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Cited by 176Physical Activity and HealthBehavioral Health and InterventionsHealth Promotion and Cardiovascular Prevention

Physical activity counseling in primary care: Who has and who should be counseling?

Tulloch, Heather, Fortier, Michelle, Hogg, William·2006·Patient Education and Counseling
DOI 10.1016/j.pec.2005.10.010
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Abstract

Objective To examine the physical activity (PA) counseling literature in primary care in order to identify which intervention provider has been used to date and their relative effectiveness for increasing PA.Method MEDLINE and PsycINFO databases were searched for PA intervention studies in primary care settings.Results Of the 19 studies, 37% were conducted solely by physicians, 37% by allied health professionals, while 26% were combined-provider interventions. There was a decline in the number of physician-only interventions and a shift towards interventions offered by allied health professionals as adjuncts or alone. Interventions across all provider categories generated some improvements in physical activity behavior, however, it appears that allied health professionals as adjuncts or alone produced the best results in the long-term (>6 months). There was substantial variation in the location and counseling approach employed by allied health professionals.Conclusion We argue for an interdisciplinary model in which physicians recommend PA and provide referrals to allied health professionals such as physical activity counselors.Practice implications With physical activity counselors' specialized training and greater time available to the patient, they may provide more intensive and effective counseling required for behavior change and maintenance.

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  • Motivational interviewing, originally developed to treat alcohol abuse, is a specific form of patient-centered counseling that has also been applied successfully to foster health behavior changes.

    “Motivational interviewing, originally developed to treat alcohol abuse, is a specific form of patient-centered counseling that has also been applied successfully to foster health behavior changes.54–57”

    From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [57]

  • The addition of allied health experts to the interprofessional healthcare team either by physical colocation, distance consultation, or engagement in staff training can help to achieve higher-quality, more cost-effective care.

    “The addition of these experts to the interprofessional healthcare team either by physical colocation, distance consultation, or engagement in staff training can help to achieve higher-quality, more cost-effective care.57–63”

    From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [57]

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Authors
Tulloch, H., Fortier, M., & Hogg, W.
Affiliations
University of Ottawa (CA)
Corresponding author
Tulloch, Heather
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2006-12
Volume
64
Issue
1-3
Pages
6-20
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2005.10.010
OpenAlex
W2033342035
Cited by
175
References
65
Citations by year
2026: 2 · 2025: 1 · 2024: 5 · 2023: 10 · 2022: 5 · 2021: 9 · 2020: 9 · 2019: 11 · 2018: 10 · 2017: 8 · 2016: 9 · 2015: 11 · 2014: 19 · 2013: 11 · 2012: 14
FWCI
0.81
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords
physical activity counseling, primary care, allied health professionals, multidisciplinary care, behavior change, specialist referral
MeSH terms
Allied Health Personnel, Clinical Competence, Counseling, Forecasting, Health Services Needs and Demand, Humans, Patient Care Team, Patient Education as Topic, Primary Health Care, Research Design, Health Behavior, Exercise, Randomized Controlled Trials as Topic, Treatment Outcome, Models, Organizational, Professional Role

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