Avsar Pinar, Moore Zena, Nasaif Husain, Moore Barry, Patton Declan, O'Connor Tom, Renjith Vishnu
Skin Wounds and Trauma Research Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
PLoS One. 2025 Aug 29;20(8):e0330861. doi: 10.1371/journal.pone.0330861. eCollection 2025.
To determine health care professionals' (HCPs) attitudes, behaviours, and barriers toward exercise promotion among patients.
Using systematic review methodology, we included published studies focusing on health care professionals' attitudes, behaviours, and barriers towards exercise promotion among patients. The search was conducted in June 2023, using the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed/MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus, and Scopus databases, and returned 352 records, of which 34 met the inclusion criteria. The Critical Appraisal Skills Programme (CASP) tool was used for quality appraisal.
Results revealed that HCPs hold a positive attitude towards advocating physical activity. Further physical activity was prescribed to achieve a number of objectives, including enhancing physical function, encouraging an active lifestyle, preventing complications, monitoring progress or compliance, and preventing functional decline. Barriers to exercise promotion identified related to four overarching categories: health professional-based barriers, perceived patient-related barriers, organisational barriers and health system-related barriers.
This review highlights positive attitudes of healthcare professionals toward promoting physical activity, as well as persistent barriers that hinder effective implementation. Addressing these barriers requires a comprehensive approach, including tailored support for healthcare professionals and improved organisational and systemic structures. Further research is needed to evaluate the effectiveness of strategies aimed at overcoming these obstacles and enhancing physical activity promotion.
确定医疗保健专业人员（HCPs）对患者运动促进的态度、行为和障碍。
采用系统评价方法，纳入关注医疗保健专业人员对患者运动促进的态度、行为和障碍的已发表研究。检索于2023年6月进行，使用Cochrane对照试验中央登记册（CENTRAL）、PubMed/MEDLINE、Embase、护理及相关健康文献累积索引（CINAHL）Plus和Scopus数据库，共检索到352条记录，其中34条符合纳入标准。采用批判性评估技能计划（CASP）工具进行质量评估。
结果显示，医疗保健专业人员对倡导体育活动持积极态度。规定进一步进行体育活动以实现多个目标，包括增强身体功能、鼓励积极的生活方式、预防并发症、监测进展或依从性以及预防功能衰退。确定的运动促进障碍与四个主要类别相关：基于健康专业人员的障碍、感知到的与患者相关的障碍、组织障碍和与卫生系统相关的障碍。
本综述强调了医疗保健专业人员对促进体育活动的积极态度，以及阻碍有效实施的持续障碍。解决这些障碍需要采取综合方法，包括为医疗保健专业人员提供量身定制的支持以及改善组织和系统结构。需要进一步研究来评估旨在克服这些障碍并加强体育活动促进的策略的有效性。
