Exercise therapy and physical activity promotion: do exercise therapists assess or receive information on clients’ relevant personal factors? A national survey from Germany

2019 ◽  
Vol 22 (5) ◽  
pp. 290-298 ◽  
Author(s):  
Wolfgang Geidl ◽  
Judith Deprins ◽  
Samuel Cassar ◽  
René Streber ◽  
Florian Portenlänger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Exercise Therapy ◽  
National Survey ◽  
Physical Activity Promotion ◽  
Personal Factors ◽  
Activity Promotion

scholarly journals Physical activity promotion in daily exercise therapy: the perspectives of exercise therapists in German rehabilitation settings

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Wolfgang Geidl ◽  
Judith Wais ◽  
Cheyenne Fangmann ◽  
Ewnet Demisse ◽  
Klaus Pfeifer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Exercise Therapy ◽  
Qualitative Content Analysis ◽  
Personal Responsibility ◽  
Group Discussion ◽  
Behavioural Change ◽  
Physical Activity Promotion ◽  
Barriers And Facilitators ◽  
Rehabilitation Team ◽  
Activity Promotion

Abstract Background This study aims to explore exercise therapists’ perspectives on the topic of physical activity promotion (PAP) with a focus on identifying (i) the intervention content and methodological approaches used for promoting physical activity (PA) in daily practice and (ii) the barriers and facilitators that affect PAP. Methods This qualitative study comprised the heads of exercise therapy departments (n = 58; 41% women; mean age = 45 years) from different rehabilitation clinics in Germany. Each participant took part in a semi-structured focus-group discussion on PAP in exercise therapy. The findings of the focus groups were processed and interpreted using a conventional qualitative content analysis. Results The exercise therapists demonstrated detailed didactic–methodological strategies and action orientations for PAP. The identified core topics of the content and methods of PAP were (1) conceptualization, (2) exercise and PA for enjoyment and pleasure, (3) education with practice–theory combinations, (4) media and materials for self-directed training, and (5) strategies to enhance personal responsibility and independence. The core topics for the associated barriers and facilitators were (1) structural conditions, (2) the role of exercise therapists, (3) the interdisciplinary rehabilitation team, (4) rehabilitant experiences and expectations, and (5) aftercare services. Conclusion The topic of PAP is addressed with a high level of variability; exercise therapists involved in this study identify various methods and content for the promotion of PA within their individual practices. However, they display a limited awareness of existing evidence- and theory-based concepts for the promotion of PA as well as underlying theories of behavioural change. This variability may be due to the lack of a defined common framework for promoting PA, insufficient emphasis being placed on PA promotion in the current curricula and training, or extensive conceptual differences within German exercise therapy departments (e.g. different weighting of PAP).

scholarly journals Personal Determinants for Physical Activity Behavior of Urban-Dwelling Older Adults in Sri Lanka

2021 ◽  
Vol 7 ◽  
pp. 233372142110236
Author(s):  
Bimba I. Wickramarachchi ◽  
Sidiah J. Siop ◽  
Bilesha Perera
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sri Lanka ◽  
Muscle Strength ◽  
Demographic Data ◽  
Physical Activity Promotion ◽  
Personal Factors ◽  
Cross Sectional ◽  
Middle Income ◽  
Activity Promotion

Physical inactivity is a vital risk factor for the development and maintenance of chronic ill-health conditions among older adults. This study examined personal factors associated with physical activity (PA) behavior of urban-dwelling older adults in Sri Lanka, a middle-income country in South Asia. A total of 880 older adults (aged ≥60 years) participated in this cross-sectional study. They responded to anthropometrical, health, and socio-demographic data pertaining to their current physical and behavioral status. The mean age of the participants was 70.1 years ( SD ±6.0), and the majority (75%) were women. Increasing age, male gender, middle income, having cardiovascular diseases or arthritis, deficiencies in muscle strength and balance, pain, and lower self-rated health were associated with insufficient PA behavior among the participants. Old-age physical activity promotion programs should target older adults in advanced ages and men in particularly, as they are highly vulnerable to sedentary lifestyles. Muscle strength and balance, a neglected area in PA promotion in older adults, seem to play an important role in older adults’ participation in physical activities. Incorporation of pain management, and muscle strength and balance techniques into older adults’ PA promotion programs would probably increase adherence rates of the participants in such programs.

scholarly journals Physical activity promotion in daily exercise therapy: The perspectives of exercise therapists in German rehabilitation settings

2019 ◽  
Author(s):  
Wolfgang Geidl ◽  
Judith Wais ◽  
Cheyenne Fangmann ◽  
Ewnet Demisse ◽  
Klaus Pfeifer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Exercise Therapy ◽  
Qualitative Content Analysis ◽  
Personal Responsibility ◽  
Group Discussion ◽  
Behavioural Change ◽  
Physical Activity Promotion ◽  
Barriers And Facilitators ◽  
Rehabilitation Team ◽  
Activity Promotion

Abstract Abstract Background This study aims to explore exercise therapists’ perspectives on the topic of physical activity promotion (PAP) with a focus on identifying (i) the intervention content and methodological approaches used for promoting physical activity (PA) in daily practice and (ii) the barriers and facilitators that affect PAP. Methods This qualitative study comprised the heads of exercise therapy departments (n = 58; 41% women; mean age = 45 years) from different rehabilitation clinics in Germany. Each participant took part in a semi-structured focus-group discussion on PAP in exercise therapy. The findings of the focus groups were processed and interpreted using a conventional qualitative content analysis. Results The exercise therapists demonstrated detailed didactic–methodological strategies and action orientations for PAP. The identified core topics of the content and methods of PAP were (1) conceptualization, (2) exercise and PA for enjoyment and pleasure, (3) education with practice–theory combinations, (4) media and materials for self-directed training, and (5) strategies to enhance personal responsibility and independence. The core topics for the associated barriers and facilitators were (1) structural conditions, (2) the role of exercise therapists, (3) the interdisciplinary rehabilitation team, (4) rehabilitant experiences and expectations, and (5) aftercare services. Conclusion The topic of PAP is addressed with a high level of variability; exercise therapists involved in this study identify various methods and content for the promotion of PA within their individual practices. However, they display a limited awareness of existing evidence- and theory-based concepts for the promotion of PA as well as underlying theories of behavioural change. This variability may be due to the lack of a defined common framework for promoting PA, insufficient emphasis being placed on PA promotion in the current curricula and training, or extensive conceptual differences within German exercise therapy departments (e.g. different weighting of PAP).

scholarly journals Physical activity promotion in daily exercise therapy: The perspectives of exercise therapists in German rehabilitation settings

2019 ◽  
Author(s):  
Wolfgang Geidl ◽  
Judith Wais ◽  
Cheyenne Fangmann ◽  
Ewnet Demisse ◽  
Klaus Pfeifer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Exercise Therapy ◽  
Qualitative Content Analysis ◽  
Personal Responsibility ◽  
Group Discussion ◽  
Behavioural Change ◽  
Physical Activity Promotion ◽  
Barriers And Facilitators ◽  
Rehabilitation Team ◽  
Activity Promotion

Abstract Abstract Background This study aims to explore exercise therapists’ perspectives on the topic of physical activity promotion (PAP) with a focus on identifying (i) the intervention content and methodological approaches used for promoting physical activity (PA) in daily practice and (ii) the barriers and facilitators that affect PAP. Methods This qualitative study comprised the heads of exercise therapy departments (n = 58; 41% women; mean age = 45 years) from different rehabilitation clinics in Germany. Each participant took part in a semi-structured focus-group discussion on PAP in exercise therapy. The findings of the focus groups were processed and interpreted using a conventional qualitative content analysis. Results The exercise therapists demonstrated detailed didactic–methodological strategies and action orientations for PAP. The identified core topics of the content and methods of PAP were (1) conceptualization, (2) exercise and PA for enjoyment and pleasure, (3) education with practice–theory combinations, (4) media and materials for self-directed training, and (5) strategies to enhance personal responsibility and independence. The core topics for the associated barriers and facilitators were (1) structural conditions, (2) the role of exercise therapists, (3) the interdisciplinary rehabilitation team, (4) rehabilitant experiences and expectations, and (5) aftercare services. Conclusion The topic of PAP is addressed with a high level of variability; exercise therapists involved in this study identify various methods and content for the promotion of PA within their individual practices. However, they display a limited awareness of existing evidence- and theory-based concepts for the promotion of PA as well as underlying theories of behavioural change. This variability may be due to the lack of a defined common framework for promoting PA, insufficient emphasis being placed on PA promotion in the current curricula and training, or extensive conceptual differences within German exercise therapy departments (e.g. different weighting of PAP).

Experiences in physical activity promotion in health care settings for primary prevention in the UK

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health Professionals ◽  
Controlled Trial ◽  
Full Range ◽  
Tertiary Care ◽  
Physical Activity Promotion ◽  
Community Based ◽  
Activity Promotion ◽  
Randomised Controlled

In addition to the delivery of primary care services, recent changes to the NHS in the United Kingdom have placed increasing responsibility on GPs for the commissioning of the full range of health services from prevention through to clinical interventions and rehabilitation. Whilst historically there has always been an expectation that primary care professionals were ideally placed to provide support for prevention as well as treatment, their active engagement in the promotion of physical activity has remained largely superficial. With notable exceptions where individuals have a personal interest or commitment, the majority of health professionals tend to limit themselves to peremptory non-specific advice at best, or frequently don’t broach the subject at all. There are a number of reasons for this including increasing time pressures, a general lack of knowledge, limited evidence and concerns about litigation in the event of an adverse exercise induced event. However in the 1990s there was a surge of interest in the emerging “Exercise on Prescription” model where patients could be referred to community based exercise instructors for a structured “prescription” of exercise in community leisure centres. Despite the continuing popularity of the model there remain problems particularly in getting the active support of health professionals who generally cite the same barriers as previously identified. In an attempt to overcome some of these problems Wales established a national exercise referral scheme with an associated randomised controlled trial. The scheme evaluated well and had subsequently evolved with new developments including integration with secondary and tertiary care pathways, accredited training for exercise instructors and exit routes into alternative community based exercise opportunities.

Design Intervention Assessment of Urban Public Park for Physical Activity Promotion in Bangkok, Thailand

2020 ◽  
Vol 11 (1) ◽  
pp. 4-4
Author(s):  
Sigit Arifwidodo ◽  
Orana Chandrasiri
Keyword(s):  
Physical Activity ◽  
Urban Areas ◽  
Urban Landscape ◽  
Physical Activity Promotion ◽  
Well Being ◽  
Pilot Project ◽  
Public Park ◽  
Activity Promotion ◽  
Wide Range ◽  
Design Intervention

Public Park is considered one of the essential settings for physical activity, especially in urban areas. Parks support physical activity through their accessibility, their provision to facilitate active pursuits; their capacity to provide opportunities to a wide range of users; and their semi-permanent nature. The paper explores the design intervention assessment of Benchakitti Park, which serves as the pilot project for active park and showcase during the past ISPAH 2016 conference. The objective of the paper is to understand the health and well-being benefits of an urban park in increasing PA levels of urban population and promoting a healthy and active lifestyle. Keywords: Public park; physical activity; urban landscape design; public health; SOPARC

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