Cited by 91Physical Activity and HealthBehavioral Health and InterventionsHealth Promotion and Cardiovascular Prevention

Physical activity counseling in primary care: Insights from public health and behavioral economics

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Shuval, Kerem, Leonard, Tammy, Drope, Jeffrey, Katz, David L., Patel, Alpa V., Maitin‐Shepard, Melissa, Amir, On, Grinstein, Amir·2017·CA: A Cancer Journal for Clinicians

Abstract

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”

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  1. Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activi- ty in the United States measured by accel- erometer. Med Sci Sports Exerc. 2008;40: 181-188.
  2. Roberto CA, Kawachi I, eds. Behavioral Economics & Public Health. 1st ed. Oxford, UK: Oxford University Press; 2016.
  3. Charles G, Gneezy U. Incentives to exer- cise. Econometrica. 2009;77:909-931.
  4. Grossman M. The human capital model. In: Culyer AJ, Newhouse JP, eds. Hand- book of Health Economics. Vol 1. New York: Elsevier Science; 2000:347-408.

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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
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
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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