Besenyi Gina M, Hayashi Emi B, Christiana Richard W
J Phys Act Health. 2020 Aug 31;17(10):958-967. doi: 10.1123/jpah.2019-0479.
Health care providers (HCPs) promoting physical activity (PA) through programs such as Park Prescriptions (ParkRx) are gaining momentum. However, it is difficult to realize provider PA practices and program interest, and differences in program success exist by provider type (eg, primary vs secondary). This study explored HCPs' (1) PA counseling practices, (2) knowledge/interest in ParkRx, (3) barriers and resources needed to implement PA counseling and ParkRx programs, and (4) differences in primary versus secondary HCPs.
An e-survey administered in Spring/Summer 2018 to HCPs in 3 states examined study objectives.
Respondents (n = 278) were mostly primary (58.3%) HCPs. The majority asked about patient PA habits and offered PA counseling (mean = 5.0, SD = 1.5; mean = 4.8, SD = 1.5), but few provided written prescriptions (mean = 2.5, SD = 1.6). Providers were satisfied with their PA counseling knowledge (mean = 3.8, SD = 1.0) but not with prescribing practices (mean = 3.2, SD = 1.1). Secondary HCPs placed higher importance (P = .012) and provided significantly more written PA prescriptions (P = .005). Time was a common barrier to prescribing PA (mean = 3.4, SD = 1.2), though more so for primary HCPs (P = .000). Although few HCPs knew about ParkRx programs, 81.6% expressed interest. Access to park information and community partnerships was an important resource for program implementation.
HCPs underutilize PA prescriptions. Despite little awareness, HCPs were interested in ParkRx programs.
通过诸如公园处方（ParkRx）等项目来推广身体活动（PA）的医疗保健提供者（HCPs）正在不断发展。然而，要了解提供者的PA实践和项目兴趣并非易事，而且项目的成功程度因提供者类型（例如，初级与二级）而异。本研究探讨了HCPs的（1）PA咨询实践，（2）对ParkRx的知识/兴趣，（3）实施PA咨询和ParkRx项目所需的障碍和资源，以及（4）初级与二级HCPs之间的差异。
2018年春/夏对三个州的HCPs进行了一项电子调查，以检验研究目标。
受访者（n = 278）大多是初级（58.3%）HCPs。大多数人询问了患者的PA习惯并提供了PA咨询（平均值 = 5.0，标准差 = 1.5；平均值 = 4.8，标准差 = 1.5），但很少有人提供书面处方（平均值 = 2.5，标准差 = 1.6）。提供者对他们的PA咨询知识感到满意（平均值 = 3.8，标准差 = 1.0），但对处方实践不满意（平均值 = 3.2，标准差 = 1.1）。二级HCPs认为其重要性更高（P = 0.012），并且提供的书面PA处方明显更多（P = 0.005）。时间是开具PA处方的一个常见障碍（平均值 = 3.4，标准差 = 1.2），不过对初级HCPs来说更是如此（P = 0.000）。尽管很少有HCPs了解ParkRx项目，但81.6%的人表示有兴趣。获取公园信息和社区伙伴关系是项目实施的重要资源。
HCPs对PA处方的利用不足。尽管了解甚少，但HCPs对ParkRx项目感兴趣。
