ArticlePreventive medicine2018
Primary care providers' physical activity counseling and referral practices and barriers for cardiovascular disease prevention.
Article in Preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review.BMC health services research · 2023Pooled it
- Physical Activity Counseling in Saudi Arabia: A Systematic Review of Content, Outcomes, and Barriers.International journal of environmental research and public health · 2022Pooled it
- mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020Pooled it
- Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals.International journal of environmental research and public health · 2020Pooled it
- Physician referral is associated with recruitment, motivation, and adherence in an exercise intervention study for older adults.Journal of the National Medical Association · 2026Trial
- Facilitators and barriers to implementing lifestyle intervention programme to prevent cognitive decline.European journal of public health · 2021Trial
- U.S. and Swedish primary care physicians' views on promoting healthy lifestyles: a qualitative study.BMC primary care · 2026Article
- Assessing Physicians' Knowledge, Attitudes, Intentions, Abilities, and Behaviour Toward Physical Activity and Exercise in Non-Communicable Diseases: Questionnaire Development Using an e-Delphi and Cross-Sectional Design.Healthcare (Basel, Switzerland) · 2026Article
- Assessing Health Care Providers' Knowledge of Arthritis-Appropriate, Evidence-Based Interventions Through Online Self-Assessment.Preventing chronic disease · 2026Article
- Physicians' opinions on barriers to patient counseling on physical activity in primary care: focus on physicians' healthy exercise habits and knowledge about physical activity.Frontiers in medicine · 2026Article
- Article
- Development of the physical activity counseling practices scale in health professionals: a validity and reliability study.BMC primary care · 2025Article
- Provider Lifestyle Counseling Among Adults With Cardiometabolic Disease Diagnosis Differs by Sociodemographic Characteristics and Lifestyle Modification: NHANES 2017-2020.American journal of lifestyle medicine · 2025Article
- Development of the Whole Day Matters Toolkit for Primary Care: a consensus-building study to mobilize national public health guidelines in practice.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
- A movement for movement: an exploratory study of primary healthcare professionals' perspectives on implementing the Royal College of General Practitioners' active practice charter initiative.BMC primary care · 2024Article
- GP specialty trainees' knowledge and values towards physical activity: a national survey of Scottish trainees.BJGP open · 2024Article
- Comprehensiveness, Accuracy, and Readability of Exercise Recommendations Provided by an AI-Based Chatbot: Mixed Methods Study.JMIR medical education · 2024Article
- Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- Article
- Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
The US Preventive Services Task Force (USPSTF) recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention. This study determined the proportion of primary care providers (PCPs) who discussed physical activity with most of their at-risk patients and referred them to intensive behavioral counseling, and reported barriers to counseling. Our analyses used data from DocStyles 2015, a Web-based panel survey of 1251 PCPs. Overall, 58.6% of PCPs discussed physical activity with most of their at-risk patients. Among these PCPs, the prevalence of components offered ranged from 98.5% encouraging increased physical activity to 13.9% referring to intensive behavioral counseling. Overall, only 8.1% both discussed physical activity with most at-risk patients and referred to intensive behavioral counseling. Barriers related to PCPs' attitudes and beliefs about counseling (e.g., counseling is not effective) were significantly associated with both discussing physical activity with most at-risk patients and referring them to intensive behavioral counseling (adjusted odds ratio, 1.92; 95% confidence interval, 1.15-3.20). System-level barriers (e.g., referral services not available) were not. Just over half of PCPs discussed physical activity with most of their at-risk patients, and few both discussed physical activity and referred patients to intensive behavioral counseling. Overcoming barriers related to attitudes and beliefs about physical activity counseling could help improve low levels of counseling and referrals to intensive behavioral counseling for CVD prevention.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.