Department of Health & Human Performance, University of Tennessee Chattanooga, Chattanooga, Tennessee, USA.
Brown School, Washington University in Saint Louis, St. Louis, Missouri, USA.
Teach Learn Med. 2020 Aug-Sep;32(4):362-370. doi: 10.1080/10401334.2020.1730183. Epub 2020 Feb 28.
Healthcare is an important sector in promoting physical activity (PA). However, few health professional training programs include PA, nor does standardized guidance exist on implementing it in the curriculum. This study aimed to consolidate health professional expert opinion on key PA categories and topics that should be included in the curriculum of health professional training programs. A three-round, modified e-Delphi process examined the opinions of 73 experts from seven health professions (clinical nutrition, exercise physiology, medicine, nursing, occupational therapy, physical therapy, physician assistants). In Round 1, panelists reported importance, ranked, and scored five broad PA categories, and responded to open-ended prompts for additional categories. In Round 2, panelists received summary feedback, re-ranked and re-scored PA categories, and suggested key PA topics within the five categories. In the final round, panelists viewed, ranked, and scored the PA topics. Expert panelists felt that all PA categories were important, with Health Behavior Change ranking the highest (98.7%) followed by Cellular and Systemic Implications of Exercise, Clinical Exercise Physiology, and PA and Public Health. The Administrative Aspects of Integrating PA into Health Systems ranked least important (48.0%). A consensus on the key PA categories was considered reached after two rounds. Five to eight specific PA topics were generated within each PA category and ranked in order of importance. These findings highlight several key PA categories and topics that can serve as a foundation for a diverse number of health professional training programs.
医疗保健是促进身体活动 (PA) 的重要领域。然而，很少有健康专业培训计划包括 PA，也没有标准化的指导来将其纳入课程。本研究旨在整合健康专业专家对应该包含在健康专业培训计划课程中的关键 PA 类别和主题的意见。三轮改良电子德尔菲法调查了来自七个健康专业的 73 名专家的意见（临床营养、运动生理学、医学、护理、职业治疗、物理治疗、医师助理）。在第一轮中，小组成员报告了五个广泛的 PA 类别的重要性、排名和评分，并对其他类别的开放式提示做出了回应。在第二轮中，小组成员收到了总结性反馈，重新对 PA 类别进行了排名和评分，并在五个类别中提出了关键的 PA 主题。在最后一轮，小组成员查看、排名和评分了 PA 主题。专家小组成员认为所有 PA 类别都很重要，健康行为改变排名最高（98.7%），其次是运动的细胞和系统影响、临床运动生理学以及 PA 和公共卫生。将 PA 纳入健康系统的行政方面排名最低（48.0%）。经过两轮后，认为就关键 PA 类别达成了共识。在每个 PA 类别中生成了五到八个具体的 PA 主题，并按照重要性进行了排序。这些发现强调了一些关键的 PA 类别和主题，可以作为许多健康专业培训计划的基础。
