scholarly journals Barriers and Enablers to Physical Activity in Patients during Hospital Stay: A Scoping Review

2021 ◽  
Author(s):  
Sven Jacobus Gertruda Geelen ◽  
Hanneke Corine van Dijk - Huisman ◽  
Robert Adriaan de Bie ◽  
Cindy Veenhof ◽  
Raoul Engelbert ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Healthcare Professional ◽  
Hospital Stay ◽  
Acute Care ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Social Influences ◽  
Comprehensive Overview ◽  
Barriers And Enablers

Abstract Background: Low levels of physical activity are common during hospital stay and have been associated with negative health outcomes. Understanding barriers and enablers to physical activity during hospital stay can improve the development and implementation of tailored interventions aimed at improving physical activity. Previous studies have identified many barriers and enablers, but a comprehensive overview is lacking. This study aimed to identify and categorize all published patient- and healthcare professional-reported barriers and enablers to physical activity during hospital stay for acute care, using the Theoretical Domains Framework (TDF). Methods: We conducted a scoping review of Dutch and English articles using MEDLINE, CINAHL Plus, EMBASE, PsycINFO and Cochrane library (inception to September 2020), which included quantitative, qualitative and mixed-methods studies reporting barriers and enablers to physical activity during hospital stay for acute care, as perceived by patients or healthcare professionals. Two reviewers systematically extracted, coded and categorized all barriers and enablers into TDF domains.Results: Fifty-six articles were included in this review (32 qualitative, 7 quantitative, and 17 mixed-methods). In total, 264 barriers and 228 enablers were reported by patients, and 415 barriers and 409 enablers by healthcare professionals. Patient-reported barriers were most frequently assigned to the TDF domains Environmental Context & Resources (ECR, n = 148), Social Influences (n = 32), and Beliefs about Consequences (n = 25), while most enablers were assigned to ECR (n = 67), Social Influences (n = 54), and Goals (n = 32). Barriers reported by healthcare professionals were most frequently assigned to ECR (n = 210), Memory, Attention and Decision Process (n = 45), and Social/Professional Role & Identity (n = 31), while most healthcare professional-reported enablers were assigned to the TDF domains ECR (n = 143), Social Influences (n = 76), and Behavioural Regulation (n = 54).Conclusions: Our scoping review presents a comprehensive overview of all barriers and enablers to physical activity during hospital stay, and highlights the prominent role of the TDF domains ECR and Social Influences in hospitalized patients’ physical activity behaviour. This TDF-based overview provides a theoretical foundation to guide clinicians and researchers in future intervention development and implementation.Registration: No protocol was registered for this review.

scholarly journals Barriers to and solutions for improving physical activity in adults during hospital stay: a mixed-methods study among healthcare professionals

2021 ◽  
pp. 1-10
Author(s):  
Sven J. G. Geelen ◽  
Boukje M. Giele ◽  
Raoul H. H. Engelbert ◽  
Sandra de Moree ◽  
Cindy Veenhof ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Hospital Stay ◽  
Healthcare Professionals ◽  
Mixed Methods Study

The physical activity sector within the treatment of mental illness: A scoping review of the perceptions of healthcare professionals

2020 ◽  
Vol 19 ◽  
pp. 100349
Author(s):  
Ashley P. McCurdy ◽  
Carminda G. Lamboglia ◽  
Cliff Lindeman ◽  
Amie Mangan ◽  
Brendan Wohlers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mental Illness ◽  
Scoping Review ◽  
Healthcare Professionals

scholarly journals Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Stephana J. Moss ◽  
Karla D. Krewulak ◽  
Henry T. Stelfox ◽  
Sofia B. Ahmed ◽  
Melanie C. Anglin ◽  
...  
Keyword(s):  
Acute Care ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Case Series ◽  
Well Being ◽  
Primary Data ◽  
Cochrane Central Register ◽  
Negative Consequences ◽  
Primary Research ◽  
Acute Care Settings

Abstract Background Restricted visitation policies in acute care settings because of the COVID-19 pandemic have negative consequences. The objective of this scoping review is to identify impacts of restricted visitation policies in acute care settings, and describe perspectives and mitigation approaches among patients, families, and healthcare professionals. Methods We searched Medline, Embase, PsycINFO, Healthstar, CINAHL, Cochrane Central Register of Controlled Trials on January 01/2021, unrestricted, for published primary research records reporting any study design. We included secondary (e.g., reviews) and non-research records (e.g., commentaries), and performed manual searches in web-based resources. We excluded records that did not report primary data. Two reviewers independently abstracted data in duplicate. Results Of 7810 citations, we included 155 records. Sixty-six records (43%) were primary research; 29 (44%) case reports or case series, and 26 (39%) cohort studies; 21 (14%) were literature reviews and 8 (5%) were expert recommendations; 54 (35%) were commentary, editorial, or opinion pieces. Restricted visitation policies impacted coping and daily function (n = 31, 20%) and mental health outcomes (n = 29, 19%) of patients, families, and healthcare professionals. Participants described a need for coping and support (n = 107, 69%), connection and communication (n = 107, 69%), and awareness of state of well-being (n = 101, 65%). Eighty-seven approaches to mitigate impact of restricted visitation were identified, targeting families (n = 61, 70%), patients (n = 51, 59%), and healthcare professionals (n = 40, 46%). Conclusions Patients, families, and healthcare professionals were impacted by restricted visitation polices in acute care settings during COVID-19. The consequences of this approach on patients and families are understudied and warrant evaluation of approaches to mitigate their impact. Future pandemic policy development should include the perspectives of patients, families, and healthcare professionals. Trial registration: The review was registered on PROSPERO (CRD42020221662) and a protocol peer-reviewed prior to data extraction.

scholarly journals Evaluation of the Clinical Champions' Physical Activity Training Programme

2020 ◽  
Author(s):  
Liz Carlin ◽  
Hayley Musson ◽  
Emma Adams
Keyword(s):  
Physical Activity ◽  
Clinical Practice ◽  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Training Programme ◽  
Routine Clinical Practice ◽  
Training Models ◽  
Exercise Medicine ◽  
Physical Activity Advice ◽  
Sport And Exercise

In 2014 Public Health England (PHE) launched the National Physical Activity Framework ‘Everybody Active, Everyday’. The framework included a key domain for action called ‘Moving Professionals’. The Moving Professionals Programme aims to build expertise and leadership across key professional sectors and to raise awareness and understanding of the health benefits of physical activity among professionals and the wider public. The programme comprises several innovative work packages which are described in full elsewhere (Brannan et al., 2019). One element of the programme was the Clinical Champions’ Physical Activity Training Programme. PHE developed a network of Clinical Champions who were tasked with providing peer-to-peer training on physical activity for healthcare professionals. The long-term aim of the Clinical Champions’ Physical Activity (CCPA) training programme is to increase population levels of physical activity by increasing the proportion of healthcare professionals integrating conversations about physical activity into routine clinical practice in England.An independent evaluation of the Clinical Champion’s physical activity training programme was conducted by researchers based at the National Centre for Sport and Exercise Medicine (NCSEM) in the School of Sport, Exercise and Health Sciences at Loughborough University, UK. The NCSEM were not responsible for the implementation of the Clinical Champions’ physical activity training. The evaluation aimed to: 1) Evaluate the uptake and utilisation of the training programme and the different training models; 2) Assess the perceived impact of the training programme on healthcare professionals’ confidence, knowledge and application of brief physical activity advice in routine clinical practice; 3) Assess whether there is any differential impact of the training programme when sessions are delivered by different types of Clinical Champion (i.e. doctor, nurse or allied healthcare professional) to different healthcare professional audiences and 4) Assess the perceived strategic impact of the Clinical Champion physical activity training programme. A mixed methods approach was used to evaluate the programme. This report details the evaluation findings and provides recommendations for the future implementation of the Clinical Champions’ physical activity training programme.

scholarly journals Implementation strategies, and barriers and facilitators for implementation of physical activity at work: a scoping review

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Anne Garne-Dalgaard ◽  
Stephanie Mann ◽  
Thomas Viskum Gjelstrup Bredahl ◽  
Mette Jensen Stochkendahl
Keyword(s):  
Physical Activity ◽  
Scoping Review ◽  
Social Influences ◽  
Theoretical Domains Framework ◽  
Implementation Strategies ◽  
Professional Role ◽  
Environmental Context ◽  
Barriers And Facilitators ◽  
Factors Affecting ◽  
Study Characteristics

Abstract Background Inactivity and sedentary lifestyle have led experts to recommend an increase in structured, workplace-based physical activity (PA) initiatives. Previous studies on workplace-based PA have only shown moderate and short-term effects. This has been attributed to the lack of clear implementation strategies and understanding of factors that may hinder or enable uptake of PA. To ensure long-term, sustainable outcomes, there is a need for a better understanding of implementation strategies, and barriers and facilitators to workplace-based PA. Method A scoping review of studies investigating implementation approaches and factors affecting uptake of workplace-based PA was conducted. Qualitative and quantitative articles published in MEDLINE, Embase, Scopus, or PsycINFO between 2008 and 2018 evaluating the implementation of PA were included. Data on study characteristics, evaluation, and implementation methods applied were systematically extracted. Two reviewers extracted, coded, and organised factors affecting uptake using the Theoretical Domains Framework (TDF). Results After dual, blinded screening of titles and abstracts, 16 articles reporting on eight studies were included in the review. Several different methods of implementation were applied, including information meeting, kick-off events, and “change agents” as the most common. A total of 109 factors influencing implementation were identified, consisting of 57 barriers and 52 facilitators. Barriers most often related to the TDF domains Environmental Context and Resources (n = 34, 36.2%), Social influences (n = 13, 13.8%), and Social/Professional Role and Identity (n = 8, 8.5%). Likewise, facilitators most often related to the TDF domains Social influences (n = 17, 19.5%), Environmental Context and Resources (n = 16, 18.4%), and Social/Professional Role and Identity (n = 9, 10.3%). Conclusion Our review has highlighted the multilevel factors affecting the uptake of workplace-based PA and underpins the complexities in implementation of such initiatives. The published literature predominantly provides details from the employees’ perspectives on factors that need to be addressed and a lack of attention to these factors will cause them to hamper uptake of PA. The analysis of barriers and facilitators provides a theoretical foundation to guide future intervention design. However, further research is needed to fully understand the success or failure of implementation processes.

scholarly journals Training Healthcare Professionals on How to Promote Physical Activity in the UK: A Scoping Review of Current Trends and Future Opportunities

2021 ◽  
Vol 18 (13) ◽  
pp. 6701
Author(s):  
Jake Netherway ◽  
Brett Smith ◽  
Javier Monforte
Keyword(s):  
Physical Activity ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Grey Literature ◽  
Cochrane Review ◽  
Continuing Professional Development ◽  
Online Delivery ◽  
Key Stakeholders ◽  
Professional Development Training ◽  
The Uk

What physical activity (PA) training do current and future healthcare professionals (HCPs) receive in the UK? How is PA training delivered to them? The present scoping review looks at existing evidence to respond these questions. Seven databases were searched: Medline, SportDISCUS, PsycINFO, EMBASE, CINAHL, Cochrane Review Database, and Web of Science. Grey literature sources and key stakeholders were consulted. Studies were screened for inclusion, data were extracted and charted, and findings were synthesised according to the two research questions. Of the 3535 identified studies, 25 were included. The results show that no standardised approach was used to deliver PA promotion in HCPs training. PA training content was chiefly underpinned by an epidemiological approach. Online delivery of content predominated in continuing professional development training, whereas in undergraduate healthcare curriculum, delivery strategies varied. Overall, the process of embedding PA in HCPs’ curriculum and culture is ongoing. In addition to highlighting what is present within healthcare education, this study identifies further opportunities. Potential avenues include extending PA promotion into other workforces, including social workers.

scholarly journals Is Exercise Extra? A Mixed Methods Examination of Cultural Barriers and Enablers of Physical Activity in Management of Type 2 Diabetes in M’Bour, Senegal

2019 ◽  
Vol 9 (2) ◽  
Author(s):  
Rhoda K. Moise ◽  
Rhonda Belue, PhD ◽  
Bilikisu Elewonibi, PhD ◽  
Kemba Noel-London ◽  
Fatou NDao
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Average Frequency ◽  
Cultural Barriers ◽  
Barriers And Enablers ◽  
Familial Support ◽  
Home Based ◽  
Patients With Diabetes

Objective: This study seeks to produce culturally-attuned recommendations for disease management in individuals with type 2 diabetes in M’Bour, Senegal. Methods: The PEN-3 Cultural Model (PEN-3) framed this mixed methods study to capture a) the qualitative barriers and enablers to participating in physical activity through narrative interviews; as well as b) the quantitative extent to which participants engaged in physical activity through the International Physical Activity Questionnaire (IPAQ). Content analysis identified emergent themes from interviews and descriptive statistics summarized IPAQ responses. Results: Among 41 individuals formally diagnosed with diabetes, the mean age was 58 (SD=11.8). Results elicited from PEN-3 included several barriers and enablers to physical activity.  Barriers included prohibitive costs of gym membership and exercise equipment; limb pain; and feeling ill. Participants reported walking as their main source of exercise, with an average frequency of 4 days per week (SD=2.8). Although patients reported a lack of others with whom to exercise, familial support aided in maintaining exercise behaviors such as walking. Conclusions: Given participants’ need for exercise companions, group-based activities ​may be useful. Patients with diabetes may also benefit from complimentary home-based exercises that are gentle and pain alleviating.

scholarly journals What makes a good clinical conversation on physical activity? A Scoping review exploring what is known to inform the development of physical activity resources to support healthcare professionals in routine practice

2021 ◽  
Author(s):  
Hamish Reid ◽  
Jess Caterson ◽  
Robert J. Copeland
Keyword(s):  
Physical Activity ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Routine Practice ◽  
Research Questions ◽  
Insight Into

This scoping review aims to gain a broad insight into the makeup and delivery of effective physical activity conversations in healthcare. We identified two research questions (1) What is known about the effectiveness and acceptability of physical activity consultations in healthcare? (2) What is known about strategies to implement routine physical activity conversations in healthcare?The results will inform the development of resources to support healthcare professionals having routine conversations on physical activity in their day-to-day practice.

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