School of Exercise Science, Physical and Health Education, University of Victoria, McKinnon Building, 3800 Finnerty Road, Victoria, BC, Canada.
Br J Sports Med. 2012 Mar;46(4):284-90. doi: 10.1136/bjsm.2009.069567. Epub 2011 Jan 31.
Healthcare providers are a primary source of information on preventive health issues for patients. Further research related to physical activity (PA) promotion in the primary care setting is needed.
To explore the feasibility of a physician and community PA intervention using a pedometer for: increasing PA levels among inactive patients; enhancing relationships between physicians and community PA partners; and influencing the PA promotion habits of physicians.
A 6-week PA intervention was delivered to 152 inactive patients who were recruited in physician waiting rooms, counselled by their physicians, provided with a pedometer and referred to a community action site (CAS) at their local recreation centre for further support. PA was measured at baseline and follow-up using the International Physical Activity Questionnaire. Follow-up interviews were conducted with physicians and recreation representatives on the challenges and benefits associated with the intervention.
Study patients significantly increased their PA (103% change in MET min/week). Physicians and recreation professionals were highly satisfied with the intervention and partnership. There were challenges to ongoing communication. Physicians reported increased awareness of the pedometer and community resources as supports for PA.
A pedometer-based PA intervention delivered by physicians in partnership with a community PA stakeholder is feasible and warrants further research. Long-term maintenance of this intervention would require resources for pedometers, and ongoing contact and communication between the physicians and CAS to ensure availability of community supports.
医疗保健提供者是向患者提供预防健康问题信息的主要来源。需要进一步研究初级保健环境中的体力活动（PA）促进问题。
探讨使用计步器对医生和社区 PA 合作伙伴进行 PA 干预的可行性，以：提高不活跃患者的 PA 水平；增强医生与社区 PA 合作伙伴之间的关系；并影响医生的 PA 促进习惯。
向在医生候诊室招募的 152 名不活跃患者提供为期 6 周的 PA 干预，由他们的医生进行咨询，提供计步器，并转介到当地娱乐中心的社区行动站点（CAS）以获得进一步支持。使用国际体力活动问卷在基线和随访时测量 PA。对医生和娱乐代表进行随访访谈，了解与干预相关的挑战和益处。
研究患者的 PA 显著增加（MET min/周增加 103%）。医生和娱乐专业人员对干预和合作非常满意。存在持续沟通的挑战。医生报告说，计步器和社区资源作为 PA 的支持，增加了对它们的认识。
由医生与社区 PA 利益相关者合作，基于计步器的 PA 干预是可行的，值得进一步研究。这种干预的长期维持需要计步器的资源，以及医生和 CAS 之间的持续联系和沟通，以确保社区支持的可用性。
