Department of Community Health Sciences, College of Applied Medical Science, King Saud University, Riyadh 11451, Saudi Arabia.
Department of Project Management, Universidad Internacional Iberoamericana, Campeche 24560, Mexico.
Int J Environ Res Public Health. 2022 Dec 6;19(23):16350. doi: 10.3390/ijerph192316350.
This study aimed to map the characteristics and the predominant components of clinical physical activity (PA) counseling in Saudi Arabia for adult patients and outline evidence of outcomes and prevalent barriers to its implementation.
We conducted a systematic literature search of four online databases: Web of Science, PubMed, ScienceDirect, and The Cochrane Library. Each study was assessed and evaluated using the Mixed Methods Appraisal Tool (MMAT) for methodological quality.
A total of 120 studies were screened, and 47 studies were sought for retrieval. In total, 25 articles were eligible and were subjected to extensive review. After a detailed evaluation, only nine studies met the inclusion criteria. All included were quantitative studies that compiled descriptive and numerical data on physical activity counseling. Four studies described PA counseling information in Saudi Arabia or prescription as lifestyle modification and program structure. The programs used various techniques to motivate patients to adhere to PA protocols. In general, practitioners indicated a high perceived competence in helping patients meet PA guidelines. The most frequently stated barrier was a lack of time for PA discussions with patients, followed by a lack of training in PA counseling, and a lack of patient compliance. Significant improvements in clinical parameters and smoking, food, and exercise habits were detected in experimental trials with respective intervention programs.
This review provides preliminary insights into the delivered intervention and standard care content, its outcomes, and clinicians' perceived competence and barriers regarding current PA counseling approaches in Saudi Arabia. Despite the small number of studies included, this review contributes to the limited understanding of current PA counseling practices in Saudi Arabia and serves as an informational source for clinicians and policymakers and a starting point for further research.
本研究旨在绘制沙特阿拉伯针对成年患者的临床体力活动（PA）咨询的特点和主要内容，并概述其实施的结果证据和常见障碍。
我们对四个在线数据库进行了系统文献检索：Web of Science、PubMed、ScienceDirect 和 The Cochrane Library。使用混合方法评估工具（MMAT）对每项研究进行评估和评价，以评估其方法学质量。
共筛选出 120 项研究，检索了 47 项研究。共有 25 篇文章符合条件，并进行了详细审查。经过详细评估，只有 9 项研究符合纳入标准。所有纳入的研究均为定量研究，汇总了关于体力活动咨询的描述性和数值数据。四项研究描述了沙特阿拉伯的 PA 咨询信息或处方作为生活方式改变和计划结构。这些方案使用各种技术来激励患者遵守 PA 方案。一般来说，从业者表示在帮助患者达到 PA 指南方面具有很高的感知能力。最常提到的障碍是与患者进行 PA 讨论的时间不足，其次是缺乏 PA 咨询培训以及患者不遵守规定。具有相应干预方案的实验性试验中，检测到临床参数和吸烟、饮食和运动习惯的显著改善。
本综述初步了解了沙特阿拉伯目前的 PA 咨询方法提供的干预措施和标准护理内容、其结果以及临床医生对当前 PA 咨询方法的感知能力和障碍。尽管纳入的研究数量较少，但本综述有助于了解沙特阿拉伯目前的 PA 咨询实践，并为临床医生和政策制定者提供信息来源，并为进一步研究提供起点。
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