Skip to main content
Top
Published in: Journal of Public Health 1/2013

01-02-2013 | Original Article

Promotion of physical activity in primary care: knowledge and practice of general practitioners and physiotherapists

Authors: Emer M. Barrett, Catherine D. Darker, Juliette Hussey

Published in: Journal of Public Health | Issue 1/2013

Login to get access

Abstract

Aim

Being physically active has many proven health benefits and promoting physical activity to patients in primary care is an important component of public health programmes. This study examined the knowledge and practices of general practitioners and physiotherapists in the promotion of physical activity in primary care.

Subject and methods

A cross-sectional population survey was conducted in Ireland to establish participants’ knowledge of physical activity guidelines and current practice in the promotion of physical activity. A total of 342 general practitioners (response rate 65 %; n = 543) and 89 physiotherapists (response rate 88 %; n = 101) responded to the survey.

Results

More physiotherapists (50.5 %; n = 45) than general practitioners (28 %; n = 97) correctly reported the minimal physical activity guidelines (X² = 16.56, p < .005, df = 1). General practitioners reported screening physical activity opportunistically (41 %; n = 139) and when related to a patient’s presenting complaint (37 %; n = 126). Physiotherapists reported screening physical activity routinely (34 %; n = 30) and when related to the presenting complaint (28 %; n = 25). With the exception of overweight patients, general practitioners were more likely than physiotherapists to promote physical activity to patients with known cardiovascular risk factors such as hypertension (X² = 49.65, p < .001, df = 2) and hypercholesterolemia (X² = 32.58, p < .001, df = 2). Physiotherapists, however, were more likely to promote physical activity to healthy populations (X² = 9.91; p < .01, df = 2). Education and advice was the intervention most frequently used (general practitioners 76 %; n = 258, physiotherapists 97 %; n = 86).

Conclusion

Despite high levels of awareness of physical activity promotion amongst general practitioners and physiotherapists, there is scope to improve physical activity promotion particularly to healthy populations and ongoing challenges to incorporate evidence based interventions into routine care.
Literature
go back to reference Ampt AJ, Amoroso C, Harris MF, McKenzie SH, Rose VK, Taggart JR (2009) Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Fam Prac 10:59. doi:10.1186/1471-2296-10-59 CrossRef Ampt AJ, Amoroso C, Harris MF, McKenzie SH, Rose VK, Taggart JR (2009) Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Fam Prac 10:59. doi:10.​1186/​1471-2296-10-59 CrossRef
go back to reference Blair SN, Jackson AS (2001) Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med Sci Sports Exerc 33:762–764PubMed Blair SN, Jackson AS (2001) Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med Sci Sports Exerc 33:762–764PubMed
go back to reference Booth ML, Bauman A, Owen N, Gore CJ (1997) Physical activity preferences, preferred sources of assistance, and perceived barriers to increased activity among physically inactive Australians. Prev Med 26:131–137PubMedCrossRef Booth ML, Bauman A, Owen N, Gore CJ (1997) Physical activity preferences, preferred sources of assistance, and perceived barriers to increased activity among physically inactive Australians. Prev Med 26:131–137PubMedCrossRef
go back to reference Buffart LM, van der Ploeg HP, Smith BJ, Kurko J, King L, Bauman AE (2009) General practitioners’ perceptions and practices of physical activity counselling: changes over the past 10 years. Br J Sports Med 43:1149–1153PubMedCrossRef Buffart LM, van der Ploeg HP, Smith BJ, Kurko J, King L, Bauman AE (2009) General practitioners’ perceptions and practices of physical activity counselling: changes over the past 10 years. Br J Sports Med 43:1149–1153PubMedCrossRef
go back to reference Daley AJ, Bassi S, Haththotuwa HR, Hussain T, Kalhan M, Rishi S (2008) 'Doctor, how much physical activity should I be doing?': how knowledgeable are general practitioners about the UK Chief Medical Officer's (2004) recommendations for active living to achieve health benefits? Public Health 122:588–590PubMedCrossRef Daley AJ, Bassi S, Haththotuwa HR, Hussain T, Kalhan M, Rishi S (2008) 'Doctor, how much physical activity should I be doing?': how knowledgeable are general practitioners about the UK Chief Medical Officer's (2004) recommendations for active living to achieve health benefits? Public Health 122:588–590PubMedCrossRef
go back to reference Department of Health (2006) The general practice physical activity questionnaire (GPPAQ). Department of Health, London Department of Health (2006) The general practice physical activity questionnaire (GPPAQ). Department of Health, London
go back to reference Douglas F, Torrance N, van Teijingen E, Meloni S, Kerr A (2006) Primary care staff’s views and experience related to routinely advising patients about physical activity: a questionnaire survey. BMC Publ Health 6:138CrossRef Douglas F, Torrance N, van Teijingen E, Meloni S, Kerr A (2006) Primary care staff’s views and experience related to routinely advising patients about physical activity: a questionnaire survey. BMC Publ Health 6:138CrossRef
go back to reference Eakin EG, Brown WJ, Marshall AL, Mummery K, Larsen E (2004) Physical activity promotion in primary care: bridging the gap between research and practice. Am J Prev Med 27:297–303PubMed Eakin EG, Brown WJ, Marshall AL, Mummery K, Larsen E (2004) Physical activity promotion in primary care: bridging the gap between research and practice. Am J Prev Med 27:297–303PubMed
go back to reference Fagard RH (2001) Exercise characteristics and the blood pressure response to dynamic physical training. Med Sci Sports Exerc 33(Suppl 6):S484–S492PubMed Fagard RH (2001) Exercise characteristics and the blood pressure response to dynamic physical training. Med Sci Sports Exerc 33(Suppl 6):S484–S492PubMed
go back to reference Foster C, Hillsdon M, Thorogood M (2005) Interventions for promoting physical activity. Cochrane Database Syst Rev 1:CD003180PubMed Foster C, Hillsdon M, Thorogood M (2005) Interventions for promoting physical activity. Cochrane Database Syst Rev 1:CD003180PubMed
go back to reference Gidlow C, Johnston LH, Crone D, James D (2005) Attendance of exercise referral schemes in the UK: a systematic review. Heal Educ J 64:168–186CrossRef Gidlow C, Johnston LH, Crone D, James D (2005) Attendance of exercise referral schemes in the UK: a systematic review. Heal Educ J 64:168–186CrossRef
go back to reference Haskell WL, Lee IM, Pate RR et al (2007) Physical Activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39:1423–1434PubMedCrossRef Haskell WL, Lee IM, Pate RR et al (2007) Physical Activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39:1423–1434PubMedCrossRef
go back to reference Isaacs AJ, Critchley JA, See Tai S et al (2007) Exercise Evaluation Randomised Trial (EXERT): a randomised trial comparing GP referral for leisure centre-based exercise, community walking and advice only. Health Technol Assess 11:1–165PubMed Isaacs AJ, Critchley JA, See Tai S et al (2007) Exercise Evaluation Randomised Trial (EXERT): a randomised trial comparing GP referral for leisure centre-based exercise, community walking and advice only. Health Technol Assess 11:1–165PubMed
go back to reference Kreuter MW, Scharff DP, Brennan LK, Lukwago SN (1997) Physician recommendations for diet and physical activity: which patients get advised to change? Prev Med 26:825–833PubMedCrossRef Kreuter MW, Scharff DP, Brennan LK, Lukwago SN (1997) Physician recommendations for diet and physical activity: which patients get advised to change? Prev Med 26:825–833PubMedCrossRef
go back to reference Lawlor DA, Keen S, Neal RD (1999) Increasing population levels of physical activity through primary care: GPs’ knowledge, attitudes and self reported practice. Fam Pract 16:250–254PubMedCrossRef Lawlor DA, Keen S, Neal RD (1999) Increasing population levels of physical activity through primary care: GPs’ knowledge, attitudes and self reported practice. Fam Pract 16:250–254PubMedCrossRef
go back to reference Lawton BA, Rose SB, Elley CR, Dowell AC, Fenton A, Moyes SA (2008) Exercise on prescription for women aged 40–74 recruited through primary care: two year randomized controlled trial. BMJ 337:a2509. doi:10.1136/bmj.a2509 PubMedCrossRef Lawton BA, Rose SB, Elley CR, Dowell AC, Fenton A, Moyes SA (2008) Exercise on prescription for women aged 40–74 recruited through primary care: two year randomized controlled trial. BMJ 337:a2509. doi:10.​1136/​bmj.​a2509 PubMedCrossRef
go back to reference Leon AS, Rice T, Mandel S et al (2000) Blood lipid response to 20 weeks of supervised exercise in a large biracial population: the HERITAGE Family Study. Metabolism 49:513–520PubMedCrossRef Leon AS, Rice T, Mandel S et al (2000) Blood lipid response to 20 weeks of supervised exercise in a large biracial population: the HERITAGE Family Study. Metabolism 49:513–520PubMedCrossRef
go back to reference Morgan K, McGee H, Watson D et al (2007) SLÁN 2007: survey of lifestyle, attitudes andnutrition in Ireland. Main Report. Department of Health and Children, Dublin Morgan K, McGee H, Watson D et al (2007) SLÁN 2007: survey of lifestyle, attitudes andnutrition in Ireland. Main Report. Department of Health and Children, Dublin
go back to reference National Institute for Health and Clinical Excellence (2006) Four commonly used methods to increase physical activity: brief interventions in primary care, pedometers, exercise-referral schemes and community based exercise programmes for walking and cycling. National Institute for Health and Clinical Excellence, London National Institute for Health and Clinical Excellence (2006) Four commonly used methods to increase physical activity: brief interventions in primary care, pedometers, exercise-referral schemes and community based exercise programmes for walking and cycling. National Institute for Health and Clinical Excellence, London
go back to reference O’Dowd T, O’Kelly M, O’Kelly F (2006) Structure of general practice in Ireland 1982–2005. Irish College of General Practitioners, Dublin O’Dowd T, O’Kelly M, O’Kelly F (2006) Structure of general practice in Ireland 1982–2005. Irish College of General Practitioners, Dublin
go back to reference Pate RR, Pratt M, Blair SN et al (1995) Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 273:402–407PubMedCrossRef Pate RR, Pratt M, Blair SN et al (1995) Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 273:402–407PubMedCrossRef
go back to reference Ribeiro MA, de Arruda MM, Carvalho CR (2007) The role of physician counselling in improving adherence to physical activity among the general population. San Paulo Med J 125:2 Ribeiro MA, de Arruda MM, Carvalho CR (2007) The role of physician counselling in improving adherence to physical activity among the general population. San Paulo Med J 125:2
go back to reference Rose SB, Elley CR, Lawton BA, Dowell AC (2008) A single question reliably identifies physically inactive women in primary care. NZ Med J 25(121(1268)):U2897 Rose SB, Elley CR, Lawton BA, Dowell AC (2008) A single question reliably identifies physically inactive women in primary care. NZ Med J 25(121(1268)):U2897
go back to reference Shirley D, van der Ploeg HP, Bauman AE (2010) Physical activity promotion in the physical therapy setting: perspectives from practitioners to students. Phys Ther 90:1311–1322PubMedCrossRef Shirley D, van der Ploeg HP, Bauman AE (2010) Physical activity promotion in the physical therapy setting: perspectives from practitioners to students. Phys Ther 90:1311–1322PubMedCrossRef
go back to reference Thompson PD, Crouse SF, Goodpaster B, Kelley D, Moyna N, Pescatello L (2001) The acute versus the chronic response to exercise. Med Sci Sports Exerc 33(Suppl 6):S438–S445PubMed Thompson PD, Crouse SF, Goodpaster B, Kelley D, Moyna N, Pescatello L (2001) The acute versus the chronic response to exercise. Med Sci Sports Exerc 33(Suppl 6):S438–S445PubMed
go back to reference van der Ploeg HP, Smith BJ, Stubbs T, Vita P, Holford R, Bauman AE (2007) Physical activity promotion: are GPs getting the message? Aust Fam Physician 36:871–874PubMed van der Ploeg HP, Smith BJ, Stubbs T, Vita P, Holford R, Bauman AE (2007) Physical activity promotion: are GPs getting the message? Aust Fam Physician 36:871–874PubMed
go back to reference VanGeest JB, Johnson TP, Welch VL (2007) Methodologies for improving response rates in surveys of physicians: a systematic review. Eval Health Prof 30:303–321PubMedCrossRef VanGeest JB, Johnson TP, Welch VL (2007) Methodologies for improving response rates in surveys of physicians: a systematic review. Eval Health Prof 30:303–321PubMedCrossRef
Metadata
Title
Promotion of physical activity in primary care: knowledge and practice of general practitioners and physiotherapists
Authors
Emer M. Barrett
Catherine D. Darker
Juliette Hussey
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Journal of Public Health / Issue 1/2013
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-012-0512-0

Other articles of this Issue 1/2013

Journal of Public Health 1/2013 Go to the issue