Physical activity prescription and engaging the entire ‘community of practice’

Thornton, Jane S

doi:10.1136/bjsports-2016-097191

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…In Australia, most medical schools include PA training in their medical curriculum (Strong et al , 2017) with the focus largely on cardiorespiratory endurance exercise recommendations. Healthcare professionals may also access, both in scientific and grey literature, general and specific recommendations concerning PA counselling and prescription (Gates, 2016, Gates et al , 2017, Pedersen and Saltin, 2015, Stoutenberg et al , 2015, Thornton, 2017, Thornton et al , 2016). A range of supporting resources are available online for healthcare professionals (and patients) in several countries, including websites with comprehensive materials such as factsheets concerning diseases and PA, for example, Australia (www.exerciseismedicine.com.au, last accessed 29 May 2018), Luxembourg (www.sport-sante.lu, last accessed 29 May 2018) and Sweden (www.fyss.se, last accessed 29 May 2018).…”

Section: Healthcare Professionals’ Perspectivesmentioning

confidence: 99%

Physical activity promotion in primary care: a Utopian quest?

Lion

Vuillemin

Thornton

et al. 2018

Health Promotion International

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The health benefits of physical activity (PA) are acknowledged and promoted by the scientific community, especially within primary care. However, there is little evidence that such promotion is provided in any consistent or comprehensive format. Brief interventions (i.e. discussion, negotiation or encouragement) and exercise referral schemes (i.e. patients being formally referred to a PA professional) are the two dominant approaches within primary care. These cost-effective interventions can generate positive changes in health outcomes and PA levels in inactive patients who are at increased risk for non-communicable diseases. Their success relies on the acceptability and efficiency of primary care professionals to deliver PA counselling. To this end, appropriate training and financial support are crucial. Similarly, human resourcing and synergy between the different stakeholders must be addressed. To obtain maximum adherence, specific populations should be targeted and interventions adapted to their needs. Key enablers include motivational interviewing, social support and multi-disciplinary approaches. Leadership and lines of accountability must be clearly delineated to ensure the success of the initiatives promoting PA in primary care. The synergic and multisectoral action of several stakeholders, especially healthcare professionals, will help overcome physical inactivity in a sustainable way.

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Section: Healthcare Professionals’ Perspectivesmentioning

confidence: 99%

Physical activity promotion in primary care: a Utopian quest?

Lion

Vuillemin

Thornton

et al. 2018

Health Promotion International

View full text Add to dashboard Cite

show abstract

“…The concept of exercise as everybody’s business has been previously highlighted [ 25 ]. Indeed, more of a “shared care” pathway has been proposed, including physicians, healthcare and exercise professionals that create a community of exercise medicine advocates [ 26 ]. The “clearance to exercise” model may have compounded the over-reliance on GPs, by historically relying on them to “sign patients off” for exercise [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“You’ve Got to Pick Your Battles”: A Mixed-Methods Investigation of Physical Activity Counselling and Referral within General Practice

Buckley

Finnie

Murphy

et al. 2020

IJERPH

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One in four people say they would be more active if advised by a general practitioner (GP), yet 72% of GPs do not discuss physical activity (PA) with patients and 80% of GPs are unaware of the PA guidelines. The aim of this study was therefore to investigate GP perspectives on PA counselling and referral and interpret these within the context of the socio-ecological model (SEM). Fifty-six GPs completed an online survey to investigate factors influencing PA counselling and referral. Semi-structured interviews were then conducted with seven GPs to explore topics in more depth. Interview data were analysed thematically and mapped to the SEM. GPs were more likely to discuss PA with patients if they were physically active themselves (p = 0.004). Influences on PA counselling and referral were identified at the policy (provision of education, priority), organisational (feedback, e-referral), interpersonal (PA as everybody’s business, patient factors) and intrapersonal (knowledge, GP PA levels) levels of the SEM. Multi-level strategies are required to help GPs promote PA and make use of exercise referral schemes, including making PA a strategic priority, introducing systems for feedback from referrals, and involving other members of the care team in PA counselling and referral.

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“…Due to the ability of PA prescriptions to alter patient behavior [ 5 , 9 , 10 ], it has been recommended that PA prescriptions become a standard of clinical care [ 5 , 9 ]. Although prescribing PA offers great potential, many physicians and general practitioners are hesitant to discuss PA with their patients due to a lack of knowledge, training, and time [ 11 , 12 ]. Additionally, weight-related discussions between healthcare providers and patients vary based on both patient and provider characteristics, including weight status [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Veterinary-Prescribed Physical Activity: Feasibility and Acceptability among Veterinary Staff and Dog Owners

Oselinsky

Duncan

Martinez

et al. 2021

IJERPH

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Physical inactivity remains a global epidemic leading to an estimated 5 million preventable deaths per year. Although there exist numerous public-health campaigns aimed at increasing physical activity (PA), a potentially fruitful but underexplored avenue to promote both human and animal health is veterinary-prescribed PA programs. The aim of this study was to determine the feasibility and acceptability of incorporating veterinary-prescribed PA programming into a diverse array of clinic settings. Participants (n = 722 veterinary-clinic staff (VS); n = 1028 dog owners (DOs)) completed an online survey assessing: (a) the perceived importance of PA for promoting health and preventing disease, (b) willingness to participate in a veterinary-prescribed PA program, and (c) potential benefits and barriers of such a program. Both groups of participants indicated that PA is important for both human and animal health (97% and 98% of VS and 92% and 93% of DOs said PA is very or extremely important for animal and human health, respectively). Additionally, most participants in both groups expressed an interest in participating in a veterinary-prescribed PA program in the future, with only 11% of DOs and 10% of VS saying they were not interested. Benefits and barriers of this type of intervention for both practitioners and patients were also identified. Incorporating veterinary-prescribed PA programming into veterinary clinics seems to be acceptable to both DOs and VS. Additionally, many VS believe such programming would be feasible at their clinics; thus, pursuing such programs appears to be a promising avenue for promoting human and animal health.

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Physical activity prescription and engaging the entire ‘community of practice’

Cited by 3 publications

References 7 publications

Physical activity promotion in primary care: a Utopian quest?

Physical activity promotion in primary care: a Utopian quest?

“You’ve Got to Pick Your Battles”: A Mixed-Methods Investigation of Physical Activity Counselling and Referral within General Practice

Veterinary-Prescribed Physical Activity: Feasibility and Acceptability among Veterinary Staff and Dog Owners

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