Department of Rehabilitation Medicine, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Br J Sports Med. 2009 Dec;43(14):1149-53. doi: 10.1136/bjsm.2008.049577. Epub 2008 Jul 15.
In this work, trends in general practitioners' (GP) knowledge, confidence and practices in promoting physical activity to patients over a 10-year period (1997-2007) were studied.
Repeated cross-sectional population survey
General practice in New South Wales (Australia)
646 (40%), 747 (53%) and 511 (64%) GPs that were registered in a selection of urban and rural divisions in New South Wales participated in 2007, 2000 and 1997, respectively.
Self-report questionnaire on the GP's knowledge, confidence, role perception, attendance of continuous professional development and counselling practice with regard to promoting physical activity in their patients were the main outcome measures.
The majority of GPs felt confident in giving physical activity advice and saw it as their role to do so. The proportion of GPs with high confidence and role perception increased between 1997 and 2000 (p<0.001) but remained unchanged thereafter. In 1997, GPs were 0.54 times less likely (95% CI 0.42 to 0.69, p<0.001) to discuss physical activity with more than 10 patients per week than GPs in 2007. However, the percentage of new patients that were asked about their physical activity did not change over the last decade.
Most increases in the proportion of GPs reporting high knowledge, role perception and confidence in giving physical activity advice to patients occurred between 1997 and 2000 and remained unchanged thereafter. In 2007, GPs appeared to give more physical activity advice, but Australian general practice is not yet living up to its potential with regard to physical activity promotion.
本研究旨在探讨全科医生（GP）在过去十年（1997-2007 年）中，在促进患者进行身体活动方面的知识、信心和实践的变化趋势。
重复横断面人群调查。
新南威尔士州（澳大利亚）的全科医疗。
2007 年、2000 年和 1997 年分别有 646（40%）、747（53%）和 511（64%）名在新南威尔士州部分城区和农村地区注册的全科医生参加了研究。
自我报告问卷主要用于评估 GP 在促进患者进行身体活动方面的知识、信心、角色认知、参加持续专业发展以及咨询实践情况。
大多数 GP 对提供身体活动建议有信心，并认为这是他们的职责。1997 年至 2000 年间，对身体活动具有高度信心和角色认知的 GP 比例有所增加（p<0.001），但此后并未发生变化。1997 年，与 2007 年相比，每周与 10 名以上患者讨论身体活动的 GP 可能性低 0.54 倍（95%CI 0.42 至 0.69，p<0.001）。然而，过去十年中，新患者接受身体活动询问的比例没有变化。
大多数 GP 报告在向患者提供身体活动建议方面具有较高知识、角色认知和信心的比例增加，主要发生在 1997 年至 2000 年期间，此后并未发生变化。2007 年，GP 似乎提供了更多的身体活动建议，但澳大利亚的全科医疗在促进身体活动方面尚未发挥其潜力。
