Evidence map›Paper›PMID 41299343›Full record

ArticleBMC geriatrics2025

Implementation gap and influencing factors of exercise prescription for older adults: a large-scale survey of healthcare professionals in China.

Chengfan Qin, Nan Hua, Ange Wang, Yichen Yang, Xinxia Zhang, Jing Chen, Qin Zhang

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Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Chengfan Qin *Department of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Nan Hua *Department of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Ange WangDepartment of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yichen YangDepartment of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Xinxia ZhangDepartment of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Jing Chen *Department of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. Jing.chen@zju.edu.cn.
Qin Zhang *Department of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. zhangqin1978@zju.edu.cn.

Funding

Basic Public Welfare Research Program of Zhejiang Province LTGY23H250002Key Research and Development Program of Zhejiang Province 2022C03161National Natural Science Foundation of China 72304243
6 · The paper itself

Abstract

objectiveTo assess the knowledge, attitudes, practices and influencing factors of exercise prescription for older adults among healthcare professionals in geriatric care in China.

methodsThe survey was designed based on the Knowledge-Attitude-Practice framework and the Theoretical Domains Framework to evaluate healthcare professionals' knowledge, attitudes, practices, and perceived barriers to exercise prescription in geriatric care. Participants were recruited from across China. Ordinal logistic regression examined factors associated with prescription practices. Mediation analysis tested whether knowledge and attitudes mediated the effect of training on practice.

resultsAmong 1,890 healthcare professionals (833 nurses, 999 physicians, 58 administrators), 43%-59% had only slight awareness of exercise prescriptions. Over half never received training, yet 95% rated prescribing exercise for older adults as quite to very important. Written prescriptions were uncommon across tertiary hospitals (9%), non-tertiary hospitals (4%), and primary healthcare institutions (10%). The perceived main barriers were time constraints, lack of knowledge, safety concerns, and insufficient family support of older adults. Trained doctors (OR = 4.26, 95% CI: 3.36-5.64, p < 0.001) and nurses (OR = 2.52, 95% CI: 1.91-3.32, p < 0.001) were more likely to provide written prescriptions. Knowledge and attitudes mediated the relationship between training and prescription practices.

conclusionsChinese healthcare professionals in geriatric care had limited knowledge of exercise prescriptions, with low usage of written prescriptions. Training was associated with better prescription practices, mediated by knowledge and attitudes. Future efforts are needed to provide target trainings for nurses and physicians, and to address practical barriers to bridging the implementation gap.

Indexed as

Attitude of Health PersonnelExerciseExercise TherapyHealth Knowledge, Attitudes, PracticeHealth PersonnelPrescriptionsAdultAgedChinaFemaleHumansMaleMiddle AgedSurveys and QuestionnairesExercise prescriptionGeriatric careHealthcare professionalsOlder adultsPhysical activity

Identifiers

PMID41299343
PMCPMC12659492

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