Division of Kinesiology, Dalhousie University, Halifax, NS B3H 4R2, Canada.
Centre of Lifestyle Studies, School of Kinesiology, Acadia University, Wolfville, NS B4P 2K5, Canada.
Int J Environ Res Public Health. 2022 Aug 2;19(15):9466. doi: 10.3390/ijerph19159466.
Health care providers (HCPs) are entrusted with providing credible health-related information to their patients/clients. Patients/clients who receive physical activity and exercise (PAE) advice from an HCP typically increase their PAE level. However, most HCPs infrequently discuss PAE or prescribe PAE, due to the many challenges (e.g., time, low confidence) they face during regular patient care. The purpose of this study was to ascertain HCPs' perspectives of what could be done to promote PAE in health care. HCPs ( = 341) across Nova Scotia completed an online self-reflection survey regarding their current PAE practices and ideas to promote PAE. The sample consisted of 114 physicians, 114 exercise professionals, 65 dietitians, and 48 nurses. Quantitative textual analysis (frequency of theme ÷ number of respondents) was performed to identify common themes to promote PAE in health care. In the pooled sample, the primary theme cited was to increase the availability of community programs (24.1% of respondents), followed by more educational opportunities for providers (22.5%), greater promotion of PAE from HCPs (17.1%), reducing financial barriers experienced by patients/clients (16.3%), and increasing availability of qualified exercise professionals (15.0%). Altogether, increased PAE education and greater availability of affordable community PAE programs incorporating qualified exercise professionals, would reduce barriers preventing routine PAE promotion and support the promotion of PAE in Nova Scotia.
医疗保健提供者(HCP)负责向患者/客户提供可信的健康相关信息。从 HCP 那里获得身体活动和锻炼(PAE)建议的患者/客户通常会增加其 PAE 水平。然而,由于在常规患者护理中面临许多挑战(例如,时间、低信心),大多数 HCP 很少讨论 PAE 或开 PAE 处方。本研究旨在确定 HCP 对促进医疗保健中 PAE 可以采取的措施的看法。新斯科舍省的 HCP(=341)完成了一项关于其当前 PAE 实践和促进 PAE 想法的在线自我反思调查。该样本包括 114 名医生、114 名运动专业人员、65 名营养师和 48 名护士。进行了定量文本分析(主题频率÷受访者数量),以确定促进医疗保健中 PAE 的常见主题。在汇总样本中,引用的主要主题是增加社区计划的可及性(24.1%的受访者),其次是为提供者提供更多的教育机会(22.5%)、增加 HCP 对 PAE 的推广(17.1%)、降低患者/客户的经济障碍(16.3%)和增加合格运动专业人员的可用性(15.0%)。总的来说,增加 PAE 教育和增加负担得起的社区 PAE 计划的可用性,这些计划结合了合格的运动专业人员,将减少阻止常规 PAE 推广的障碍,并支持在新斯科舍省推广 PAE。