Giri Neha, Norman Kimberley, Sturgiss Elizabeth Ann
School of Primary and Allied Health Care, Monash University, Melbourne, Australia.
School of Primary and Allied Health Care, Monash University, Melbourne, Australia
BJGP Open. 2025 Jul 1. doi: 10.3399/BJGPO.2024.0253.
Physical activity (PA) engagement is critical for improving health and wellbeing across nearly all patient health concerns. General practitioners (GPs) are well positioned to have discussions about PA owing to the frequency with which they see their patients over long periods of time.
To explore (a) how PA is discussed and (b) the types of PA that are discussed in real-world GP-patient consultations.
DESIGN & SETTING: A qualitative descriptive study using real-world video-recorded consultations with Melbourne-based GPs.
Secondary analysis of 43 video consultation data from four GPs held with the Digital Library repository at Monash University, Australia. Two researchers reviewed the consultations and analysed each consultation using descriptive content analysis.
From the total consultations ( = 43), 41.9% ( = 18) discussed PA. Five consultations included a structured GP management plan that prompted PA questions for discussion. GPs had a patient-centred approach and discussed a range of different types of PA, which was tailored to the specific health needs of each patient. These included exercise prescription, general advice, aerobic exercise, functional movement, and allied healthcare referrals.
GPs discuss PA with patients in opportunistic or systematic ways using a patient-centred approach. This study could be used as a foundation for establishing teaching resources for GPs, both in training and in professional development. Future studies could explore how PA discussions improve health outcomes over longer periods of time. This will contribute to understanding how, and if, PA is followed-up to further understand the effectiveness of these discussions.
几乎在所有患者健康问题中，参与体育活动（PA）对于改善健康和幸福至关重要。由于全科医生（GPs）在很长一段时间内频繁接诊患者，他们处于开展有关体育活动讨论的有利位置。
探讨（a）在现实世界的全科医生-患者咨询中如何讨论体育活动以及（b）所讨论的体育活动类型。
一项定性描述性研究，使用对墨尔本全科医生的现实世界视频记录咨询。
对来自澳大利亚莫纳什大学数字图书馆存储库的四位全科医生的43次视频咨询数据进行二次分析。两名研究人员审查了这些咨询，并使用描述性内容分析对每次咨询进行分析。
在总共43次咨询中，41.9%（18次）讨论了体育活动。五次咨询包括一个结构化的全科医生管理计划，该计划引发了有关体育活动的问题以供讨论。全科医生采用以患者为中心的方法，讨论了一系列不同类型的体育活动，这些活动是根据每个患者的特定健康需求量身定制的。这些包括运动处方、一般建议、有氧运动、功能性运动和联合医疗保健转诊。
全科医生以机会主义或系统的方式，采用以患者为中心的方法与患者讨论体育活动。本研究可作为为全科医生建立培训和专业发展教学资源的基础。未来的研究可以探索体育活动讨论如何在更长时间内改善健康结果。这将有助于理解体育活动是如何以及是否得到跟进，以进一步了解这些讨论的有效性。
