scholarly journals Promoting Physical Activity in a Primary Care Practice: Overcoming the Barriers

2019 ◽  
pp. 155982761986769 ◽  
Author(s):  
Mitul Jones ◽  
Philippa Bright ◽  
Lucia Hansen ◽  
Olga Ihnatsenka ◽  
Peter J. Carek
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Effective Means ◽  
Cost Effective ◽  
Care Physician ◽  
Regular Physical Activity ◽  
Care Practice ◽  
Physical Activity Counseling ◽  
Activity Counseling ◽  
Clinical Benefits

Along with proper diet and avoidance of tobacco use, physical activity is extremely important to maintain and improve overall health of the individual and population. Despite evidence for the cost-effectiveness of physical activity counseling in primary care, only one-third of patients report that they received physical activity counseling by their primary care physician (PCP). Both PCPs and patients face numerous barriers to addressing insufficient physical activity. To assist patients in overcoming their barriers to regular physical activity, the PCP should assess and address the patient’s specific barriers to physical activity and counsel patients about the most common general barriers, such as lack of time, knowledge, and motivation. Numerous benefits and barriers are present, and the PCP should understand them and use the information to better counsel patients regarding the benefit of and need for regular physical activity. Brief counseling is an efficient, effective, and cost-effective means to increase physical activity and to bring considerable clinical benefits to various patient populations.

DESIGN AND METHODS OF A MULTICENTER TRIAL OF PHYSICAL ACTIVITY COUNSELING IN PRIMARY CARE 1346

1997 ◽  
Vol 29 (Supplement) ◽  
pp. 236 ◽  
Author(s):  
D. G. Simons-Morton ◽  
S. N. Blair ◽  
T. Morgan ◽  
W. B. Applegate ◽  
A. C. King ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Multicenter Trial ◽  
Physical Activity Counseling ◽  
Activity Counseling ◽  
Design And Methods

Insights From an Usability Review of an Electronic Medical Record–Integrated Physical Activity Counseling Tool for Primary Care

2020 ◽  
pp. 106480462098214
Author(s):  
Bobby Neudorf ◽  
Lora Giangregorio ◽  
Plinio Morita
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Primary Care Providers ◽  
Care Plan ◽  
Care Providers ◽  
Physical Activity Counseling ◽  
Activity Counseling ◽  
Workflow Integration

This study assessed primary care providers’ (PCPs) perceptions of the usability of an electronic medical record tool to support physical activity counseling in primary care. Our analyses revealed that usability improved when the electronic medical record tool followed a PCP’s natural workflow and when the tool could assist in engaging in a discussion about physical activity. Poor usability was associated with the presence of large amounts of text on the screen and technological aspects that required additional learning. Overall, efficiency, workflow integration, and the inclusion of a care plan were vital in a physical activity counseling tool for a primary care setting.

scholarly journals Economic Analysis of Primary Care-Based Physical Activity Counseling in Older Men: The VA-LIFE Trial

2017 ◽  
Vol 65 (3) ◽  
pp. 533-539 ◽  
Author(s):  
Patricia A. Cowper ◽  
Matthew J. Peterson ◽  
Carl F. Pieper ◽  
Richard J. Sloane ◽  
Katherine S. Hall ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Economic Analysis ◽  
Older Men ◽  
Physical Activity Counseling ◽  
Activity Counseling

Project LIFE: A Partnership to Increase Physical Activity in Elders with Multiple Chronic Illnesses

2006 ◽  
Vol 14 (3) ◽  
pp. 324-343 ◽  
Author(s):  
Miriam C. Morey ◽  
Carola Ekelund ◽  
Megan Pearson ◽  
Gail Crowley ◽  
Matthew Peterson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Usual Care ◽  
High Intensity ◽  
Medical Center ◽  
Primary Care Providers ◽  
Care Providers ◽  
Significant Group ◽  
Physical Activity Counseling ◽  
Activity Counseling

The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years and older. The primary end point was change in physical activity at 3 and 6 months comparing patients receiving high-intensity physical activity counseling, attention control counseling, and usual care after receiving standardized clinic-based counseling. We noted a significant Group × Time interaction (p= .041) for physical activity frequency and a similar effect for caloric expenditure (p= .054). Participants receiving high-intensity counseling and usual care increased physical activity over the short term, but those with usual care returned to baseline by the end of the study. The intervention was well received by practitioners and patients. We conclude that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.

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