Development of a physical activity monitoring tool for Thai medical schools: a protocol for a mixed methods study

Wattanapisit, Apichai; Vijitpongjinda, Surasak; Saengow, Udomsak; Amaek, Waluka; Thanamee, Sanhapan; Petchuay, Prachyapan

doi:10.1136/bmjopen-2017-017297

Cited by 3 publications

(5 citation statements)

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“…PAC for specific diseases is beyond the scope of this article. been cited in research, 37,38,46,47) wearable devices, 48,49) public health, [50][51][52][53] and clinical services as well as in primary care. [54][55][56] Kyu et al 28) detailed the dose-response effects of a higher level of physical activity on risk reduction of NCDs and cancers.…”

Section: Organizing Physical Activity Counseling In Primary Carementioning

confidence: 99%

“…A time-based recommendation for physical activity has been used widely. That is, 150 minutes per week of moderate-intensity or 75 minutes per week of vigorous-intensity aerobic physical activity is set as an indicator for “being physically active.” This time-based indicator has been cited in research [ 37 , 38 , 46 , 47 ], wearable devices [ 48 , 49 ], public health [ 50 - 53 ], and clinical services as well as in primary care [ 54 - 56 ]. Kyu et al [ 28 ] detailed the dose-response effects of a higher level of physical activity on risk reduction of NCDs and cancers.…”

Section: Organizing Physical Activity Counseling In Primary Carementioning

confidence: 99%

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Overview of Physical Activity Counseling in Primary Care

Wattanapisit

Wongsiri

2021

Korean J Fam Med

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Physical inactivity is a global health burden. Promoting physical activity in primary care through physical activity counseling is an effective intervention. This article provides an overview of and perspectives on physical activity counseling in primary care. The identification of physical inactivity as a health problem may increase the awareness of physical inactivity among patients and primary care providers, which will lead to an action plan. The contents of physical activity counseling should be based on evidence-based recommendations. Safety issues should be evaluated appropriately to optimize the utilization of primary care services. Physical activity counseling methods should be "tailored" for an individual using appropriate counseling methods and setting-specific resources. Multilevel barriers to physical activity counseling in primary care (i.e., healthcare providers, patients, and systems) must be addressed. Setting-specific strategies to overcome these barriers should be implemented to maximize the effectiveness of physical activity counseling in primary care.

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Section: Organizing Physical Activity Counseling In Primary Carementioning

confidence: 99%

Section: Organizing Physical Activity Counseling In Primary Carementioning

confidence: 99%

Overview of Physical Activity Counseling in Primary Care

Wattanapisit

Wongsiri

2021

Korean J Fam Med

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“…Second, the characteristics of the Delphi study, using a series of questionnaires, helped to achieve the consensus of expert opinion and avoid problems arising from a few powerful participants and group pressures 34 35. Third, although the findings did not provide a ready-to-use PA counselling module, they did lead to more specific components of PA education and training than are available with the previous non-specific components provided by the Medical Council of Thailand 36. The findings also are adaptable and transferable from the national level in the Thai context to the international level for developing a new approach to this aspect of medical education.…”

Section: Discussionmentioning

confidence: 99%

Developing a training programme in physical activity counselling for undergraduate medical curricula: a nationwide Delphi study

Wattanapisit¹,

Petchuay²,

Wattanapisit³

et al. 2019

BMJ Open

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ObjectivesTo identify the essential content and approaches for developing a training programme in physical activity (PA) counselling for undergraduate medical curricula.DesignA three-round Delphi survey was conducted to investigate four key topics: (1) contents of PA counselling in medical education; (2) teaching and learning methods; (3) medical school collaboration and (4) educational policy implementation. Round 1 collected opinions from the participants. Round 2 focused on scoring the opinions. Round 3 summarised the expert opinions. A mean score of 4 or above identified as an important item.SettingAll 23 medical schools in Thailand.ParticipantsAcademic staff who were experts or in charge of medical schools in the fields of PA, health promotion or medical education.ResultsA total of 20 representatives from 18 of the 23 Thai medical schools participated in the study (for a response rate of 78.2%). The top three most important indicators of knowledge were (1) the definition and types of PA (4.75±0.55), (2) the FITT principle (frequency, intensity, time and type) (4.75±0.55) and (3) the benefits of PA (4.65±0.67). The most important component of the training involved general communication skills (4.55±0.60). An extracurricular module (4.05±0.76) was preferable to an intracurricular module (3.95±0.94). Collaborations with medical education centres and teaching hospitals (4.45±0.78) and supporting policies to increase medical students’ PA (4.40±0.73) were considered to be important.ConclusionKnowledge and counselling skills are important for PA counselling. Building collaborations between medical education and health institutions, as well as implementing effective educational policies, are key approaches to the integration of PA counselling into medical education. Future research should focus on investigating the effects of training in PA counselling on the learning outcomes of medical students and the clinical outcomes of patients.

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“…This section presents a brief statement of the research methods. The protocol paper published elsewhere provides full details of the methodology [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the researched team developed the Medical School Physical Activity Report Card (MSPARC) in 2017. The MSPARC is a specific PA report card designed for medical schools to document (1) the fundamental profile of the medical school, (2) the student PA habits and sedentary behaviours (SB), (3) PA-related environments, (4) policies related to PA, and (5) the PA surveillance plan [ 25 ]. The aims of this paper are to describe the methods used to collect data for the first in-depth PA surveillance at the School of Medicine, Walailak University, Thailand, and to summarise the results using the MSPARC.…”

Section: Introductionmentioning

confidence: 99%

Results from the Medical School Physical Activity Report Card (MSPARC) for a Thai Medical School: a mixed methods study

et al. 2018

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BackgroundData systems for surveillance and monitoring are essential to develop understanding of the levels of physical activity (PA) occurring at the population levels. To comprehensively understand PA in medical schools, a suitable surveillance tool might be useful to present and monitor key PA-related metrics. This study investigated PA-related metrics in a Thai medical school and summarised the findings using a newly developed tool-the Medical School Physical Activity Report Card (MSPARC).MethodsA mixed methods study was carried out at three campuses of a medical school in Southern Thailand. Data analysis included descriptive statistics and qualitative reviews. All 285 medical students from a medical school were the target population. The prevalence of PA (≥ 150 min/week of moderate- to vigorous-intensity PA) and sedentary behaviours (SB) (≥ 8 h/day of sedentary time) among medical students were analysed using data from a self-administered questionnaire. Usage patterns, quality, and accessibility of walkable neighbourhoods; bicycle facilities; and recreational areas were assessed. PA promotion programmes, education, and investment related to PA promotion were reviewed from the school documents.ResultsOf 279 participants, 138 (49.5%) met PA recommendation, but 71.7% met criteria for SB. Male students were more active (61.8 vs. 42.4%) and less sedentary (65.7 vs. 75.1%) than female students. Bicycle facilities were rated as having the lowest quality and accessibility among PA-related facilities. Most PA promotion programmes were sports clubs and sport competitions. A total of 25 h of PA education was taught throughout the entire curriculum, which provided minimal PA counselling training. The school invested 2136.14 Baht/student/year (US $64.34) in PA promotion, or 2.4% of the annual tuition. The MSPARC presented the summary of the findings by using simple symbols, infographics, and short texts.ConclusionsTo increase PA and decrease SB among medical students, there is a need to improve the quality and accessibility of the built environment as well as the natural environment, so as to establish health promoting policies. PA counselling training is required to develop the medical students’ essential skills and awareness for future practices. Monitoring and subsequent surveillance of PA in medical school are needed.

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Development of a physical activity monitoring tool for Thai medical schools: a protocol for a mixed methods study

Cited by 3 publications

References 22 publications

Overview of Physical Activity Counseling in Primary Care

Overview of Physical Activity Counseling in Primary Care

Developing a training programme in physical activity counselling for undergraduate medical curricula: a nationwide Delphi study

Results from the Medical School Physical Activity Report Card (MSPARC) for a Thai Medical School: a mixed methods study

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