Rooney Daire, Heron Neil, Gilmartin Emma
Medical, Queen's University Belfast, Belfast, UK.
Queen's University Belfast, Belfast, UK.
BMJ Open Sport Exerc Med. 2025 Sep 3;11(3):e002774. doi: 10.1136/bmjsem-2025-002774. eCollection 2025.
Physical activity (PA) is a cornerstone of both disease prevention and long-term condition management, yet it remains absent from many treatment plans, particularly in primary care. Despite clinicians recognising the value of PA, systemic barriers such as time constraints and limited training hinder its integration into everyday consultations. For this reason, there has been a call for further resources to improve clinician confidence in initiating these conversations. This viewpoint presents a practical, five-step framework to help primary care clinicians support inactive patients to become more active. It does this by integrating core principles of PA counselling, including motivational interviewing, risk screening and the frequency, intensity, time and type (FITT) principle into a practical, accessible framework. It simplifies the often fragmented guidance on PA prescription, offering clinicians a clear, time-efficient tool to support behaviour change in routine practice. A visual infographic translates the five steps into an accessible aid for busy consultations. This viewpoint aims to equip primary care clinicians with the clarity and confidence needed to embed PA advice into their routine care. In doing so, it supports the shift towards proactive, personalised and preventive healthcare.
体育活动（PA）是疾病预防和长期疾病管理的基石，但在许多治疗方案中仍未得到重视，尤其是在初级保健中。尽管临床医生认识到体育活动的价值，但时间限制和培训有限等系统性障碍阻碍了其融入日常诊疗。因此，人们呼吁提供更多资源，以增强临床医生展开此类对话的信心。本观点提出了一个实用的五步框架，以帮助初级保健临床医生支持不活跃的患者变得更加活跃。它通过将体育活动咨询的核心原则，包括动机性访谈、风险筛查以及频率、强度、时间和类型（FITT）原则，整合到一个实用、易懂的框架中来实现这一目标。它简化了通常零散的体育活动处方指导，为临床医生提供了一个清晰、高效的工具，以支持日常实践中的行为改变。一张可视化信息图将这五个步骤转化为繁忙诊疗时易于使用的辅助工具。本观点旨在让初级保健临床医生有清晰的思路和信心，将体育活动建议融入日常护理中。这样做有助于向积极主动、个性化和预防性医疗保健转变。
