Exercise is Medicine™: A pilot study linking primary care with community physical activity support
Open accessAbstract
INTRODUCTION: Exercise is Medicine™ (EIM) is an approach to clinic-based physical activity (PA) promotion. Study aims were to 1) assess the acceptability of current EIM protocols among healthcare providers (providers) and health and fitness professionals (fitness professionals); and 2) pilot test the resultant modified EIM protocols comparing patients referred to community PA programming with patients exposed to the EIM protocols alone. METHODS: During 2012-2013 in Chattanooga, Tennessee, USA, 30/80 invited providers and 15/25 invited fitness professionals received training and provided feedback in the use of the EIM protocols. Following EIM use, feedback from providers and fitness professionals about acceptability of EIM protocols resulted in the adaptation of EIM protocols into the electronic health record. Subsequently, 50 providers and 8 fitness professionals participated in the intervention phase of the pilot study. Healthy and/or disease managed adults 18 years and older were enrolled with a sample of patients exposed to both the EIM protocols and community PA programming (EIM +) while another sample was exposed to the EIM protocols only (EIM). All patients were assessed for physical activity and Health-related Quality of Life. Measures were repeated ~ 3 months later for each patient. RESULTS: Eighteen EIM + and 18 EIM participants were studied. The EIM + participants had a greater net increase in total PA (∆[Formula: see text] = + 250 min/week) vs. EIM participants (∆[Formula: see text] = - 38.6 min/week) (p = 0.0002). CONCLUSIONS: EIM + participation significantly increased PA levels among participants, suggesting this approach significantly impacts the PA of inactive adults more than just EIM only.
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To date, the EIM approach has been adopted in several primary health care clinics as well as broadly across 3 large health care systems in the United States.
“To date, the EIM approach has been adopted in several primary health care clinics31 as well as broadly across 3 large health care systems in the United States.32-35”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [31]
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- Authors
- Heath, G. W., Kolade, V. O., & Haynes, J. W.
- Affiliations
- University of Tennessee at Chattanooga (US)
- Guthrie Foundation (US)
- Corresponding author
- Heath, Gregory W.
- Venue
- Preventive Medicine Reports
- Publisher
- Elsevier BV
- Published
- 2015
- Volume
- 2
- Pages
- 492-497
- ISSN
- 2211-3355 (ISSN-L)
- PMC
- PMC4721379
- OpenAlex
- W602947988
- Cited by
- 33
- References
- 28
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 5 · 2020: 1 · 2019: 5 · 2018: 5 · 2017: 2 · 2016: 3
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Preventive Medicine Reports (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- American College of Sports Medicine (5U58DP001132-05 CDC)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- Exercise is Medicine, physical activity promotion, primary care, health-related quality of life, physical inactivity, electronic health records, provider acceptability, protocol adaptation, disease management
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