Delivering brief physical activity interventions in primary care: a systematic review
Open accessAbstract
BACKGROUND: Physical activity (PA) brief interventions (BIs) involving screening and/or advice are recommended in primary care but frequency of delivery is unknown. AIM: To examine the extent to which PA BIs are delivered in primary care, and explore factors associated with delivery, receipt, and patient receptivity. DESIGN AND SETTING: A mixed-methods systematic review of studies conducted worldwide, with a narrative synthesis of results. METHOD: CINAHL, EMBASE, MEDLINE, and APA PsycINFO index databases were searched for qualitative and quantitative studies, dating from January 2012 to June 2020, that reported the level of delivery and/or receipt of PA BIs in primary care, and/or factors affecting delivery, receipt, and patient receptivity. Quality was assessed using the Mixed Methods Appraisal Tool. Attitudes towards and barriers to delivery were coded into the Theoretical Domains Framework and the Capability, Opportunity, and Motivation Behaviour model. RESULTS: After screening a total of 13 066 records, 66 articles were included in the review. The extent of PA screening and advice in primary care varied widely (2.4%-100% and 0.6%-100%, respectively). PA advice was delivered more often to patients with a higher body mass index, lower PA levels, and/or more comorbidities. Barriers - including a lack of time and training/guidelines - remain, despite recommendations from the World Health Organization and National Institute for Health and Care Excellence that PA advice should be provided in primary care. Few studies explored patients' receptivity to advice. CONCLUSION: PA BIs are not delivered frequently or consistently in primary care. Addressing barriers to delivery through system-level changes and training programmes could improve and increase the advice given. Understanding when patients are receptive to PA interventions could enhance health professionals' confidence in their delivery.
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As the risk factors for dementia are shared with other non-communicable diseases, with established programmes on risk reduction and health promotion, primary care professionals are well placed to engage in preventive practice for dementia.
“As the risk factors for dementia are shared with other non-communicable diseases,17 with established programmes on risk reduction and health promotion (for example, weight management, smoking cessation, and physical activity18–20), primary care professionals are well placed to engage in preventive practice for dementia.”
From Dementia prevention and the GP’s role: a qualitative interview study (2024) · cites this paper as [20]
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Beratung zu Bewegung in der Hausarztpraxis
Kastaun, S., Prinz, A., Hoppe, S., Gabrys, L., & Wilm, S. (2024) · Zeitschrift für Allgemeinmedizin · doi:10.1007/s44266-023-00166-5 · Cited by 4 · see citing works
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Az iskolai kortárs egészségnevelői tevékenység lehetséges szerepe az orvosképzésbenPreprint
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- Authors
- Hall, L. H., Thorneloe, R., Rodriguez-Lopez, R., Grice, A., Thorat, M. A., Bradbury, K., Kamble, M. W., Okoli, G. N., Powell, D., & Beeken, R. J.
- Affiliations
- National Institute for Health and Care Research (GB)
- Sheffield Hallam University (GB)
- Queen Mary University of London (GB)
- University of East Anglia (GB)
- University of Aberdeen (GB)
- University of Leeds (GB)
- Venue
- British Journal of General Practice
- Published
- 2021-09-20
- Volume
- 72
- Issue
- 716
- Pages
- e209-e216
- ISSN
- 0960-1643 (ISSN-L)
- 1478-5242
- PMC
- PMC8597771
- OpenAlex
- W3198596154
- Cited by
- 59
- References
- 82
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 22 · 2023: 11 · 2022: 5
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- British Journal of General Practice (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University) (acceptedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by)
- Funders
- Rural and Environment Science and Analytical Services Division
- Scottish Government
- Cancer Research UK (23517, C569-A16891)
- National Institute for Health and Care Research (NIHR300291)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- physical activity screening, physical activity guidelines, primary care, delivery frequency, patient receptivity, Theoretical Domains Framework, health professions education, body mass index, comorbidities
- MeSH terms
- Crisis Intervention, Health Personnel, Humans, Motivation, Primary Health Care, Exercise
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