scholarly journals Tailored physical activity on prescription with follow-ups improved motivation and physical activity levels. A qualitative study of a 5-year Swedish primary care intervention

2020 ◽  
Vol 38 (4) ◽  
pp. 399-410
Author(s):  
Monica Joelsson ◽  
Stefan Lundqvist ◽  
Maria E. H. Larsson
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Qualitative Study ◽  
Activity Levels ◽  
Care Intervention ◽  
Physical Activity Levels

Prescribing smartphone applications for physical activity promotion in primary care: modeling health gain and cost savings (Preprint)

2021 ◽  
Author(s):  
Leah Grout ◽  
Kendra Telfer ◽  
Nick Wilson ◽  
Christine Cleghorn ◽  
Anja Mizdrak
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health System ◽  
Cost Savings ◽  
Activity Levels ◽  
Smartphone Applications ◽  
Primary Care Settings ◽  
Health Gains ◽  
Life Years ◽  
Physical Activity Levels

BACKGROUND Inadequate physical activity is a substantial cause of health loss globally with this loss attributable to such diseases as coronary heart disease, diabetes, stroke, and certain forms of cancer. OBJECTIVE We aimed to assess the potential impact of the prescription of smartphone applications (apps) in primary care settings on physical activity levels, health gains (in quality-adjusted life years (QALYs)), and health system costs in New Zealand (NZ). METHODS A proportional multistate lifetable model was used to estimate the change in physical activity levels and to predict resultant health gains in QALYs and health system costs over the remaining lifespan of the NZ population alive in 2011 at a 3% discount rate. RESULTS The modeled intervention resulted in an estimated 430 QALYs (95% uncertainty interval: 320 to 550), with net cost-savings of NZ $2.2 million (2018 US $1.6 million) over the remaining lifespan of the 2011 NZ population. On a per capita basis, QALY gains were generally larger in women than men, and larger in Māori than non-Māori. The health impact and cost-effectiveness of the intervention were highly sensitive to assumptions around intervention uptake and decay. For example, the scenario analysis with the largest benefits, which assumed a five-year maintenance of additional physical activity levels, delivered 1750 QALYs and NZ $22.5 million in cost-savings. CONCLUSIONS The prescription of smartphone apps for promoting physical activity in primary care settings is likely to generate modest health gains and cost-savings at the population level, in this high-income country. Such gains may increase with ongoing improvements in app design and increased health worker promotion to patients.

scholarly journals The impact of multidimensional physical activity feedback on healthcare practitioners and patients

BJGP Open ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. bjgpopen18X101628 ◽  
Author(s):  
Max J Western ◽  
Dylan Thompson ◽  
Oliver J Peacock ◽  
Afroditi Stathi
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
At Risk ◽  
Emotional Responses ◽  
Activity Levels ◽  
Structured Interviews ◽  
Physical Activity Levels ◽  
The Impact ◽  
Personalised Feedback ◽  
Low Activity

BackgroundPromotion of physical activity in primary care has had limited success. Wearable technology presents an opportunity to support healthcare practitioners (HCPs) in providing personalised feedback to their patients.AimTo explore the differing thoughts and feelings of both HCPs and at-risk patients provided with personalised multidimensional physical activity feedback.Design & settingQualitative study with HCPs (n = 15) and patients at risk of cardiovascular disease or type 2 diabetes (n = 29), recruited from primary care.MethodHCPs and patients wore a physical activity monitor for 7 days and were subsequently shown their personalised multidimensional feedback, including sedentary time, calorie burn, short (1-minute) or long (>10-minute) bouts of moderate-to-vigorous activity during semi-structured interviews. Transcripts were analysed thematically with comparisons made between individuals of high (n = 21) and low (n = 23) physical activity levels as to their cognitive–affective responses to their data.ResultsPersonalised feedback elicited positive emotional responses for highly active participants and negative emotional responses for those with low activity. However, individuals with low activity demonstrated largely positive coping mechanisms. Some low active participants were in denial over feedback, but the majority valued it as an opportunity to think of ways to improve physical activity (cognitive reappraisal) and started forming action plans (problem-focused coping). Around half of all participants also sought to validate their feedback against peers.ConclusionPersonalised, visual feedback elicits immediate emotional and coping responses in participants of high and low physical activity levels. Further studies should explore whether multidimensional feedback could help practitioners explore diverse ways for lifestyle change with patients.

scholarly journals How do healthcare professionals perceive physical activity prescription for community-dwelling people with COPD in Australia? A qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e035524
Author(s):  
Aroub Lahham ◽  
Angela T Burge ◽  
Christine F McDonald ◽  
Anne E Holland
Keyword(s):  
Physical Activity ◽  
Clinical Practice ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Healthcare Professionals ◽  
Physical Therapists ◽  
Community Dwelling ◽  
Activity Levels ◽  
Activity Promotion ◽  
Physical Activity Levels

ObjectivesClinical practice guidelines recommend that people with chronic obstructive pulmonary disease (COPD) should be encouraged to increase their physical activity levels. However, it is not clear how these guidelines are applied in clinical practice. This study aimed to understand the perspectives of respiratory healthcare professionals on the provision of physical activity advice to people with COPD. These perspectives may shed light on the translation of physical activity recommendations into clinical practice.DesignA qualitative study using thematic analysis.SettingHealthcare professionals who provided care for people with COPD at two major tertiary referral hospitals in Victoria, Australia.Participants30 respiratory healthcare professionals including 12 physicians, 10 physical therapists, 4 nurses and 4 exercise physiologists.InterventionsSemistructured voice-recorded interviews were conducted, transcribed verbatim and analysed by two independent researchers using an inductive thematic analysis approach.ResultsHealthcare professionals acknowledged the importance of physical activity for people with COPD. They were conscious of low physical activity levels among such patients; however, few specifically addressed this in consultations. Physicians described limitations including time constraints, treatment prioritisation and perceived lack of expertise; they often preferred that physical therapists provide more comprehensive assessment and advice regarding physical activity. Healthcare professionals perceived that there were few evidence-based strategies to enhance physical activity. Physical activity was poorly differentiated from the prescription of structured exercise training. Although healthcare professionals were aware of physical activity guidelines, few were able to recall specific recommendations for people with COPD.ConclusionPractical strategies to enhance physical activity prescription may be required to encourage physical activity promotion in COPD care.

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