publications

(28 citation statements)

References 34 publications

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“…Studies targeting health care provider self-efficacy for health behavior counseling have found success in different strategies to improve this essential mediator, and future studies should investigate how these findings would extrapolate to clergy. [80][81][82] The current physical and mental health challenges associated with this occupation are well delineated. Clergy are clearly presented with some challenges in engaging in healthpromoting behaviors and exhibit a higher incidence of obesity and other chronic conditions.…”

Section: Recommendations For Inclusion Of Clergy In Health Promotion mentioning

confidence: 99%

Leading Their Flocks to Health? Clergy Health and the Role of Clergy in Faith-Based Health Promotion Interventions

Bopp

Baruth

Peterson

et al. 2013

Family &Amp; Community Health

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Faith-based organizations are a frequent partner in health promotion due to their large and expansive reach across multiple demographics of the United States. These faith-based organizations are led by clergy members who have a strong influence over their institutions and who shape the physical and social environments of their institutions for health-related matters. The purpose of this review was to examine current issues associated with the health, behaviors, and well-being of clergy, highlight the literature on the role clergy play in delivering effective health promotion interventions, and present recommendations for improving clergy health and the involvement of clergy in faith-based initiatives.

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Section: Recommendations For Inclusion Of Clergy In Health Promotion mentioning

confidence: 99%

Leading Their Flocks to Health? Clergy Health and the Role of Clergy in Faith-Based Health Promotion Interventions

Bopp

Baruth

Peterson

et al. 2013

Family &Amp; Community Health

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show abstract

“…These consultations do not include PA and efforts to promote exercise within traditional clinical settings have the challenges of lack of practitioner resources, reimbursement, time and confidence, as well as poor patient retention in exercise programmes. [15][16][17][18][19] Despite our small sample, the participants' attendance rate of 86% (14 weekly visits) and the study's retention rate of 89% are encouraging. Subsidised public transit and parking contributed to the attendance and retention rates, according to informal oral and written feedback from the participants.…”

Section: Discussionmentioning

confidence: 81%

“…These consultations rarely include a PA 'prescription', and efforts to promote PA within traditional medical settings are fraught with challenges. [15][16][17][18][19] To help patients incorporate PA as part of their psychiatric treatment, we combined Noffsinger's 'group medical visit' (GMV) strategy with a PA promotion component. 20 21 The evidence for GMVs in various medical settings is detailed elsewhere.…”

Section: Discussionmentioning

confidence: 99%

Exercise as medicine—the use of group medical visits to promote physical activity and treat chronic moderate depression: a preliminary 14-week pre–post study

Adams

Remick²,

Davis³

et al. 2015

BMJ Open Sport Exerc Med

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ObjectiveThe evidence that regular physical activity can treat depressive disorders is increasingly robust. However, motivating patients with depression to engage in physical activity can be challenging. Interdisciplinary group medical visits (GMVs) with an integrated physical activity component may be a novel means to support patients in becoming more active.MethodsWe conducted a ‘pre–post’ pilot study within a primary care setting. Participants were adults (≥18 years) with a chronic major depressive disorder or a bipolar 2 disorder (depression; chronic). A psychiatrist and exercise therapist co-led a series of 14 weekly 2 h GMVs. Each group visit combined specific medical advice, physical activity, patient discussions and a targeted educational component. Participants also attended 11 weekly hatha yoga classes. Primary outcome was ‘steps’ as measured by accelerometer (SenseWear) as well as depression (Patient Health Questionnaire, PHQ-9) and anxiety (Generalised Anxiety Disorder, GAD-7) ratings.Results14 of 15 participants (93.3%) completed the 14-week programme. After 3 months postintervention, median depression scales (PHQ-9) decreased 38% from 16 to 10 (p<0.01; IQR pre/post 8/12); and median anxiety scales (GAD-7) decreased 50% from 13 to 6.5 (p<0.05; IQR 8.5/9). Median daily ‘steps’ increased 71% from 3366 to 5746 (IQR 2610/6237), though this was not significant (p>0.10).ConclusionsWhile other studies have examined the efficacy of GMVs in addressing chronic illnesses and the promotion of lifestyle changes, none to our knowledge have embedded physical activity within the actual patient visits. Interdisciplinary GMVs (eg, psychiatrist/exercise professional) may be a means to decrease depression and anxiety ratings within clinical care while improving physical activity.

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“…When examining physicians as a whole, as much as 60%, are not counseling on physical activity [11]. Widely accepted determinants of physician behavior are the foundation with which interventions are structured [7][8][9][10].…”

Section: Doi: 107243/2055-7205-1-2mentioning

confidence: 99%

Physician intention to counsel on physical activity: results from a pilot theory of planned behavior questionniare

Behrens¹,

Harbour²

2014

J Public Health Aspects

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Background: Physical activity has been identified as a behavior linked to reducing and preventing chronic disease. Physician counseling may represent an effective way to promote physical activity to a variety of populations. Still, counseling for physical activity is not broadly understood by physicians. Thus, the purpose of this study was to examine primary care provider's intention to counsel patients on engaging in physical activity. Methods: Using the Theory of Planned Behavior as a guide, a questionnaire was developed to investigate behavioral determinants for counseling patients on physical activity. Participants (n=26) were primary care providers in community clinics. To identify theoretical constructs influencing behavioral intention, two regressions were performed: 1) a multiple regression using direct measures of intention (Theory Model), and 2) a forward selection regression (Best Fit Model). Results: Subjective norms and perceived behavioral control accounted for the greatest variance in intention in both the Theory Model and Best Fit Model. Conclusions: Additional investigation can identify specific determinants that impact primary care providers' intention to counsel on PA.

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Clinical Counseling for Physical Activity: Translation of a Systematic Review Into Care Recommendations

Abstract: Feature Article / Clinical Counseling for Physical Activity

Cited by 33 publications

References 34 publications

Leading Their Flocks to Health? Clergy Health and the Role of Clergy in Faith-Based Health Promotion Interventions

Leading Their Flocks to Health? Clergy Health and the Role of Clergy in Faith-Based Health Promotion Interventions

Exercise as medicine—the use of group medical visits to promote physical activity and treat chronic moderate depression: a preliminary 14-week pre–post study

Physician intention to counsel on physical activity: results from a pilot theory of planned behavior questionniare

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