Health Care Providers’ Perspectives on Promoting Physical Activity and Exercise in Health Care

Pellerine, Liam P.; O’Brien, Myles W.; Shields, Chris; Crowell, Sandra; Strang, Robert H. W.; Fowles, Jonathon R.

doi:10.3390/ijerph19159466

Cited by 14 publications

(6 citation statements)

References 28 publications

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“…Lack of time is the primary barrier reported, followed by confidence and a lack of specialized training (7–9). In past studies, referrals to allied health professionals who specialize in physical activity and exercise were low but are proposed as a solution (9,10,27). Our findings align with both the low overall rates and frequency of referrals and that referrals were primarily for lifestyle management and/or exercise prescription.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Professionals’ Insights on the Integration of Kinesiologists into Ontario’s Health System

Auger,

Thomas,

Fischer

et al. 2023

Transl J ACSM

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Introduction/Purpose Kinesiologists are well suited to work collaboratively or independently within the health system to improve patient/client care and well-being. This cross-sectional survey explored perceptions of the integration of registered kinesiologists (RKins) into the health system in Ontario. Methods RKins (n = 202) and other health professionals (OHP; n = 337), including physicians, physiotherapists, nurse practitioners, etc., participated in an online survey. Results RKins reported working in diverse practice environments, and more than half reported receiving patients/clients through referrals. Of the OHP, 37.7% had ongoing professional interactions with RKins and 86.7% reported high satisfaction with these interactions; 32.6% of OHP reported referring patients/clients to RKins, primarily for exercise prescription (86.0%), treatment of clinical conditions (48.8%), and patient education (46.5%). Perceived barriers to referral included lack of awareness of the RKins’ scope of practice (81.0%), inadequate funding for services (67.1%), and low confidence in the clinical competency of RKins (61.8%). Conclusions RKins are experts in exercise-based interventions to prevent, treat, and manage many chronic lifestyle-related diseases. Initiatives to increase awareness of the RKins’ scope of practice, clinical competency, and standards of practice and to increase funding for RKin services are important next steps.

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Section: Discussionmentioning

confidence: 99%

Healthcare Professionals’ Insights on the Integration of Kinesiologists into Ontario’s Health System

Auger,

Thomas,

Fischer

et al. 2023

Transl J ACSM

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“…There is also an increase in the number of chronic diseases, which, along with the developing aging process, boosts the demand for health services and medical professionals ( 2 ). Among the major global public health problems are obesity and overweight, which results in the rising risk of comorbidities, mortality and generates healthcare costs ( 3 ). Similarly, smoking causes a number of tobacco-related conditions, including respiratory diseases, cancers, and cardiovascular diseases, which increase the risk of death and generate considerable healthcare costs ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Nurse-led lifestyle counseling in Polish primary care: the effect of current health status and perceived barriers

Znyk,

Kostrzewski,

Kaleta

2024

Front. Public Health

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IntroductionOur study included counseling on diet and physical activity, smoking, e-cigarette use, and alcohol consumption. The aim was to examine the correlates of counseling provided by primary care nurses with the health status/health behaviors of nurses and the barriers in the advice provided.Materials and methodsIn 2022, we conducted a cross-sectional survey among 331 nurses employed in the primary care sector in Lodz. The questionnaire consisted of three sections: characteristics of the patient population receiving treatment and provided with healthy lifestyle counseling by nurses, barriers to the process of assessing, controlling, and guiding patients, and health status/health behaviors of nurses.ResultsEighty percent of the nurses in our study provided advice on diet and physical activity to primary care patients. Over 70% of the survey participants performed minimal anti-smoking interventions forsmokers, 67.7% for alcohol drinkers, and 56.8% for e-cigarette users. The correlates of counseling in the field of diet and physical activity turned out to be the knowledge and skills, which enabled nurses to provide advice (OR = 2.57, p < 0.01). The correlates of the conducted minimal anti-smoking interventions in smoking patients were: subjective assessment of overweight and obesity in nurses, knowledge and skills in conducting counseling (OR = 1.92, p < 0.05), and measuring body weight, height and BMI (OR = 2.18, p < 0.01). Among the three most common barriers identified by the nurses in the process of assessing, monitoring, and guiding patients were the opinion that patients are not interested in improving their diet, physical activity, and weight loss (60.7%), lack of time (51.4%), as well as the belief that patients find it too difficult to change their current habits (54.1%).ConclusionThe results of our survey indicate that nurses’ participation in healthy lifestyle counseling in adult patients is unsatisfactory. Interventions in primary care should be designed considering the specific obstacles nurses may face in leading healthy lifestyles. Further training of nursing staff is required to increase their knowledge on healthy lifestyles.

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“…Educational training that equips providers with the skills and comfort to initiate more exercise content with patients is needed to address these barriers. Self-motivation is a key factor in the retainment of education among adults, and physicians interested in providing patients with counseling and/or prescriptions have noted a desire for more educational training on PA counseling and exercise prescription (11,12,14,15). Although individual studies have investigated the efficacy of individual interventions (e.g., educational workshops (16)), no study has amalgamated or compared this literature.…”

Section: Introductionmentioning

confidence: 99%

A Review of Educational Interventions on Physicians’ Exercise Counseling and Prescription Practices

Courish,

Shivgulam,

Petterson

et al. 2023

Transl J ACSM

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Context Physicians report various barriers to providing patients with physical activity (PA) counseling and prescriptions. Implementing educational interventions among physicians could be an effective method for the promotion of PA counseling in primary care. Objective The purpose of this study was to review the impact and efficacy of different educational intervention modalities on physicians’ PA promotion outcomes. Design Twenty-one articles were included in this systematic review and were of moderate quality (6.8 ± 3.3 of 14 controlled trials and 6.3 ± 2.3 of 12 uncontrolled trials), assessed via the National Institutes of Health quality assessment tools. Studies ranged in sample size from 9 to 12,945 participants (n = 16,283). Eligibility Criteria For inclusion, studies had to have had interventional experimental design and performed an educational intervention aiming to improve PA counseling or exercise prescription practice, and most of the sample comprised physicians. Study Selection Sources were searched in May 2022 (n = 3422 citations without duplicates) via Scopus, EMBASE, MEDLINE, CINAHL, and Academic Search Premier (Prospero ID: CRD42022331755). Main Outcome Measures Physician PA practice outcomes across studies were categorized in terms of frequency of counseling and prescription, knowledge, and confidence. Results Most studies measuring PA counseling (8 of 13 studies) and prescription practices (8 of 10 studies) exhibited an increased frequency of PA prescription before and after the intervention. Physician confidence surrounding PA increased in most studies (10 of 12 studies), as well as knowledge of PA (6 of 7 studies). Conclusions Studies that were most effective in increasing physician PA promotion outcomes incorporated a practical component (i.e., hands-on) in addition to a theoretical session (i.e., lecture-based) to meet specific goals (e.g., accredited PA guidelines, prescription strategies). This review outlines the strengths and weaknesses of present educational intervention modalities and provides insight into future directions for education models to promote PA counseling and exercise prescription practices among physicians.

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Health Care Providers’ Perspectives on Promoting Physical Activity and Exercise in Health Care

Cited by 14 publications

References 28 publications

Healthcare Professionals’ Insights on the Integration of Kinesiologists into Ontario’s Health System

Healthcare Professionals’ Insights on the Integration of Kinesiologists into Ontario’s Health System

Nurse-led lifestyle counseling in Polish primary care: the effect of current health status and perceived barriers

A Review of Educational Interventions on Physicians’ Exercise Counseling and Prescription Practices

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