GPs’ knowledge, use, and confidence in national physical activity and health guidelines and tools: a questionnaire-based survey of general practice in England
Open accessAbstract
Background: Physical activity (PA) brief advice in health care is effective at getting individuals active. It has been suggested that one in four people would be more active if advised by a GP or nurse, but as many as 72% of GPs do not discuss the benefits of physical activity with patients. Aim: To assess the knowledge, use, and confidence in national PA and Chief Medical Officer (CMO) health guidelines and tools among GPs in England. Design and setting: Online questionnaire-based survey of self-selecting GPs in England that took place over a 10-day period in March 2016. Method: The questionnaire consisted of six multiple-choice questions and was available on the Doctors.net.uk (DNUK) homepage. Quotas were used to ensure good regional representation. Results: The final analysis included 1013 responses. Only 20% of responders were broadly or very familiar with the national PA guidelines. In all, 70% of GPs were aware of the General Practice Physical Activity Questionnaire (GPPAQ), but 26% were not familiar with any PA assessment tools, and 55% reported that they had not undertaken any training with respect to encouraging PA. Conclusion: The majority of GPs in England (80%) are unfamiliar with the national PA guidelines. Awareness of the recommended tool for assessment, GPPAQ, is higher than use by GPs. This may be because it is used by other clinical staff, for example, as part of the NHS Health Check programme. Although brief advice in isolation by GPs on PA will only be a part of the behaviour change journey, it is an important prompt, especially if repeated as part of routine practice. This study highlights the need for significant improvement in knowledge, skills, and confidence to maximise the potential for PA advice in GP consultations.
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General practitioners' knowledge of physical activity guidance is poor.
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Self-citationLeese, C. J., Mann, R. H., Al-Zubaidi, D. H., & Cockcroft, E. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02345-0 · Cited by 3 · see citing works
Refining a primary care shared decision-making aid for lifestyle change: a mixed-methods study
Heron, N., O’Connor, S. R., Kee, F., Thompson, D. R., Cupples, M., & Donnelly, M. (2021) · BJGP Open · doi:10.3399/bjgpo.2021.0100 · Cited by 3 · see citing works
Gadsby, E. W., Krska, J., Duddy, C., Hibberd, V., & Wong, G. (2023) · NIHR Open Research · doi:10.3310/nihropenres.13436.2 · Cited by 3 · see citing works
What happens after an NHS Health Check? A survey and realist review
Duddy, C., Gadsby, E. W., Hibberd, V., Krska, J., & Wong, G. (2023) · Health and Social Care Delivery Research · doi:10.3310/rgth4127 · Cited by 3 · see citing works
Raghavan, A., Vishnubala, D., Iqbal, A., Hunter, R. F., Marino, K. R., Eastwood, D., Nykjaer, C., & Pringle, A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20237113 · Cited by 3 · see citing works
Dehainault, M., Gaillard, O., Ouattara, B., Peurois, M., & Bègue, C. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02284-w · Cited by 3 · see citing works
Predictors of physical activity recording in routine mental healthcare
Ashdown‐Franks, G., Sabiston, C. M., Koyanagi, A., Vancampfort, D., Firth, J., Stewart, R. J., & Stubbs, B. (2020) · Mental health and physical activity · doi:10.1016/j.mhpa.2020.100329 · Cited by 3 · see citing works
Whelan, M., Carlin, L., Musson, H., & Adams, E. J. (2021) · Journal of Physical Activity and Health · doi:10.1123/jpah.2021-0188 · Cited by 3 · see citing works
Is it time to embed Lifestyle Medicine in undergraduate and postgraduate curricula?
Pinder, R. J., Bauld, L., Findlater, H., Mohanamurali, A., Johnson, A., & Birrell, F. N. (2022) · Lifestyle Medicine · doi:10.1002/lim2.59 · Cited by 3 · see citing works
Evaluation of the Clinical Champions' Physical Activity Training ProgrammePreprint
Carlin, L., Musson, H., & Adams, E. J. (2020) · doi:10.31219/osf.io/s39ju · Cited by 3 · see citing works
Reid, H. A. B., Caterson, J., & Copeland, R. J. (2021) · doi:10.31219/osf.io/wbpxa · Cited by 3 · see citing works
Cooper, J., Wort, G., Gillison, F., & Lambert, J. (2025) · Mental Health and Physical Activity · doi:10.1016/j.mhpa.2025.100674 · Cited by 2 · see citing works
Kyriakoulakou, E., Skouras, A. Z., Tsolakis, C. K., Koulouvaris, P., & Philippou, Α. (2025) · Behavioral Sciences · doi:10.3390/bs15070925 · Cited by 2 · see citing works
Rossiter, E., Southall-Edwards, R., & Gladwell, V. (2025) · Journal of Public Health · doi:10.1007/s10389-025-02593-z · Cited by 2 · see citing works
Gago, R., Guiot, H. M., Vázquez-Pérez, Y. Z., Morales, C. M., Morales, C., & Barron, J. (2019) · PubMed · Cited by 2 · see citing works
Leese, C. J., Mann, R. H., Cockcroft, E., & Abraham, K. (2023) · BJGP Open · doi:10.3399/bjgpo.2023.0051 · Cited by 2 · see citing works
Mbabazi, J., MacGregor, F., Breckon, J. D., Tolchard, B., Kunonga, E., Nalweyiso, D. I., Fashina, A. Y., & Fashina, L. A. (2023) · International Journal of Physical Activity and Health · doi:10.18122/ijpah.2.3.8.boisestate · Cited by 2 · see citing works
Gadsby, E. W., Krska, J., Duddy, C., Hibberd, V., & Wong, G. (2023) · NIHR Open Research · doi:10.3310/nihropenres.13436.1 · Cited by 2 · see citing works
- Authors
- Chatterjee, R., Chapman, T., Brannan, M. G., & Varney, J.
- Affiliations
- Public Health England (GB)
- Venue
- British Journal of General Practice
- Published
- 2017-08-14
- Volume
- 67
- Issue
- 663
- Pages
- e668-e675
- ISSN
- 0960-1643 (ISSN-L)
- 1478-5242
- PMC
- PMC5604830
- OpenAlex
- W2746952517
- Cited by
- 152
- References
- 22
- Citations by year
- 2026: 6 · 2025: 19 · 2024: 15 · 2023: 27 · 2022: 20 · 2021: 20 · 2020: 15 · 2019: 19 · 2018: 11
- FWCI
- 9.11
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- British Journal of General Practice (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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 › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- physical activity guidelines, general practitioners, physical activity promotion, NHS Health Check, behavior change
- MeSH terms
- Attitude of Health Personnel, England, Family Practice, Health Services Research, Humans, Practice Patterns, Physicians', Physician's Role, Referral and Consultation, State Medicine, Exercise, Guideline Adherence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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