Primary care staff's views and experiences related to routinely advising patients about physical activity. A questionnaire survey

被引:142
作者
Douglas, Flora
Torrance, Nicola
van Teijlingen, Edwin
Meloni, Serena
Kerr, Ann
机构
[1] Univ Aberdeen, Dept Publ Hlth, Aberdeen AB25 2ZD, Scotland
[2] NHS Hlth Scotland, Edinburgh EH10 4SG, Midlothian, Scotland
[3] Univ Aberdeen, Dept Gen Practice, Forresterhill Hlth Ctr, Aberdeen AB25 2AY, Scotland
关键词
D O I
10.1186/1471-2458-6-138
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: United Kingdom public health policy has recently re-emphasised the role of primary health care professionals in tackling increasing levels of physical inactivity within the general population. However, little is known about the impact that this has had in practice. This study explores Scottish primary care staff's knowledge, attitudes and experiences associated with advising patients about physical activity during routine consultations. Methods: A cross-sectional questionnaire survey of general practitioners ( or family physicians), practice nurses and health visitors based in four health regions was conducted during 2004. The main outcome measures included: (i) health professionals' knowledge of the current physical activity recommendations; (ii) practice related to routine physical activity advising; and (iii) associated attitudes. Results: Questionnaires were returned by 757 primary care staff ( response rate 54%). Confidence and enthusiasm for giving advice was generally high, but knowledge of current physical activity recommendations was low. In general, respondents indicated that they routinely discuss and advise patients about physical activity regardless of the presenting condition. Health visitors and practice nurses were more likely than general practitioners to offer routine advice. Lack of time and resources were more likely to be reported as barriers to routine advising by general practitioners than other professional groups. However, health visitors and practice nurses were also more likely than general practitioners to believe that patients would follow their physical activity advice giving. Conclusion: If primary health care staff are to be fully motivated and effective in encouraging and supporting the general population to become more physically active, policymakers and health professionals need to engage in efforts to: ( 1) improve knowledge of current physical activity recommendations and population trends amongst frontline primary care staff; and ( 2) consider the development of tools to support individual assessment and advice giving to suit individual circumstances. Despite the fact that this study found that system barriers to routine advising were less of a problem than other previous research has indicated, this issue still remains a challenge.
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页数:10
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共 32 条
[11]  
ELLEY CR, 2003, BRIT MED J, V32, P793
[12]  
Fitzpatrick Michael., 2000, The Tyranny of Health: Doctors and the Regulation of Lifestyle
[13]   Physician advice and support for physical activity - Results from a national survey [J].
Glasgow, RE ;
Eakin, EG ;
Fisher, EB ;
Bacak, SJ ;
Brownson, RC .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2001, 21 (03) :189-196
[14]   Translating what we have learned into practice - Principles and hypotheses for interventions addressing multiple behaviors in primary care [J].
Glasgow, RE ;
Goldstein, MG ;
Ockene, JK ;
Pronk, NP .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2004, 27 (02) :88-101
[15]   Multiple behavioral risk factor interventions in primary care summary of research evidence [J].
Goldstein, MG ;
Whitlock, EP ;
DePue, J .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2004, 27 (02) :61-79
[16]  
Green L.W., 1991, HLTH PROMOTION PLANN
[17]   Looking for more than weight loss and fitness gain: Psychosocial dimensions among elder women in a primary-care exercise-referral program [J].
Hardcastle, S ;
Taylor, AH .
JOURNAL OF AGING AND PHYSICAL ACTIVITY, 2001, 9 (03) :313-328
[18]  
Hillsdon M, 2004, EVIDENCE BRIEFING
[19]   Increasing population levels of physical activity through primary care: GPs' knowledge, attitudes and self-reported practice [J].
Lawlor, DA ;
Keen, S ;
Neal, RD .
FAMILY PRACTICE, 1999, 16 (03) :250-254
[20]   How General Practitioners promote 'lifestyle' physical activity [J].
McKenna, J ;
Vernon, M .
PATIENT EDUCATION AND COUNSELING, 2004, 54 (01) :101-106