Advice from Primary Care Providers about Physical Activity: A Recommendation from the U.S. Preventive Services Task Force

2002 ◽  
Vol 137 (3) ◽  
pp. I-40
2017 ◽  
Vol 10 (1) ◽  
pp. 38-44
Author(s):  
Marie Lavon Graham-Campbell

Earlier detection through mammography screening, increased awareness, and improved treatment modalities has resulted in a decline in breast cancer incidence. Despite the availability of the clinical guidelines by the U.S. Preventive Services Task Force (USPSTF), adherence to these methods is only 42% (Meissener, Klabunde, Breen, & Zapka, 2011). The purpose of this scholarly project was to identify and improve provider’s adherence to the USPSTF mammography screening clinical guidelines in three primary care clinics located in Southeastern North Carolina. The project included development of an educational program to increase awareness of the guidelines followed by measures to increase screening. A posteducation intervention chart review was completed to determine if there was an increase in adherence and use to the guidelines. Sample size included 90 retrospective chart reviews of the patients meeting the criteria for mammography screening. Based on the results, further recommendations were provided to the providers to improve adherence. Data analysis was conducted using descriptive statistics. The findings of this project identified barriers to the adherence to the USPSTF mammography screening guidelines among primary care providers in the three clinics selected. The educational intervention increased the adherence to the USPSTF mammography screening guideline from 15% to 16%.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
John D Omura ◽  
Kathleen B Watson ◽  
Fleetwood V Loustalot ◽  
Janet E Fulton ◽  
Susan A Carlson

Background: The US Preventive Services Task Force recommends adults with certain cardiovascular disease (CVD) risk factors be offered or referred to intensive behavioral counseling to promote a healthful diet and physical activity for CVD prevention. However, only 1 in 12 primary care providers (PCPs) currently follow this recommendation. This study assessed system and programmatic features PCPs reported would increase their likelihood of referring patients at risk for CVD to intensive behavioral counseling and whether this varied by the percentage of at-risk patients with whom they discuss physical activity. Methods: DocStyles 2018, a web-based panel survey of PCPs, assessed the percentage of at-risk patients with whom PCPs discuss physical activity and the degree to which select features would increase their likelihood of referring to intensive behavioral counseling. Results: Overall, 60.8% of PCPs discussed physical activity with most of their at-risk patients; 21.8% did so with many and 17.4% with few or some. The proportion of PCPs identifying features as increasing their likelihood of referring to intensive behavioral counseling by a great extent ranged from 24.1% for an automated referral in electronic health records, 35.3% for patient progress reports, 41.5% for the program being accredited or evidence-based, to 67.2% for the program having no cost to the patient (Table). These proportions increased for each feature as the percentage of at-risk patients with whom they discuss physical activity increased. Conclusion: PCPs identified programmatic features (i.e. being accredited and of no cost) as having the greatest influence on their likelihood of referring patients at risk for CVD to intensive behavioral counseling, although this varied by the percentage of at-risk patients with whom they discuss physical activity. Findings suggest that the effectiveness of strategies to improve behavioral counseling referrals by PCPs may depend on their current physical activity counseling practices.


2018 ◽  
Author(s):  
Marijane G. Staniec

Many of today’s healthy adults will be plagued by chronic diseases, such as obesity, hypertension, heart disease, and diabetes, and be robbed of the quality of life they desire. According to the 2015–2020 Dietary Guidelines for Americans, about half of all American adults have one or more diet-related chronic diseases. The question, “What should healthy adults eat to stay healthy?” may seem simple. However, many primary care providers feel vulnerable answering questions about nutrition. This review serves as a summary of the most up-to-date guidelines about added sugars, sodium, types of fat, and cholesterol for healthy adults and a refresher for health care providers caring for them. Other important related issues, such as the latest recommendations for physical activity, the problem of adult weight gain, the need for adiposity screening, the powerful role of the primary care provider, and suggestions nutrition-focused primary care, are discussed. This review contains 5 Figures, 5 Tables and 137 references Key words: weight gain, cholesterol, Dietary Guidelines, sugar-sweetened beverages, adiposity, added sugar, hydrogenated oils, physical activity, waist-to-height ratio, nutrition-focused, Primary Care


2013 ◽  
Vol 158 (10) ◽  
pp. 741 ◽  
Author(s):  
Elizabeth O'Connor ◽  
Bradley N. Gaynes ◽  
Brittany U. Burda ◽  
Clara Soh ◽  
Evelyn P. Whitlock

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