Integrating Physical Activity in Primary Care Practice
Abstract
Based on a collaborative symposium in 2014 hosted by the Society of Behavioral Medicine (SBM) and the American College of Sports Medicine (ACSM), this paper presents a model for physical activity counseling for primary care physicians (PCPs). Most US adults do not meet national recommendations for physical activity levels. Socioecological factors drive differences in physical activity levels by geography, sex, age, and racial/ethnic group. The recent Patient Protection and Affordable Care Act incentivizes PCPs to offer patients physical activity counseling. However, PCPs have reported socioecological barriers to physical activity counseling and also patient barriers to physical activity, spanning from the individual to the environmental (eg, lack of safe spaces for physical activity), policy (eg, reimbursement policies), and organizational (eg, electronic medical record protocols, worksite norms/policies) levels. The aims of this paper are to: 1) discuss barriers to PCP counseling for physical activity; 2) provide evidence-based strategies and techniques to help PCPs address these counseling barriers; and 3) suggest practical steps for PCPs to counsel patients on physical activity using strategies and supports from policy, the primary care team, and other support networks.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The important role of healthcare providers in physical activity assessment and promotion is well established.
“The important role of healthcare providers in physical activity assessment and promotion is well established [8].”
From Pre-exercise screening: role of the primary care physician (2016) · cites this paper as [8]
Cites
Global physical activity levels: surveillance progress, pitfalls, and prospects
Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., & Ekelund, U. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60646-1 · Cited by 5,711 · see citing works
Translating Social Ecological Theory into Guidelines for Community Health Promotion
Stokols, D. (1996) · American Journal of Health Promotion · doi:10.4278/0890-1171-10.4.282 · Cited by 2,763 · see citing works
Meta-analysis of workplace physical activity interventions
Conn, V. S., Hafdahl, A. R., Cooper, P. S., Brown, L. M., & Lusk, S. L. (2009) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2009.06.008 · Cited by 741 · see citing works
Wilcox, S., Castro, C., King, A. C., Housemann, R., & Brownson, R. C. (2000) · Journal of Epidemiology and Community Health · doi:10.1136/jech.54.9.667 · Cited by 676 · see citing works
Defining and Measuring the Patient-Centered Medical Home
Stange, K. C., Nutting, P. A., Miller, W. L., Jaén, C. R., Crabtree, B. F., Flocke, S. A., & Gill, J. M. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1291-3 · Cited by 516 · see citing works
Turner-McGrievy, G. M., Beets, M. W., Moore, J. B., Kaczynski, A. T., Barr-Anderson, D. J., & Tate, D. F. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-001510 · Cited by 373 · see citing works
Garrett, S., Elley, C. R., Rose, S. B., O'Dea, D., Lawton, B. A., & Dowell, A. C. (2011) · British Journal of General Practice · doi:10.3399/bjgp11x561249 · Cited by 223 · see citing works
Adapting the Diabetes Prevention Program Lifestyle Intervention for Delivery in the Community
Ackermann, R. T., & Marrero, D. G. (2007) · The Diabetes Educator · doi:10.1177/0145721706297743 · Cited by 220 · see citing works
Exercise is medicine: a call to action for physicians to assess and prescribe exercise
Sallis, R. (2015) · The Physician and Sportsmedicine · doi:10.1080/00913847.2015.1001938 · Cited by 198 · see citing works
Social support for exercise: Relationship to physical activity in young adults
Treiber, F. A., Baranowski, T., Braden, D. S., Strong, W. B., Levy, M., & Knox, W. (1991) · Preventive Medicine · doi:10.1016/0091-7435(91)90068-f · Cited by 195 · see citing works
Physical activity counseling in primary care: Who has and who should be counseling?
Tulloch, H., Fortier, M., & Hogg, W. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2005.10.010 · Cited by 175 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Physical activity counseling in primary care: Insights from public health and behavioral economics
Shuval, K., Leonard, T., Drope, J., Katz, D. L., Patel, A. V., Maitin‐Shepard, M., Amir, O., & Grinstein, A. (2017) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21394 · Cited by 91 · see citing works
Wiggers, J., McElwaine, K., Freund, M., Campbell, L., Bowman, J., Wye, P., Wolfenden, L., Tremain, D., Barker, D., Slattery, C., et al. (2017) · Implementation Science · doi:10.1186/s13012-017-0636-2 · Cited by 37 · see citing works
“Various organizational (reimbursement, systems, resources, support) and provider (time, skills, perception of patients’ motivation) barriers have been reported to impede the effectiveness of primary care provision of care to promote client physical activity [58, 59].”
BackgroundMethodPre-exercise screening: role of the primary care physician
Joy, E. A., & Pescatello, L. S. (2016) · Israel Journal of Health Policy Research · doi:10.1186/s13584-016-0089-0 · Cited by 13 · see citing works
- Authors
- AuYoung, M., Linke, S. E., Pagoto, S., Buman, M. P., Craft, L. L., Richardson, C. R., Hutber, A., Marcus, B. H., Estabrooks, P., & Sheinfeld Gorin, S.
- Affiliations
- VA Center for Clinical Management Research (US)
- University of California San Diego (US)
- University of Massachusetts Chan Medical School (US)
- Arizona State University (US)
- Northwestern University (US)
- University of Michigan (US)
- American College of Sports Medicine (US)
- University of Nebraska Medical Center (US)
- ORCID
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 129
- Issue
- 10
- Pages
- 1022-1029
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W2290392241
- Cited by
- 124
- References
- 11
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 14 · 2023: 7 · 2022: 15 · 2021: 11 · 2020: 26 · 2019: 11 · 2018: 9 · 2017: 15 · 2016: 1
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- physical activity counseling, primary care physicians, barriers to counseling, socio-ecological model, reimbursement policy, workplace health promotion, organizational support, health policy
- MeSH terms
- Clinical Competence, Counseling, Humans, Mass Screening, Primary Health Care, Reimbursement Mechanisms, Time Factors, Exercise, Risk Reduction Behavior, Physicians, Primary Care, Patient Protection and Affordable Care Act
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
