Lowe Anna, Myers Anna, Quirk Helen, Blackshaw Jamie, Palanee Sabrina, Copeland Rob
Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK
Sheffield Hallam University, Sheffield, UK.
BJGP Open. 2022 Sep 28;6(3). doi: 10.3399/BJGPO.2021.0227. Print 2022 Sep.
Physical activity (PA) contributes to the prevention and management of many health conditions. Primary care practitioners have an important role to play in supporting people to be physically active.
This study had the following three aims: 1) to explore GPs' awareness and knowledge of the PA guidelines; 2) to assess GPs' confidence in promoting PA; and 3) to explore factors that influence PA promotion among GPs.
DESIGN & SETTING: Cross-sectional survey, using secondary analysis.
UK-based GPs were invited to take part in an online survey in January 2021. Demographic questions were followed by nine multiple choice questions. Categorical data were analysed using descriptive statistics, and open-ended data were analysed using content analysis and inductive coding.
In total, 839 GPs based in England completed the survey. Most GP responders (98.9%) believed that PA was important, yet only 35.7% reported being at least 'somewhat familiar' with current PA guidance. Despite this, 74.1% of GPs reported feeling confident raising the topic of PA with their patients. Barriers included lack of time, perceptions of patient attitude and risk, language issues, and COVID-19. Key facilitators were identified and 'Couch to 5k' and the 'parkrun practice' initiatives were the most widely used support tools.
GPs value PA yet well-known barriers exist to embedding promotion into primary care. As primary care reconfigures, there is an opportunity to embed PA into systems, services, and processes.
身体活动有助于预防和管理多种健康状况。初级保健从业者在支持人们进行身体活动方面发挥着重要作用。
本研究有以下三个目的：1）探讨全科医生对身体活动指南的认识和了解；2）评估全科医生促进身体活动的信心；3）探讨影响全科医生促进身体活动的因素。
横断面调查，采用二次分析。
2021年1月，邀请英国的全科医生参加一项在线调查。在人口统计学问题之后是九个多项选择题。分类数据采用描述性统计分析，开放式数据采用内容分析和归纳编码分析。
共有839名英格兰的全科医生完成了调查。大多数全科医生受访者（98.9%）认为身体活动很重要，但只有35.7%的人表示至少“有点熟悉”当前的身体活动指南。尽管如此，74.1%的全科医生表示有信心与患者提及身体活动这个话题。障碍包括时间不足、对患者态度和风险的认知、语言问题以及新冠疫情。确定了关键促进因素，“从沙发到5公里跑步”和“公园跑实践”倡议是使用最广泛的支持工具。
全科医生重视身体活动，但将促进身体活动融入初级保健存在众所周知的障碍。随着初级保健的重新配置，有机会将身体活动融入系统、服务和流程中。
