Leese Callum, Whiting Stephen, Mendes Romeu
School of Medicine, University of Dundee College of Medicine Dentistry and Nursing, Dundee, UK
Division of Noncommunicable Diseases and Promoting Health through the Life-course, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
BMJ Open. 2025 Aug 13;15(8):e095218. doi: 10.1136/bmjopen-2024-095218.
Analyse data collected through the WHO Regional Office for Europe to describe the proportion of European Union (EU) member states that have relevant policies related to physical activity (PA) counselling and exercise referral schemes in healthcare settings and the education of health professionals in health-enhancing PA (HEPA).
Cross-sectional survey.
An online survey (LimeSurvey) was sent to nominated government representatives of the 27 EU member states (via the EU PA Focal Point Network) in March 2021. The survey was open for 2 months, with support offered to all national representatives by the WHO Regional Office for Europe throughout. The survey had been developed by a panel of experts and was previously disseminated (and analysed) in 2015 and 2018.
National recommendations regarding (1) PA counselling in healthcare settings and (2) the inclusion of HEPA within teaching curricula.
All 27 countries responded. Of the 18 countries that reported national policies to provide PA counselling by healthcare professionals (HCPs), all reported that counselling on PA was provided through primary care, with an additional half also reporting PA counselling provision as part of secondary care. Twenty-one countries reported that HEPA is taught in the curricula of HCPs, but large variations exist regarding which cadres of HCPs have HEPA integrated within their curricula and whether the HEPA teaching is a mandatory or optional component of training.
Despite PA counselling being a key recommendation for promoting PA at the population level, only two-thirds of EU member states have national policies in place. Although three-quarters of EU member states report healthcare education curricula, including HEPA, more research is required to understand the methods and content of delivery and the subsequent effectiveness on knowledge and clinical outcomes.
分析通过世界卫生组织欧洲区域办事处收集的数据，以描述欧盟成员国中制定了与医疗保健环境中的身体活动（PA）咨询和运动转诊计划以及健康增强型身体活动（HEPA）方面的卫生专业人员教育相关政策的国家所占比例。
横断面调查。
2021年3月，通过在线调查（LimeSurvey）向27个欧盟成员国的指定政府代表（通过欧盟PA联络点网络）发送了调查问卷。该调查为期2个月，在此期间世界卫生组织欧洲区域办事处为所有国家代表提供支持。该调查问卷由一个专家小组制定，此前曾在2015年和2018年进行过分发（和分析）。
关于（1）医疗保健环境中的PA咨询和（2）将HEPA纳入教学课程设置的国家建议。
所有27个国家均作出回应。在报告了医疗保健专业人员（HCPs）提供PA咨询的国家政策的18个国家中，所有国家均报告称通过初级保健提供PA咨询，另外有一半国家还报告称将PA咨询作为二级保健的一部分。21个国家报告称在HCPs的课程中教授HEPA，但在哪些HCPs干部的课程中纳入了HEPA以及HEPA教学是培训的必修还是选修部分方面存在很大差异。
尽管PA咨询是在人群层面促进PA的一项关键建议，但只有三分之二的欧盟成员国制定了国家政策。尽管四分之三的欧盟成员国报告了包括HEPA在内的卫生保健教育课程，但仍需要更多研究来了解授课方法和内容以及随后对知识和临床结果的有效性。
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