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Delivering brief physical activity interventions in primary care:: A systematic review

Delivering brief physical activity interventions in primary care:: A systematic review
Delivering brief physical activity interventions in primary care:: A systematic review

Background Physical activity (PA) brief interventions (BIs) involving screening and/or advice are recommended in primary care but frequency of delivery is unknown. Aim To examine the extent to which PA BIs are delivered in primary care, and explore factors associated with delivery, receipt, and patient receptivity. Design and setting A mixed-methods systematic review of studies conducted worldwide, with a narrative synthesis of results. Method CINAHL, EMBASE, MEDLINE, and APA PsycINFO index databases were searched for qualitative and quantitative studies, dating from January 2012 to June 2020, that reported the level of delivery and/ or receipt of PA BIs in primary care, and/or factors affecting delivery, receipt, and patient receptivity. Quality was assessed using the Mixed Methods Appraisal Tool. Attitudes towards and barriers to delivery were coded into the Theoretical Domains Framework and the Capability, Opportunity, and Motivation Behaviour model. Results After screening a total of 13 066 records, 66 articles were included in the review. The extent of PA screening and advice in primary care varied widely (2.4%-100% and 0.6%-100%, respectively). PA advice was delivered more often to patients with a higher body mass index, lower PA levels, and/or more comorbidities. Barriers - including a lack of time and training/guidelines - remain, despite recommendations from the World Health Organization and National Institute for Health and Care Excellence that PA advice should be provided in primary care. Few studies explored patients' receptivity to advice. Conclusion PA BIs are not delivered frequently or consistently in primary care. Addressing barriers to delivery through system-level changes and training programmes could improve and increase the advice given. Understanding when patients are receptive to PA interventions could enhance health professionals' confidence in their delivery

Brief interventions, Disease prevention, Health promotion, Physical activity, Primary care, Systematic review
0960-1643
E209-E216
Hall, Louise H.
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Thorneloe, Rachael
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Rodriguez-Lopez, Rocio
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Grice, Adam
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Thorat, Mangesh A.
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Bradbury, Katherine
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Kamble, Meghana Wadnerkar
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Okoli, Grace N.
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Powell, Daniel
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Beeken, Rebecca J.
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Hall, Louise H.
d315eea1-c423-4914-9c29-0418fb464b6b
Thorneloe, Rachael
d8e2cddb-0ede-4523-8fdc-a67e3ca41203
Rodriguez-Lopez, Rocio
dd096ab3-5a1c-450b-b542-6e66eca35614
Grice, Adam
56a0cc45-c2c0-4bbb-bb55-932a26b025b6
Thorat, Mangesh A.
e7ae6704-595b-4b9d-b7fc-133bf04a5b52
Bradbury, Katherine
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Kamble, Meghana Wadnerkar
ac75a062-b178-4c14-9047-83e39c05d3bb
Okoli, Grace N.
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Powell, Daniel
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Beeken, Rebecca J.
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Hall, Louise H., Thorneloe, Rachael, Rodriguez-Lopez, Rocio, Grice, Adam, Thorat, Mangesh A., Bradbury, Katherine, Kamble, Meghana Wadnerkar, Okoli, Grace N., Powell, Daniel and Beeken, Rebecca J. (2022) Delivering brief physical activity interventions in primary care:: A systematic review. British Journal of General Practice, 72 (716), E209-E216. (doi:10.3399/BJGP.2021.0312).

Record type: Review

Abstract

Background Physical activity (PA) brief interventions (BIs) involving screening and/or advice are recommended in primary care but frequency of delivery is unknown. Aim To examine the extent to which PA BIs are delivered in primary care, and explore factors associated with delivery, receipt, and patient receptivity. Design and setting A mixed-methods systematic review of studies conducted worldwide, with a narrative synthesis of results. Method CINAHL, EMBASE, MEDLINE, and APA PsycINFO index databases were searched for qualitative and quantitative studies, dating from January 2012 to June 2020, that reported the level of delivery and/ or receipt of PA BIs in primary care, and/or factors affecting delivery, receipt, and patient receptivity. Quality was assessed using the Mixed Methods Appraisal Tool. Attitudes towards and barriers to delivery were coded into the Theoretical Domains Framework and the Capability, Opportunity, and Motivation Behaviour model. Results After screening a total of 13 066 records, 66 articles were included in the review. The extent of PA screening and advice in primary care varied widely (2.4%-100% and 0.6%-100%, respectively). PA advice was delivered more often to patients with a higher body mass index, lower PA levels, and/or more comorbidities. Barriers - including a lack of time and training/guidelines - remain, despite recommendations from the World Health Organization and National Institute for Health and Care Excellence that PA advice should be provided in primary care. Few studies explored patients' receptivity to advice. Conclusion PA BIs are not delivered frequently or consistently in primary care. Addressing barriers to delivery through system-level changes and training programmes could improve and increase the advice given. Understanding when patients are receptive to PA interventions could enhance health professionals' confidence in their delivery

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Accepted/In Press date: 2 September 2021
Published date: March 2022
Additional Information: Funding Information: This review was supported by Yorkshire Cancer Research (reference: L389RB) and Cancer Research UK (reference: A23517). Mangesh A Thorat is supported by a Cancer Research UK programme grant (reference: C569/A16891). Daniel Powell is supported by the strategic research programme funded by the Scottish Government’s Rural and Environment Science and Analytical Services (RESAS) Division. Rebecca J Beeken is supported by Yorkshire Cancer Research Fellowship funding (reference: L389RB). Publisher Copyright: © 2022 Royal College of General Practitioners. All rights reserved. Copyright: Copyright 2022 Elsevier B.V., All rights reserved. © The Authors.
Keywords: Brief interventions, Disease prevention, Health promotion, Physical activity, Primary care, Systematic review

Identifiers

Local EPrints ID: 456598
URI: http://eprints.soton.ac.uk/id/eprint/456598
ISSN: 0960-1643
PURE UUID: 1c03cd1b-73d6-4190-9fd9-45f2f48c1986

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Date deposited: 05 May 2022 16:45
Last modified: 19 Jul 2022 16:35

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Contributors

Author: Louise H. Hall
Author: Rachael Thorneloe
Author: Rocio Rodriguez-Lopez
Author: Adam Grice
Author: Mangesh A. Thorat
Author: Katherine Bradbury
Author: Meghana Wadnerkar Kamble
Author: Grace N. Okoli
Author: Daniel Powell
Author: Rebecca J. Beeken

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