Physical activity counseling in primary care: Insights from public health and behavioral economics
Open accessAbstract
Physical inactivity has reached epidemic proportions in modern society. Abundant evidence points to a causal link between physical inactivity and increased risk for numerous noncommunicable diseases, such as some types of cancer and heart disease, as well as premature mortality. Yet, despite this overwhelming evidence, many individuals do not meet the recommended amount of physical activity required to achieve maximum health benefits. Because primary care physicians’ advice is highly regarded, clinicians have the unique opportunity to play an important role in enabling patients to modify their behavior at the point of care with the goal of guiding patients to adopt and maintain an active lifestyle. In the current study, the authors evaluate pertinent literature from the fields of medicine/public health and economics/psychology to suggest a comprehensive approach to physical activity counseling at the primary care level. They first examine the public health approach to physical activity counseling, and then proceed to offer insights from behavioral economics, an emerging field that combines principles from psychology and economics. The application of key behavioral economics tools (eg, precommitment contracts, framing) to physical activity counseling in primary care is elaborated. CA Cancer J Clin 2017;67:233–244 . © 2017 American Cancer Society .
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The EIM approach arose in part from successful clinical trials that trained primary health care providers to refer patients to exercise programming.
“The EIM approach arose in part from successful clinical trials that trained primary health care providers (HCPs) to refer patients to exercise programming.28,29”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [29]
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- Authors
- Shuval, K., Leonard, T., Drope, J., Katz, D. L., Patel, A. V., Maitin‐Shepard, M., Amir, O., & Grinstein, A.
- Affiliations
- American Cancer Society (US)
- University of Dallas (US)
- Yale University (US)
- University of California San Diego (US)
- Northeastern University (US)
- Corresponding author
- Shuval, Kerem
- ORCID
- Venue
- CA: A Cancer Journal for Clinicians
- Publisher
- Wiley
- Published
- 2017-02-15
- Volume
- 67
- Issue
- 3
- Pages
- 233-244
- ISSN
- 0007-9235 (ISSN-L)
- 1542-4863
- OpenAlex
- W2587919931
- Cited by
- 91
- References
- 92
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 4 · 2023: 10 · 2022: 7 · 2021: 15 · 2020: 14 · 2019: 14 · 2018: 10 · 2017: 5
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- CA A Cancer Journal for Clinicians (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- University of North Texas Digital Library (University of North Texas) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- 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, physical inactivity, behavioral economics, framing effects, public health approach, non-communicable diseases, premature mortality, lifestyle modification
- MeSH terms
- Counseling, Humans, Primary Health Care, Public Health, Exercise, Economics, Behavioral
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