Department of Health Psychology, Division of Population Health Sciences, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, D02 HX65 Dublin 2, Ireland.
Int J Environ Res Public Health. 2020 Feb 13;17(4):1195. doi: 10.3390/ijerph17041195.
Physical activity and obesity counselling have both been gaining increasing interest in preventive health and treatment. However, most healthcare professionals do not provide advice on these topics nearly as often as they should. There are many reasons for this. Common barriers for the provision of brief advice on physical activity and obesity in both primary and secondary care are lack of time, motivation and knowledge. Systematic reviews have been published on the barriers of physical activity and obesity counselling in the primary care setting, but there is no published work on the barriers present in secondary care. This systematic review aims to assess all published data that discuss the barriers of physical activity and obesity counselling as noted by healthcare providers in secondary care. Four databases will be searched using the same search strategy, and the findings will be compiled using the COM-B model to explore the frequency of a reported barrier. This systematic review will be beneficial not only to practicing healthcare providers, but also the educational and managerial staff of secondary care facilities, as it may highlight the need for further training to fill gaps in the provision of preventive healthcare.
身体活动和肥胖咨询在预防保健和治疗方面都越来越受到关注。然而,大多数医疗保健专业人员并没有像他们应该的那样经常提供这些方面的建议。造成这种情况的原因有很多。在初级和二级保健中提供关于身体活动和肥胖简短建议的常见障碍是缺乏时间、动力和知识。已经发表了关于初级保健中身体活动和肥胖咨询障碍的系统评价,但没有发表关于二级保健中存在的障碍的工作。本系统评价旨在评估所有已发表的数据,这些数据讨论了医疗保健提供者在二级保健中指出的身体活动和肥胖咨询的障碍。将使用相同的搜索策略搜索四个数据库,并使用 COM-B 模型来编译研究结果,以探讨报告障碍的频率。这项系统评价不仅对执业医疗保健提供者有益,而且对二级保健机构的教育和管理人员也有益,因为它可能突出了进一步培训的必要性,以填补预防保健提供方面的空白。