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Physical Activity Counseling by Primary Care Physicians: Attitudes, Knowledge, Implementation, and Perceived Success

Katharina Diehl, Manfred Mayer, Frank Mayer, Tatiana Görig, Christina Bock, Raphael M. Herr, and Sven Schneider

Background:

In physical activity (PA) counseling, primary care physicians (PCPs) play a key role because they are in regular contact with large sections of the population and are important contact people in all health-related issues. However, little is known about their attitudes, knowledge, and perceived success, as well as about factors associated with the implementation of PA counseling.

Methods:

We collected data from 4074 PCPs including information on physician and practice characteristics, attitudes toward cardiovascular disease (CVD) prevention, and measures used during routine practice to prevent CVD. Here, we followed widely the established 5 A’s strategy (Assess, Advise, Agree, Assist, Arrange).

Results:

The majority (87.2%) of PCPs rated their own level of competence in PA counseling as ‘high,’ while 52.3% rated their own capability to motivate patients to increase PA as ‘not good.’ Nine of ten PCPs routinely provided at least 1 measure of the modified 5 A’s strategy, while 9.5% routinely used all 5 intervention strategies.

Conclusions:

The positive attitude toward PA counseling among PCPs should be supported by other stakeholders in the field of prevention and health promotion. An example would be the reimbursement of health counseling services by compulsory health insurance, which would enable PCPs to invest more time in individualized health promotion.

Cover Journal of Physical Activity and Health

In Journal of Physical Activity and Health Volume 12 (2015): Issue 2 (Feb 2015)

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Implementation of an Evidence-Based, Tai Ji Quan Fall Prevention Program in Rural West Virginia Churches: A RE-AIM Evaluation

Dina L. Jones, Terry Kit Selfe, Sijin Wen, Jennifer L. Eicher, Sara Wilcox, and Corrie Mancinelli

and rural West Virginia (WV) ( Burns & Kakara, 2018 ; Centers for Disease Control and Prevention & National Center for Injury Prevention and Control, 2019a , 2019b ; Levi et al., 2015 ). In 2018, the death rate in WV (93 per 100,000) was significantly higher than the U.S. average (64 per 100

Cover Journal of Aging and Physical Activity

In Journal of Aging and Physical Activity Volume 31 (2023): Issue 1 (Feb 2023)

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Benefits and Barriers Associated With Intention to Participate in Injury Prevention Programs in Reserve Officers’ Training Corps Cadets

Emily H. Gabriel and Cameron J. Powden

missed duty. 6 Long term, there is an increased likelihood for the early development of osteoarthritis 7 and decreased health-related quality of life. 8 Focus has been shifted toward the prevention of these injuries to avoid the negative consequences associated with them. In 2003, a military

Cover International Journal of Athletic Therapy and Training

In International Journal of Athletic Therapy and Training Volume 28 (2023): Issue 2 (Mar 2023)

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Leisure Sedentary Behavior Levels and Meeting Program Goals in a Community Lifestyle Intervention for Diabetes Prevention

Bonny Rockette-Wagner, Rachel G. Miller, Yvonne L. Eaglehouse, Vincent C. Arena, M. Kaye Kramer, and Andrea M. Kriska

Time spent in activities with low energy expenditure performed while sitting or lying down has been termed sedentary behaviors . 1 These behaviors have been shown to increase the risk of diabetes and cardiovascular disease. 2 , 3 More than 10 years after the Diabetes Prevention Program (DPP

Cover Journal of Physical Activity and Health

In Journal of Physical Activity and Health Volume 18 (2021): Issue 1 (Jan 2021)

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Prehabilitation for Recreational Runners: Motivators, Influencers, and Barriers to Injury Prevention Strategies for Running-Related Injury

Linda Linton, Morag Barr, and Stephanie Valentin

common reason for discontinuing the sport, particularly among novice runners. 6 Moreover, runners who sustain a RRI are less likely to engage in other types of activity 7 and thus could be at risk of lowering their general physical activity. Therefore, injury prevention strategies in runners are needed

Cover Journal of Sport Rehabilitation

In Journal of Sport Rehabilitation Volume 31 (2022): Issue 5 (Jul 2022)

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Health Belief Model and Theory of Planned Behavior: A Theoretical Approach for Enhancing Lower Extremity Injury Prevention Program Participation

Emily M. Hartley, Matthew C. Hoch, and Robert J. Cramer

high school athletic injuries, respectively. 1 , 2 Individuals who sustain lower extremity injuries are more likely to develop long-term consequences such as osteoarthritis 3 – 5 and a decreased health-related quality of life. 6 Therefore, primary prevention efforts to reduce the incidence of lower

Cover International Journal of Athletic Therapy and Training

In International Journal of Athletic Therapy and Training Volume 23 (2018): Issue 1 (Jan 2018)

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Effects of Enriched Physical Activity Environments on Balance and Fall Prevention in Older Adults: A Scoping Review

Mohsen Shafizadeh, Jane Manson, Sally Fowler-Davis, Khalid Ali, Anna C. Lowe, Judy Stevenson, Shahab Parvinpour, and Keith Davids

establish a principle in the provision of physical activity and fall prevention programs so that designing more enabling physical activity environments that could mitigate the performance declines due to aging process is emphasized. Another theory that supports a cyclic interaction between the person and

Cover Journal of Aging and Physical Activity

In Journal of Aging and Physical Activity Volume 29 (2021): Issue 1 (Feb 2021)

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Programming Physical Activity in Young Infants At-Risk for Early Onset of Obesity

Dale A. Ulrich and Janet L. Hauck

The purpose of this article is to discuss the growing problem of very early onset of obesity occurring before two years of age and to review infant motor development, physical activity, and effective pediatric disability motor interventions that may offer potential strategies to help reduce this growing problem earlier in life. Based on the review of physical activity interventions used with infants with a disability, we will propose strategies to consider to program early physical activity exposures into nondisabled young infants who are at risk for obesity. These proposed physical activity strategies will need to be combined with successful public health approaches to reducing early onset of obesity during infancy. Lucas (1991) conceived the term programming referring to permanent or extended effects of an environmental exposure occurring during a sensitive developmental period. In this paper, we propose that a very sensitive period for early onset of obesity is the first six months of postnatal life. If innovative strategies to increase the frequency of daily exposures to physical activity in young infants can be identified, these strategies could be combined with current public health approaches to preventing obesity in women before, during, and following pregnancy. Given the complexity of the obesity problem, no single strategy for prevention should be expected to be very successful.

Cover Kinesiology Review

In Kinesiology Review Volume 2 (2013): Issue 4 (Jan 2013)

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The Application of Artificial Intelligence in Digital Physical Activity and Falls Prevention Interventions for Older Adults

David C. Wong, Siobhan O’Connor, and Emma Stanmore

perspectives . International Journal of Older People Nursing, 15 ( 2 ), Article e12311 . https://doi.org/10.1111/opn.12311 Choi , N. , Stanmore , E. , Gell , N. , Caamano , J. , Vences , K , & Gell , N.M. ( 2021 ). A feasibility study of multi-component fall prevention for homebound older

Cover Journal of Aging and Physical Activity

In Journal of Aging and Physical Activity Volume 31 (2023): Issue 5 (Oct 2023)

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Effect of a 6-Week Strengthening Program on Shoulder and Scapular-Stabilizer Strength and Scapular Kinematics in Division I Collegiate Swimmers

Elizabeth E. Hibberd, Sakiko Oyama, Jeffrey T. Spang, William Prentice, and Joseph B. Myers

Context:

Shoulder injuries are common in swimmers because of the demands of the sport. Muscle imbalances frequently exist due to the biomechanics of the sport, which predispose swimmers to injury. To date, an effective shoulder-injury-prevention program for competitive swimmers has not been established.

Objective:

To assess the effectiveness of a 6-wk strengthening and stretching intervention program on improving glenohumeral and scapular muscle strength and scapular kinematics in collegiate swimmers.

Design:

Randomized control trial.

Setting:

University biomechanics research laboratory.

Participants:

Forty-four Division I collegiate swimmers.

Interventions:

The intervention program was completed 3 times per week for 6 wk. The program included strengthening exercises completed using resistance tubing—scapular retraction (Ts), scapular retraction with upward rotation (Ys), scapular retraction with downward rotation (Ws), shoulder flexion, low rows, throwing acceleration and deceleration, scapular punches, shoulder internal rotation at 90° abduction, and external rotation at 90° abduction—and 2 stretching exercises: corner stretch and sleeper stretch.

Main Outcome Measurements:

Scapular kinematics and glenohumeral and scapular muscle strength assessed preintervention and postintervention.

Results:

There were no significant between-groups differences in strength variables at pre/post tests, although shoulder-extension and internal-rotation strength significantly increased in all subjects regardless of group assignment. Scapular kinematic data revealed increased scapular internal rotation, protraction, and elevation in all subjects at posttesting but no significant effect of group on the individual kinematic variables.

Conclusions:

The current strengthening and stretching program was not effective in altering strength and scapular kinematic variables but may serve as a framework for future programs. Adding more stretching exercises, eliminating exercises that overlap with weight-room training and swim training, and timing of implementation may yield a more beneficial program for collegiate swimmers.

Cover Journal of Sport Rehabilitation

In Journal of Sport Rehabilitation Volume 21 (2012): Issue 3 (Jan 2012)