Evidence map›Paper›PMID 31515329›Full record

ArticleCanadian family physician Medecin de famille canadien2019

How should family physicians provide physical activity advice? Qualitative study to inform the design of an e-health intervention.

Lindsay Reddeman, Nicole Bourgeois, Emily Nicholas Angl, Mike Heinrich, Leah Hillier, Holly Finn, Beth Bosiak, Payal Agarwal, Robin Mawson, Roni Propp and 1 more

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In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Physical Activity Promotion in a Safety-net Clinic: Does the Provider Make a Difference? A Pilot Study.Translational journal of the American College of Sports Medicine · 2021
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lindsay ReddemanResident physician at the University of Toronto in Ontario and was a medical student in the Faculty of Medicine and in the Institute of Health Policy, Management and Evaluation at the University of Toronto, and a research student in the Institute for Health System Solutions and Virtual Care at Women's College Hospital in Toronto at the time of the study. lindsay.reddeman@mail.utoronto.ca.
Nicole BourgeoisDietitian and Health Promoter in the Family Practice Health Centre at Women's College Hospital.
Emily Nicholas AnglDirector of Health Engagement and Communication at Reframe Health Lab in Toronto.
Mike HeinrichManaging Director at Reframe Health Lab.
Leah HillierFamily physician and was Innovation Fellow in the Institute for Health System Solutions and Virtual Care at Women's College Hospital at the time of the study.
Holly FinnProject Coordinator in the Family Practice Health Centre at Women's College Hospital at the time of the study.
Beth BosiakResearch Manager in the Institute for Health System Solutions and Virtual Care at Women's College Hospital.
Payal AgarwalInnovation Fellow at the Institute for Health System Solutions and Virtual Care and a family physician in the Family Practice Health Centre at Women's College Hospital.
Robin MawsonResearch student in the Institute for Health System Solutions and Virtual Care at Women's College Hospital and a student in the Faculty of Medicine at the University of Toronto at the time of the study.
Roni ProppResearch student in the Institute for Health System Solutions and Virtual Care at Women's College Hospital at the time of the study.
Noah M IversAssociate Professor in the Institute of Health Policy, Management and Evaluation at the University of Toronto, Associate Professor in the Department of Family and Community Medicine at the University of Toronto, a family physician in the Family Practice Health Centre at Women's College Hospital, Scientist in the Women's College Research Institute, and Adjunct Scientist with ICES.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore patient attitudes toward interacting with family physicians regarding physical activity in order to inform the development of an e-health intervention aimed at helping family physicians support patients in becoming more physically active.

designQualitative study.

settingWomen's College Hospital in Toronto, Ont.

participantsTen patients recruited from the academic family practice health centre.

methodsSemistructured interviews were conducted with patients using maximum variation sampling until thematic saturation was reached. Interviews explored past experiences and preferences for receiving physical activity advice from family physicians, and tools or techniques that might support increasing physical activity. Interviews were audiorecorded, transcribed, and coded independently by members of the research team before undergoing thematic analysis. MAIN

findingsPatient interviews revealed 4 overarching themes that offered insight to physical activity discussions. Family physicians might provide more meaningful and useful physical activity advice to patients by providing individualized recommendations focused on proximal (ie, near-term) health and functional goals; recognizing and addressing unique environmental and social factors influencing physical activity levels; balancing candour and sensitivity in advice provision while incorporating a broad definition of

conclusionUltimately, physical activity recommendations from family physicians cannot make a difference if patients do not act on them. This study elicits input from patients to develop preliminary strategies that might help family physicians provide physical activity advice in a more patient-centred fashion. Further research is needed to test interventions that help implement these strategies and to assess their effect.

Indexed as

ExercisePhysicians, FamilyAdultAgedAttitude of Health PersonnelCommunicationFemaleHealth PromotionHumansInterviews as TopicMiddle AgedPatient Acceptance of Health CarePatient Education as TopicPhysician-Patient RelationsQualitative ResearchTelemedicine

Identifiers

PMID31515329
PMCPMC6741803

What OpenQuestion holds

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Registered trials

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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.