Evidence map›Paper›PMID 36231332›Full record

ArticleInternational journal of environmental research and public health2022

UK Doctors Delivering Physical Activity Advice: What Are the Challenges and Possible Solutions? A Qualitative Study.

Dane Vishnubala, Adil Iqbal, Katherine Marino, Steven Whatmough, Ruth Barker, David Salman, Peter Bazira, Gabrielle Finn, Andy Pringle, Camilla Nykjaer

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Interventions to Promote Physical Activity and Healthy Ageing: An Editorial.International journal of environmental research and public health · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

10 authors.

Dane VishnubalaHealth Professions Education Unit, Hull York Medical School, York YO10 5DD, UK.ORCID 0000-0003-2135-8258
Adil IqbalBradford Teaching Hospital Foundation Trust, Bradford BD9 6RJ, UK.ORCID 0000-0002-0059-3825
Katherine MarinoRoyal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UK.ORCID 0000-0001-9772-5494
Steven WhatmoughLeeds Teaching Hospital, Leeds LS7 4SA, UK.
Ruth BarkerHealth Professions Education Unit, Hull York Medical School, York YO10 5DD, UK.
David SalmanSchool of Public Health, Imperial College London, London SW7 2BX, UK.
Peter BaziraHealth Professions Education Unit, Hull York Medical School, York YO10 5DD, UK.
Gabrielle FinnHealth Professions Education Unit, Hull York Medical School, York YO10 5DD, UK.
Andy PringleSport Outdoor and Exercise Science, School of Human Sciences, Human Science Research Centre University of Derby, Derby DE22 1GB, UK.ORCID 0000-0003-0385-0871
Camilla NykjaerFaculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite strategies to enable Health Care Professionals (HCPs) to give physical activity (PA) advice to patients, this appears to be rarely done in consultations. The aims of the present study were to gain an understanding of doctors' awareness of current PA guidelines and to explore their opinions on barriers and solutions. A qualitative approach using semi-structured interviews was adopted. This study included 15 doctors currently working in the UK's National Health Service (NHS). A thematic analysis approach was used to analyse the transcripts. Four themes and twelve sub-themes were deciphered. Intrinsic factors limiting the delivery of PA advice included a lack of knowledge of PA guidelines and PA being an afterthought. Barriers to delivering PA guidance included a lack of PA education, time pressures, and patient engagement. Solutions included staff training, incorporating PA into undergraduate training, and encouraging staff to be physically active. Methods to optimise PA guidance included individualised PA advice, local exercise services and schemes, utilising online and visual resources, and motivational interviewing. This study provides an updated insight into doctors' opinions on barriers and solutions to discussing PA with patients. It is clear that further work is needed to ensure greater awareness of PA guidelines amongst clinicians.

Indexed as

ExerciseState MedicineHumansPhysical Education and TrainingQualitative ResearchUnited Kingdomadultsmedical educationphysical activity

Identifiers

PMID36231332
PMCPMC9566007

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.