Exercise is medicine? Most of the time for most; but not always for all

Williams, Toni L.; Hunt, E. Raymond; Papathomas, Anthony; Smith, Brett

doi:10.1080/2159676x.2017.1405363

Cited by 42 publications

(35 citation statements)

References 86 publications

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“…With appropriate education and organizational support, their consultation in the implementation of exercise promotion strategies could lead to more ethical forms of exercise promotion with more efficacious, person‐sensitive interventions (Williams et al . ).…”

Section: Discussionmentioning

confidence: 97%

Promoting exercise behaviour in a secure mental health setting: Healthcare assistant perspectives

Kinnafick¹,

Papathomas²,

Regoczi³

2018

Int J Mental Health Nurs

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Individuals with severe mental illness engage in significantly less amounts of physical activity than the general population. A secure mental health setting can exacerbate barriers to exercise, and facilitate physical inactivity and sedentary behaviour. Healthcare assistants are intimately involved in the daily lives of patients and, therefore, should be considered integral to exercise promotion in secure mental health settings. Our aim was to explore healthcare assistants' perceptions of exercise and their attitudes to exercise promotion for adult patients in a secure mental health hospital. Qualitative semi-structured interviews were conducted with 11 healthcare assistants from a large UK-based secure mental health hospital. Topics included healthcare assistants' personal experiences of exercise within a secure facility, their perceptions of exercise as an effective treatment tool for mental health, and their perceived roles and responsibilities for exercise promotion. Thematic analysis was used to analyse the data. Three main themes were identified: (i) exercise is multi-beneficial to patients, (ii) perceived barriers to effective exercise promotion, and (iii) strategies for effectives exercise promotion. Healthcare assistants considered exercise to hold patient benefits. However, core organizational and individual barriers limited healthcare assistants' exercise promotion efforts. An informal approach to exercise promotion was deemed most effective to some, whereas others committed to more formal strategies including compulsory sessions. With education and organizational support, we propose healthcare assistants are well placed to identify individual needs for exercise promotion. Their consultation could lead to more efficacious, person-sensitive interventions.

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Section: Discussionmentioning

confidence: 97%

Promoting exercise behaviour in a secure mental health setting: Healthcare assistant perspectives

Kinnafick¹,

Papathomas²,

Regoczi³

2018

Int J Mental Health Nurs

Self Cite

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“…Specific emphasis has been placed on exercise prescription and brief counselling interventions by health care providers for clinical populations, such as those utilized in the 'Exercise is Medicine' initiative; these interventions demonstrate inconsistent improvements in and maintenance of physical activity levels [23]. A prescriptive approach overlooks social factors influencing physical activity and lifestyle choices and may not consider engagement in physical activity for social and enjoyment outcomes, which are salient facilitators of physical activity engagement [24]. Physical literacy may present a more nuanced, reflexive, and holistic way to incorporate physical activity promotion into the health care setting where context, psychosocial circumstance, individual ability, and knowledge are considered.…”

Section: Physical Literacy Physical Activity and Healthmentioning

confidence: 99%

Understanding physical literacy in the context of health: a rapid scoping review

Fox²,

et al. 2020

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Background Physical literacy is a multidimensional concept that describes a holistic foundation for physical activity engagement. Understanding the utilization and effectiveness of physical literacy in the context of health and the health care setting will support clinical and population health programming. The purpose of this rapid scoping review was to: 1) map the conceptualization of physical literacy as it relates to health; 2) identify and describe the utilization of physical literacy in the context of health and engagement of health care providers; and 3) better understand the relationship between physical literacy, physical activity, and health. Methods Following established scoping review methods adapted for a rapid review approach, we searched electronic databases Medline OVID, CINAHL Ebsco, PsycInfo Ebsco, Web of Science ISI, and ERIC Ebsco from conception until September 2019. Tabulation coding was used to identify the key themes across included articles and synthesize findings. The review follows an integrated knowledge translation approach based on a partnership between the health system, community organizations, and researchers. Results Following removal of duplicates, our search identified 475 articles for title and abstract screening. After full text review, 17 articles were included (12 original research papers and five conceptual or review papers). There was near consensus among included papers with 16 of 17 using the Whiteheadian definition of physical literacy. There was limited involvement of health care providers in the concept of physical literacy. Physical literacy was connected to the following health indicators: BMI and body weight, waist circumference, cardiorespiratory fitness, physical activity, and sedentary behaviour. The primary demographic focus of included studies was children and there was a conceptual focus on the physical domain of physical literacy. Conclusions Despite growing popularity, the empirical evidence base linking physical literacy and health outcomes is limited and the relationship remains theoretical. Physical literacy may present a novel and holistic framework for health-enhancing physical activity interventions that consider factors vital to sustained participation in physical activity across the life course. Future work should continue to explore the nature and direction of the relationship between physical activity and physical literacy to identify appropriate focused approaches for health promotion.

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“…Indeed, some authors have questioned whether exercise is always medicine, or something else (e.g. Williams, Hunt, Papathomas, & Smith, 2018). Indeed, social-scientific scholars within the football is medicine field appear to be aware of this problem.…”

Section: Editorialmentioning

confidence: 99%

Football is/as medicine: the growth of a health promotion movement and a challenge for sociologists

Evans

Ottesen

2020

European Journal for Sport and Society

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Exercise is medicine? Most of the time for most; but not always for all

Cited by 42 publications

References 86 publications

Promoting exercise behaviour in a secure mental health setting: Healthcare assistant perspectives

Promoting exercise behaviour in a secure mental health setting: Healthcare assistant perspectives

Understanding physical literacy in the context of health: a rapid scoping review

Football is/as medicine: the growth of a health promotion movement and a challenge for sociologists

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