Department of Research and Development, Region Kronoberg, SE-351 88, Växjö, Sweden.
Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, SE-581 83, Linköping, Sweden.
BMC Public Health. 2022 Mar 15;22(1):509. doi: 10.1186/s12889-022-12940-4.
The study addresses knowledge gaps in research regarding influences of routine health care delivery of physical activity on prescription (PAP). The aim was to investigate if patient and health care characteristics are associated with increased physical activity 1 year after prescription among patients offered counselor support in addition to health care professionals' prescription. The study was conducted in primary and secondary care in a Swedish health care region.
All PAP recipients during 1 year were invited (N = 1503) to participate in this observational prospective study. Data were collected from medical records and questionnaires (baseline and follow-up). Descriptive statistics and multiple logistic regression analysis were used. The outcome variable was increased physical activity after 1 year. Study variables were patient and health care characteristics.
Three hundred and fifty-five patients with complete follow-up data were included. The mean age was 62 years (SD = 14; range, 18-90) and 68% were females. Almost half (47%) had increased physical activity 1 year after PAP. Multiple logistic regression analysis showed that increased physical activity at follow-up was positively associated with lower baseline activity, counselor use, and positive perception of support. Counselor users with low baseline activity had higher odds ratio for increased physical activity at follow-up than non-users (OR = 7.2, 95% CI = 2.2-23.5 vs. OR = 3.2, 95% CI = 1.4-7.5). Positive perception of support was associated with increased physical activity among counselor users but not among non-users.
An increase in physical activity after PAP was related to low baseline activity, positive perception of support, and use of counselor support after PAP. Qualified counseling support linked to PAP seems to be important for achieving increased physical activity among patients with lower baseline activity.
本研究旨在探讨在为患者提供健康照护专业人员开具运动处方（PAP）之外，额外提供咨询支持的情况下，常规健康照护中运动活动的实施情况对处方的影响，以填补研究空白。本研究在瑞典医疗保健地区的初级和二级保健机构中进行。
在一年内所有接受 PAP 的患者（N=1503）均被邀请参与这项观察性前瞻性研究。数据来自病历和问卷调查（基线和随访）。采用描述性统计和多逻辑回归分析。主要结局变量为 1 年后运动活动量增加。研究变量为患者和健康照护特征。
共纳入 355 例完成完整随访数据的患者。患者的平均年龄为 62 岁（标准差=14；范围 18-90），68%为女性。近一半（47%）的患者在 PAP 后 1 年增加了身体活动量。多逻辑回归分析显示，随访时的身体活动量增加与基线活动量较低、使用咨询支持以及对支持的积极感知呈正相关。基线活动量低且使用咨询支持的患者与未使用者相比，其随访时身体活动量增加的可能性更高（OR=7.2，95%CI=2.2-23.5 与 OR=3.2，95%CI=1.4-7.5）。对咨询支持的积极感知与咨询使用者的身体活动量增加有关，但与非使用者无关。
PAP 后身体活动量的增加与基线活动量较低、对支持的积极感知以及 PAP 后咨询支持的使用有关。将合格的咨询支持与 PAP 结合使用，对于提高基线活动量较低的患者的身体活动量可能很重要。
