Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia.
Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart TAS 7001, Australia; Faculty of Health, University of Tasmania, Medical Science Precinct, 17 Liverpool Street, Hobart, Tasmania 7000, Australia.
Patient Educ Couns. 2018 Oct;101(10):1775-1785. doi: 10.1016/j.pec.2018.05.011. Epub 2018 May 21.
To identify factors associated with non-medical health professionals' engagement in physical activity (PA) promotion.
Five electronic databases were searched for studies including practising health professionals (excluding medical doctors), a PA promotion practice measure, a test of association between potential influencing factors and PA promotion practice, and written in English. Two researchers independently screened studies and extracted data. Extracted data were synthesized in a tabular format with a narrative summary (thematic analysis).
Thirty studies involving 7734 non-medical health professionals were included. Self-efficacy in PA promotion, positive beliefs in the benefits of PA, assessing patients' PA, and PA promotion training were the main factors associated with engaging in PA promotion. Lack of remuneration was not associated. Common study limitations included a lack of information on non-responders, data collection by survey only and limited reliability or validity testing of measurements.
There are common factors influencing PA promotion, but the absence of studies from some health professions, limitations related to study measures, and the lack of randomised controlled intervention trials highlights the need for further research.
The factors identified may prove useful for guiding the development of strategies to encourage greater engagement in PA promotion by health professionals.
确定与非医学健康专业人员参与身体活动（PA）促进相关的因素。
检索了五个电子数据库，纳入了包括执业健康专业人员（不包括医生）、PA 促进实践措施、潜在影响因素与 PA 促进实践之间关联检验的研究，并要求用英文书写。两位研究人员独立筛选研究并提取数据。提取的数据以表格形式汇总，并附有叙述性总结（主题分析）。
纳入了 30 项研究，涉及 7734 名非医学健康专业人员。PA 促进自我效能感、对 PA 益处的积极信念、评估患者的 PA 情况以及 PA 促进培训是与参与 PA 促进相关的主要因素。而缺乏报酬则与之无关。常见的研究局限性包括缺乏对无应答者的信息、仅通过调查收集数据以及对测量的可靠性或有效性测试有限。
有一些共同的因素影响 PA 促进，但某些健康专业缺乏研究、与研究措施相关的局限性以及缺乏随机对照干预试验突出了进一步研究的必要性。
确定的这些因素可能有助于指导制定策略，鼓励健康专业人员更多地参与 PA 促进。
