Skip to main content
SpringerLink
Log in

Physical Activity Change in Healthcare Settings

  • Living reference work entry
  • First Online:
Encyclopedia of Behavioral Medicine

  • 73 Accesses

Synonyms

Exercise is medicine; Exercise prescription; Physical activity counseling

Definition

Clinicians and other health personnel can influence public health outcomes through physical activity counseling in health settings. However, counseling alone is often not sufficient for the adoption of sustained, long-term physical activity habits. A more comprehensive framework is needed for implementing behavior change strategies throughout the entire patient visit to a healthcare setting. This framework provides an organized, systems-change approach for busy clinicians and their healthcare teams who may have had little formal training in physical activity counseling and face multiple institutional barriers. This approach is guided by lessons learned from decades of experience integrating of physical activity counseling in health settings around the world.

Description

The engagement of our health systems and healthcare providers in promoting physical activity is one potential strategy for...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References and Further Reading

  • Berra, K., Rippe, J., & Manson, J. E. (2015). Making physical activity counseling a priority in clinical practice: The time for action is now. JAMA, 314(24), 2617–2618.

    Article  CAS  Google Scholar 

  • Burgess, E., Hassmén, P., Welvaert, M., & Pumpa, K. L. (2017). Behavioural treatment strategies improve adherence to lifestyle intervention programmes in adults with obesity: A systematic review and meta-analysis. Clinical Obesity, 7(2), 105–114.

    Article  CAS  Google Scholar 

  • Calfas, K. J., Long, B. J., Sallis, J. F., Wooten, W. J., Pratt, M., & Patrick, K. (1996). A controlled trial of physician counselling to promote the adoption of physical activity. Preventive Medicine, 25, 225–233.

    Article  CAS  Google Scholar 

  • Campbell, F., Holmes, M., Everson-Hock, E., Davis, S., Woods, H. B., Anokye, N., et al. (2015). A systematic review and economic evaluation of exercise referral schemes in primary care: A short report. Health Technology Assessment, 19(60), 1–110.

    Article  Google Scholar 

  • Carroll, J. K., Antognoli, E., & Flocke, S. A. (2011). Evaluation of physical activity counseling in primary care using direct observation of the 5as. Annals of Family Medicine, 9(5), 416–422.

    Article  Google Scholar 

  • Carroll, J. K., Fiscella, K., Epstein, R. M., Sanders, M. R., & Williams, G. C. (2012). A 5a’s communication intervention to promote physical activity in underserved populations. BMC Health Services Research, 12, 374.

    Article  Google Scholar 

  • Grant, R. W., Schmittdiel, J. A., Neugebauer, R. S., Uratsu, C. S., & Sternfeld, B. (2014). Exercise as a vital sign: A quasi-experimental analysis of a health system intervention to collect patient-reported exercise levels. Journal of General Internal Medicine, 29(7), 1081.

    Article  Google Scholar 

  • Greenwood, L. J., Joy, E. A., & Stanford, J. B. (2010). The physical activity vital sign: A primary care tool to guide counseling for obesity. Journal of Physical Activity and Health, 7, 571–576.

    Article  Google Scholar 

  • Hutchinson, A. J., Breckon, J. D., & Johnston, L. H. (2009). Physical activity behavior change interventions based on the transtheoretical model: A systematic review. Health Education & Behavior, 36(5), 829–845.

    Article  Google Scholar 

  • Lamming, L., Pears, S., Mason, D., Morton, K., Bijker, M., Sutton, S., et al. (2017). What do we know about brief interventions for physical activity that could be delivered in primary care consultations? A systematic review of reviews. Preventive Medicine, 99, 152–163.

    Article  Google Scholar 

  • Leijon, M. E., Bendtsen, P., Nilsen, P., Festin, K., & StÃ¥hle, A. (2009). Does a physical activity referral scheme improve the physical activity among routine primary health care patients? Scandinavian Journal of Medicine & Science in Sports, 19(5), 627–636.

    Article  CAS  Google Scholar 

  • Lobelo, F., Stoutenberg, M., & Hutber, A. (2014). The exercise is medicine global health initiative: A 2014 update. British Journal of Sports Medicine, 48(22), 1627–1633.

    Article  Google Scholar 

  • Lobelo, F., Rohm Young, D., Sallis, R., Garber, M. D., Billinger, S. A., Duperly, J., et al. (2018). Routine assessment and promotion of physical activity in healthcare settings: A scientific statement from the American Heart Association. Circulation, 137(18), e495–e522.

    Article  Google Scholar 

  • McPhail, S., & Schippers, M. (2012). An evolving perspective on physical activity counselling by medical professionals. BMC Family Practice, 13, 31.

    Article  Google Scholar 

  • Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change. New York: Guilford Press.

    Google Scholar 

  • O’Halloran, P. D., Blackstock, F., Shields, N., Holland, A., Iles, R., Kingsley, M., et al. (2014). Motivational interviewing to increase physical activity in people with chronic health conditions: A systematic review and meta-analysis. Clinical Rehabilitation, 28(12), 1159–1171.

    Article  Google Scholar 

  • Patrick, K., Pratt, M., & Sallis, R. E. (2009). The healthcare sector’s role in the U.S. national physical activity plan. Journal of Physical Activity & Health, 6(Suppl 2), S211–S219.

    Article  Google Scholar 

  • Pinto, B. M., Goldstein, M. G., Ashba, J., Sciamanna, C. N., & Jette, A. (2005). Randomized controlled trial of physical activity counseling for older primary care patients. American Journal of Preventive Medicine, 29(4), 247–255.

    Article  Google Scholar 

  • Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of behavior change. American Journal of Health Promotion, 12(1), 38–48.

    Article  CAS  Google Scholar 

  • Pudkasam, S., Polman, R., Pitcher, M., Fisher, M., Chinlumpraseert, N., & Apostolopopoulos, V. (2018). Physical activity and breast cancer survivors: Importance of adherence, motivational interviewing and psychological health. Maturitas, 116, 66–72.

    Google Scholar 

  • Riebe, D. (2018). ACSM’s guidelines for exercise testing and prescription (10th ed.). Philadelphia: Wolters Kluwer.

    Google Scholar 

  • Rubak, S., Sandbæk, A., Lauritzen, T., & Christensen, B. (2005). Motivational interviewing: A systematic review and meta-analysis. British Journal of General Practice, 55(513), 305–312.

    PubMed  Google Scholar 

  • Simons-Morton, D. G., Blair, S. N., King, A. C., Morgan, T. M., Applegate, W. B., O’Toole, M., et al. (2001). Effects of physical activity counseling in primary care: The activity counseling trial: A randomized controlled trial. JAMA, 286(6), 677–687.

    Article  Google Scholar 

  • Soderlund, P. D. (2018). Effectiveness of motivational interviewing for improving physical activity self-management for adults with type 2 diabetes: A review. Chronic Illness, 14(1), 54–68.

    Article  Google Scholar 

  • Stoutenberg, M., Shaya, G. E., Feldman, D. I., & Carroll, J. K. (2017). Practical strategies for assessing patient physical activity levels in primary care. Mayo Clinic Proceedings. Innovations, Quality & Outcomes, 1(1), 8–15.

    Article  Google Scholar 

  • Swinburn, B. A., Walter, L. G., Arroll, B., Tilyard, M. W., & Russell, D. G. (1998). The green prescription study: A randomized controlled trial of written exercise advice provided by general practitioners. American Journal of Public Health, 88(2), 288–291.

    Article  CAS  Google Scholar 

  • Thornton, J. S., Frémont, P., Khan, K., Poirier, P., Fowles, J., Wells, G. D., & Frankovich, R. J. (2016). Physical activity prescription: A critical opportunity to address a modifiable risk factor for the prevention and management of chronic disease: A position statement by the Canadian Academy of Sport and Exercise Medicine. British Journal of Sports Medicine, 50, 1109–1114.

    Article  Google Scholar 

  • VanBuskirk, K. A., & Wetherell, J. L. (2014). Motivational interviewing with primary care populations: A systematic review and meta-analysis. Journal of Behavioral Medicine, 37(4), 768–780.

    Article  Google Scholar 

  • Vuori, I. M., Lavie, C. J., & Blair, S. N. (2013). Physical activity promotion in the health care system. Mayo Clinic Proceedings, 88(12), 1446–1461.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Health & Human Performance, University of Tennessee at Chattanooga, Chattanooga, TN, USA

    Mark Stoutenberg

  2. Department of Kinesiology, Temple University, Philadelphia, PA, USA

    Mark Stoutenberg

Authors
  1. Mark Stoutenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark Stoutenberg .

Editor information

Editors and Affiliations

  1. University of Miami School of Medicine, Miami, FL, USA

    Marc Gellman

Section Editor information

  1. Behavioral Medicine Research Center, Department of Psychology, University of Miami, Miami, FL, USA

    Marc D. Gellman

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Science+Business Media, LLC, part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Stoutenberg, M. (2020). Physical Activity Change in Healthcare Settings. In: Gellman, M. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6439-6_100605-2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6439-6_100605-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6439-6

  • Online ISBN: 978-1-4614-6439-6

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation