Long B J, Calfas K J, Wooten W, Sallis J F, Patrick K, Goldstein M, Marcus B H, Schwenk T L, Chenoweth J, Carter R, Torres T, Palinkas L A, Heath G
Student Health Services, San Diego State University, CA 92182-4701, USA.
Am J Prev Med. 1996 Mar-Apr;12(2):73-81.
Primary health-care providers have been encouraged to counsel their patients about regular physical activity, but there are significant barriers to effective counseling. In this study a program of training and materials was tested for acceptability to providers, office staff, and patients. Primary care providers and office staff were trained to use the Physician-based Assessment and Counseling for Exercise (PACE) materials in four geographical sites in the United States. The program was tested in a variety of settings and with diverse patient populations. The acceptability of the program during a five-month study period was evaluated through structured interviews. The training was effective in preparing the providers to counsel, and the program was generally acceptable to providers, office staff, and patients. Counseling was provided in less than five minutes by 70% of providers, and most patients reported following the recommendations given. The PACE program assists providers in overcoming barriers to counseling patients about physical activity. The PACE program is potentially an important part of a national effort to enhance the adoption and maintenance of physical activity among adults.
初级医疗保健提供者已被鼓励就定期体育活动向患者提供咨询，但有效咨询存在重大障碍。在本研究中，对一项培训和材料计划进行了测试，以评估其对提供者、办公室工作人员和患者的可接受性。在美国的四个地理区域，对初级保健提供者和办公室工作人员进行了培训，使其能够使用基于医生的运动评估和咨询（PACE）材料。该计划在各种环境和不同患者群体中进行了测试。通过结构化访谈评估了该计划在五个月研究期间的可接受性。培训有效地使提供者能够进行咨询，该计划总体上为提供者、办公室工作人员和患者所接受。70%的提供者在不到五分钟的时间内提供了咨询，大多数患者报告遵循了所给出的建议。PACE计划有助于提供者克服在为患者提供体育活动咨询方面的障碍。PACE计划可能是全国性努力的一个重要组成部分，以促进成年人体育活动的采用和维持。
