Kyei-Frimpong Jamie, Blood-Siegfried Jane, Wijetilaka Ruvini, Gendler Abigail
Parsley Health, 126 5th Ave, 2nd Fl, New York, NY 10011, USA.
Duke University School of Nursing, Box 3322 Med Ctr, Durham, NC 27710, USA.
Prev Med Rep. 2021 Feb 4;22:101323. doi: 10.1016/j.pmedr.2021.101323. eCollection 2021 Jun.
The purpose of this study was to examine the effect of a practitioner education program (consisting of education on exercise guidelines and exercise prescription) on practitioner (i) confidence in prescribing exercise and (ii) rate of prescribing exercise. A pre-post study design was utilized. A two-session practitioner education and a toolbox of resources was developed and implemented in January 2020, targeting 12 eligible practitioners at a large primary care and functional medicine office in New York City. A three-question confidence survey was given pre and post. Fifty randomly selected charts were reviewed at baseline (pre), and 25 charts were reviewed monthly for 3 months (February - April 2020) post. There were significant increases and a large effect size in both confidence in prescribing exercise (30% to 89% [ = .020, Phi = 0.596]) and individualizing an exercise prescription between pre- and post-education sessions (20% to 78% [ = .023, Phi = 0.578]). There was also a sustained and significant increase (24% to 63% [ < .001, Phi = 0.379]) in exercise prescription over the three-month period following the education sessions. No statistically significant data was obtained regarding increasing the rate of physical activity among patients. The evidence from this study demonstrates the effectiveness of increasing practitioner confidence and uptake of exercise prescription through education sessions that provide them with the knowledge and tools to properly assess patients' activity level and offer individualized exercise recommendations.
本研究的目的是检验一项从业者教育计划（包括运动指南教育和运动处方）对从业者（i）开具运动处方的信心和（ii）开具运动处方的比例的影响。采用了前后对照研究设计。2020年1月开发并实施了一个两阶段的从业者教育和一个资源工具箱，针对纽约市一家大型初级保健和功能医学诊所的12名符合条件的从业者。在教育前后进行了一项包含三个问题的信心调查。在基线（教育前）时随机抽取50份病历进行审查，并在教育后3个月（2020年2月至4月）每月抽取25份病历进行审查。在开具运动处方的信心方面（从30%提高到89%[ = 0.020，Phi = 0.596]）以及在教育前后的运动处方个性化方面（从20%提高到78%[ = 0.023，Phi = 0.578]）都有显著增加且效应量较大。在教育课程后的三个月期间，运动处方也持续显著增加（从24%提高到63%[ < 0.001，Phi = 0.379]）。关于提高患者身体活动率，未获得具有统计学意义的数据。本研究的证据表明，通过教育课程提高从业者的信心并增加运动处方的采用率是有效的，这些课程为他们提供了适当评估患者活动水平并提供个性化运动建议的知识和工具。
