Impact of a National Peer-Led Training Program to Increase Brief Physical Activity Advice Given to Patients by Health Care Professionals

Carlin, Liz; Whelan, Maxine E; Musson, Hayley; Adams, Emma J.

doi:10.1123/jpah.2021-0187

Cited by 3 publications

(4 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous literature has indicated that primary care providers might lack knowledge and confidence in discussing and promoting PA among patients (26)(27)(28). However, the current findings suggest that whilst familiarity with the CMO PA guidance remains low, three quarters of GPs felt confident to discuss PA with patients.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Physical activity promotion by GPs: a cross-sectional survey in England

et al. 2022

View full text Add to dashboard Cite

BackgroundPhysical activity (PA) contributes to the prevention and management of many health conditions. Primary care practitioners have an important role to play in supporting people to be physically active.AimThe study had three aims; 1) to explore general practitioners’ (GPs) awareness, and knowledge of the PA guidelines, 2) to assess their confidence in promoting PA, and 3) to explore factors that influence PA promotion amongst GPs.Design & settingCross-sectional survey, secondary analysis.MethodUK-based GPs were invited to take part in an online survey in January 2021. Demographic questions were followed by nine multiple choice questions. Categorical data were analysed using descriptive statistics and open-ended data were analysed using content analysis and inductive coding.Results:Eight hundred and nine GPs based in England completed the survey. Most GP respondents (99%) believed that PA is important yet only 36% reported being at least ‘somewhat familiar’ with current PA guidance. Despite this, 74% of GPs reported feeling confident to raise the topic of PA with their patients. Barriers included lack of time, perceptions of patient attitude and perception of risk, language issues and COVID-19. Key facilitators were identified and ‘Couch to 5 k’ and the ‘parkrun practice’ initiative were the most widely used support tools.ConclusionGPs value PA yet well-known barriers exist in embedding promotion into primary care. As primary care reconfigures there is an opportunity to embed PA into systems, services and processes.

show abstract

Section: Comparison With Existing Literaturementioning

confidence: 99%

Physical activity promotion by GPs: a cross-sectional survey in England

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Training programmes, either preprofessional or in-service, show promise in addressing these barriers and in increasing the delivery of physical activity advice to patients 24. Important physical activity topic areas relevant for health professionals’ training have been identified25; however, there is currently no consensus on the specific minimum competencies required by all health professionals to provide movement behaviour change support.…”

Section: Introductionmentioning

confidence: 99%

“…21 Training programmes, either preprofessional or in-service, show promise in addressing these barriers and in increasing the delivery of physical activity advice to patients. 24 Important physical activity topic areas relevant for health professionals' training have been identified 25 ; however, there is currently no consensus on the specific minimum competencies required by all health professionals to provide movement behaviour change support. Further, to date, the focus has been on physical activity promotion, with less literature investigating sedentary behaviour change in healthcare settings, 17 despite sedentary behaviour being a distinct, but related, health behaviour.…”

Section: Introductionmentioning

confidence: 99%

What should all health professionals know about movement behaviour change? An international Delphi-based consensus statement

Alsop,

Lehman,

Brauer

et al. 2023

Br J Sports Med

View full text Add to dashboard Cite

The WHO has called for action to integrate physical activity promotion into healthcare settings, yet there is a lack of consensus on the competencies required by health professionals to deliver effective movement behaviour change support. The objective of this study was to establish key competencies relevant for all health professionals to support individuals to change their movement behaviours. Consensus was obtained using a three-phase Delphi process. Participants with expertise in physical activity and sedentary behaviour were asked to report what knowledge, skills and attributes they believed health professionals should possess in relation to movement behaviour change. Proposed competencies were developed and rated for importance. Participants were asked to indicate agreement for inclusion, with consensus defined as group level agreement of at least 80%. Participants from 11 countries, working in academic (55%), clinical (30%) or combined academic/clinical (13%) roles reached consensus on 11 competencies across 3 rounds (n=40, n=36 and n=34, respectively). Some competencies considered specific to certain disciplines did not qualify for inclusion. Participants agreed that health professionals should recognise, take ownership of, and practise interprofessional collaboration in supporting movement behaviour change; support positive culture around these behaviours; communicate using person-centred approaches that consider determinants, barriers and facilitators of movement behaviours; explain the health impacts of these behaviours; and recognise how their own behaviour influences movement behaviour change support. This consensus defines 11 competencies for health professionals, which may serve as a catalyst for building a culture of advocacy for movement behaviour change across health disciplines.

show abstract

“…Time constraints imposed on clinical appointments were identified as another barrier to such provision with NHS cancer care pathways, in accordance with previous findings [ 49 ], which limits delivery options to brief consultant-led conversations within the care pathway. Evidence suggests there is potential to increase the number of brief intervention consultations with appropriate training [ 52 ], consistent with the Making Every Contact Count (MECC) initiative [ 53 ], but this approach is likely to have minimal impact [ 54 , 55 ]. Alternatively, having the opportunity to sign-post/refer women onto credible and motivational weight management information and support after primary treatment was viewed positively by HCPs, as in other studies [ 38 , 42 ], and could help to overcome the challenge of time constraints during consultations.…”

Section: Discussionmentioning

confidence: 99%

The experiences and perceptions of female breast cancer patients regarding weight management during and after treatment for oestrogen-receptor positive disease: a qualitative study

Pickering

Wane

et al. 2022

BMC Cancer

View full text Add to dashboard Cite

Background Weight gain is commonly observed during and after breast cancer treatment and is associated with poorer survival outcomes, notably in women with oestrogen-receptor positive disease. The aim of this qualitative study was to investigate the experiences and perceptions of oestrogen-receptor positive (ER +) female breast cancer patients (BCPs) regarding weight management behaviours during and after treatment. Secondly, to gain insight into the experiences of healthcare professionals (HCPs) regarding the provision of weight management advice to patients undergoing treatment. Methods Four focus groups involving 16 BCPs having a median (range) age of 51 (35–70 y) and three focus groups involving 21 HCPs aged 46 (29–62) were held at a university campus, local cancer support centre or clinical site. Data were analysed using Framework analysis. Results Four overarching themes (and 10 subthemes) were identified: (1) Treatment; (2) Support for lifestyle behaviour change; (3) Information availability for BCPs; (4) Knowledge of current evidence amongst HCPs. The physical and psychological consequences of treatment influenced motivation for weight management amongst BCPs. Social support for health promoting behaviours was viewed as important but was conflicting, requiring context-specific considerations. BCPs said they would have welcomed access to credible information (guided by HCPs) about the potential detrimental health effects of excess body weight and weight gain, together with advice on weight management via healthy eating and physical activity. HCPs felt that they had insufficient knowledge of public health dietary and physical activity recommendations or evidence-based interventions to confidently offer such advice. HCPs expressed concern that raising weight management issues would exacerbate distress or invoke feelings of guilt amongst BCPs, and cited time pressures on patient consultations as additional barriers to providing weight management support. Conclusion The study yielded novel insights into factors influencing weight management behaviours amongst overweight ER + BCPs. The results suggest that evidence-based information and support, which addresses key physical and psychological challenges to physical activity and dietary behaviours, offers the best route to sustainable weight management in this population.

show abstract

Impact of a National Peer-Led Training Program to Increase Brief Physical Activity Advice Given to Patients by Health Care Professionals

Cited by 3 publications

References 21 publications

Physical activity promotion by GPs: a cross-sectional survey in England

Physical activity promotion by GPs: a cross-sectional survey in England

What should all health professionals know about movement behaviour change? An international Delphi-based consensus statement

The experiences and perceptions of female breast cancer patients regarding weight management during and after treatment for oestrogen-receptor positive disease: a qualitative study

Contact Info

Product

Resources

About