ArticleBMJ open2022
Facilitators and barriers for the implementation of exercise are medicine in routine clinical care in Dutch university medical centres: a mixed methodology study on clinicians' perceptions.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Barriers and Facilitators Perceived by Primary Healthcare Professionals About Physical Activity Prescription, a Meta-Ethnography.Public health nursing (Boston, Mass.)Pooled it
- From acute care to chronic disease management: integrating physical exercise into hospital settings.International journal of qualitative studies on health and well-being · 2026Article
- Exploring Healthcare Professionals' Approaches to Promoting Physical Activity and Reducing Sedentary Behaviour in Clinical Paediatric Populations in South Wales.Healthcare (Basel, Switzerland) · 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
- Matching implementation strategies to barriers and facilitators for a lifestyle front office in the hospital: a qualitative study.BMC health services research · 2025Article
- Implementing Lifestyle Counselling Into Secondary Type 2 Diabetes Care: Perspectives From Diabetes Nurses.Nursing open · 2025Article
- Kickstart patient movement: a 5-step framework for primary care clinicians to support inactive patients in becoming more active.BMJ open sport & exercise medicine · 2025Article
- Stepwise development of an implementation protocol to support the prescription of Exercise = Medicine by clinicians using the Implementation Mapping approach.Frontiers in health services · 2025Article
- Article
- Exercise Is a Vital Sign.HCA healthcare journal of medicine · 2024Review
- Knowledge and practice of the physical activity prescription by generalists and specialist physicians of the city of Kinshasa: a cross-sectional study.BMC sports science, medicine & rehabilitation · 2023Article
- Article
- Implementing Exercise = Medicine in routine clinical care; needs for an online tool and key decisions for implementation of Exercise = Medicine within two Dutch academic hospitals.BMC medical informatics and decision making · 2022Article
- Article
Corrections and comments
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Authors and funding
19 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDespite the many proven advantages of a physically active lifestyle in patient populations, prescription of exercise is currently not widely implemented in routine clinical practice. The aims of this study were twofold: (1) to assess perceptions of clinicians on the current practice of exercise is medicine (E=M) prescription in two Dutch university medical centres and (2) to determine their perceived barriers and facilitators for the implementation of E=M in routine clinical care in Dutch university medical centres.
designA mixed methodologies study, using both online questionnaires and semi-structured interviews.
settingDutch university medical centres.
participantsClinicians working within the departments of medical oncology, orthopaedics and rehabilitation medicine of two university medical centres.
resultsForty-five clinicians (response rate of 51%) completed the questionnaire, and 19 clinicians were interviewed. The results showed that even though clinicians had a positive attitude towards prescribing E=M, only a few reported to regularly prescribe E=M to their patients. The 52 identified facilitators and barriers for implementation of E=M were categorised into four main themes: (1) beliefs toward the implementation of E=M (eg, clinicians knowledge and skills, and social support), (2) factors related to the patient perspective (eg, patient priorities or motivation), (3) factors related to the referral options (eg, knowledge of and trust in local referral options) and (4) practical considerations when implementing E=M (eg, time constraints).
conclusionsOur study showed that even though many clinicians have a positive attitude toward an active lifestyle, many are not prescribing E=M on a regular basis. In order for clinicians to effectively implement E=M, strategies should focus on increasing clinicians E=M referral skills, improving clinicians knowledge of E=M referral options and develop a support system to ensure that E=M is high on the priority list of clinicians.
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Registered trials
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.