Pinto B M, Goldstein M G, DePue J D, Milan F B
Miriam Hospital, Providence, Rhode Island 02906, USA.
Am J Prev Med. 1998 Aug;15(2):95-102. doi: 10.1016/s0749-3797(98)00043-9.
The continued prevalence of sedentary behavior in older adults underscores the need for physical activity promotion. Physician-delivered activity counseling may be an important avenue of promoting physical activity for these individuals. The Physically Active for Life (PAL) project was a randomized study of the effects of brief physician counseling plus follow-up on physical activity behaviors in older adults.
Twelve practices were randomized to the intervention group and 12 to standard care. Physicians in the intervention group participated in a 1-hour training session and received support materials for exercise counseling. Pre-assessment and post-assessment of self-reported exercise counseling behaviors and confidence in providing exercise counseling were obtained from physicians in the study. Patient evaluations of the exercise counseling and support materials were also obtained.
Results showed that physicians favorably endorsed the training and the support materials, and reported adherence to delivery of the intervention protocol. Comparisons between the two groups showed significant improvements in confidence for intervention-group physicians, but no significant changes in physician reports of exercise counseling provided to all patients. Patients reported satisfaction with the exercise counseling and support materials.
Physicians and patients indicated the PAL project offered an acceptable and feasible approach to promote physical activity in older adults.
老年人久坐行为持续普遍存在，这凸显了促进身体活动的必要性。医生提供的活动咨询可能是促进这些个体身体活动的重要途径。“终身积极运动”（PAL）项目是一项关于简短医生咨询加随访对老年人身体活动行为影响的随机研究。
12个医疗机构被随机分配到干预组，12个被分配到标准护理组。干预组的医生参加了一次1小时的培训课程，并获得了运动咨询的支持材料。从研究中的医生那里获取了自我报告的运动咨询行为和提供运动咨询的信心的预评估和后评估。还获得了患者对运动咨询和支持材料的评价。
结果显示，医生对培训和支持材料给予了积极认可，并报告遵守了干预方案的实施。两组之间的比较显示，干预组医生的信心有显著提高，但医生报告的向所有患者提供的运动咨询没有显著变化。患者对运动咨询和支持材料表示满意。
医生和患者表示，PAL项目为促进老年人身体活动提供了一种可接受且可行的方法。
