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Watson ED, Moosa S, Janse Van Rensburg DC, Schwellnus M, Lambert EV, Stoutenberg M. Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6675. [PMID: 37681815 PMCID: PMC10487434 DOI: 10.3390/ijerph20176675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 08/03/2023] [Accepted: 08/17/2023] [Indexed: 09/09/2023]
Abstract
Background: In low-to-middle income countries (LMICs), there is a growing burden of non-communicable diseases (NCDs) placing strain on the facilities and human resources of healthcare systems. Prevention strategies that include lifestyle behavior counseling have become increasingly important. We propose a potential solution to the growing burden of NCDs through an expansion of the role for community health workers (CHWs) in prescribing and promoting physical activity in public health settings. This discussion paper provides a theoretical model for task-shifting of assessment, screening, counseling, and prescription of physical activity to CHWs. Five proposed tasks are presented within a larger model of service delivery and provide a platform for a structured, standardized, physical activity prevention strategy aimed at NCDs using CHWs as an integral part of reducing the burden of NCDs in LMICs. However, for effective implementation as part of national NCD plans, it is essential that CHWs received standardized, ongoing training and supervision on physical activity and other lifestyle behaviors to optimally impact community health in low resource settings.
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Affiliation(s)
- Estelle D. Watson
- Department of Exercise Science and Sports Medicine, School of Therapeutic Sciences, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa
- Department of Exercise Science, Faculty of Science, University of Auckland, Auckland 1023, New Zealand
| | - Shabir Moosa
- Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa
| | - Dina C. Janse Van Rensburg
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa
| | - Martin Schwellnus
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa
| | - Estelle V. Lambert
- UCT Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Department of Human Biology, Division of Research Unit for Exercise Science and Sports Medicine, Division of Physiological Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, 7700, South Africa
| | - Mark Stoutenberg
- Department of Exercise Science and Sports Medicine, School of Therapeutic Sciences, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa
- College of Public Health, Temple University, Philadelphia, PA 19122, USA
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Demuth A, Ratajczak J, Czerniak U, Antosiak-Cyrak K. Is Health Education among the Decisive Factors for the Diet Quality of Pregnant Women in Poland? Nutrients 2023; 15:nu15112627. [PMID: 37299590 DOI: 10.3390/nu15112627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 06/01/2023] [Accepted: 06/02/2023] [Indexed: 06/12/2023] Open
Abstract
Health education (HE), an educational process that leads to increased nutritional awareness and improved health, is one of the factors influencing diet quality (DQ) during pregnancy. The aim was to evaluate the DQ of pregnant women and its determinants considering their HE. The study included 122 pregnant women aged 20-40 years. DQ was assessed using the Kom-PAN® questionnaire and the Pro-Healthy Diet Index (pHDI). Data collected included dietary habits, socio-demographic data, education level, place of residence, and maternal lifestyle-related characteristics, namely, pre-pregnancy weight, trimester of pregnancy, and pre-pregnancy and pregnancy physical activity (PA). Weekly energy expenditure was determined using the Polish version of the PPAQ questionnaire. HE at school more than tripled the odds of a higher DQ. Women in their second trimester were 54% more likely to have a higher DQ than women in their third trimester of pregnancy. Undertaking pre-pregnancy PA increased the odds of a higher DQ 2.5 times. Comparative analyses performed in a group of women with HE (HEG, n = 33) and without HE (nHEG, n = 89) showed better DQ in the former, but this was still unsatisfactory in health-promoting properties. The results obtained showed that the HE and trimester of pregnancy and pre-pregnancy Pa influenced DQ in pregnant women.
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Affiliation(s)
- Anna Demuth
- Department of Anthropology and Biometry, Faculty of Sport Science, Poznan University of Physical Education, 61-871 Poznań, Poland
| | - Joanna Ratajczak
- Department of Anthropology and Biometry, Faculty of Sport Science, Poznan University of Physical Education, 61-871 Poznań, Poland
| | - Urszula Czerniak
- Department of Anthropology and Biometry, Faculty of Sport Science, Poznan University of Physical Education, 61-871 Poznań, Poland
| | - Katarzyna Antosiak-Cyrak
- Department of Swimming and Water Rescue, Poznan University of Physical Education, 61-871 Poznań, Poland
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Karvinen KH, Reed T. The Effectiveness of an Online Learning Strategy on Changing Physical Activity Counseling Practice in Nurses. Can J Nurs Res 2023; 55:100-109. [PMID: 35088613 DOI: 10.1177/08445621221075157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Nurses may be well poised for providing physical activity guidance and support to patients. PURPOSE The purposes of this study were to examine the effectiveness of a concise, evidence based online learning modules strategy (OLMS) for improving nurses' physical activity counselling. METHODS 68 nurses were randomly assigned to either an OLMS group or control group. The OLMS group completed a series of six online learning modules aimed at improving physical activity counselling practice. RESULTS The OLMS group, compared to the control group, showed a trend for improvement in Physical Activity Counselling Practice (p = .063) after controlling for baseline values, and significant improvement in (a) Self-efficacy for Physical Activity Counselling (p = .001), (b) Knowledge of Physical Activity Guidelines, (p = .031), and (c) Perceived Benefits of Physical Activity Counselling (p = .014) over the course of the intervention. No significant change was found for Barriers for Providing Physical Activity Counselling (p > .05). CONCLUSIONS The OLMS tested may be an effective means for improving self-efficacy, knowledge, and perceived benefits of physical activity counselling, suggesting the utility of online learning strategies for improving nurses' physical activity counselling practice. Given barriers to providing physical activity counselling were not affected by the intervention, future interventions and policy change could target these barriers specifically in order to give nurses more tools and time for reaching patients and addressing physical activity counselling in practice.
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Affiliation(s)
| | - Treva Reed
- School of Nursing, 6057Nipissing University
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Nasirin C, Lionardo A, Nurzani A. Effectiveness of Self-concept Management of Patients with Depression in Diabetic Ulcer. Curr Diabetes Rev 2022; 18:e211221199215. [PMID: 34939546 DOI: 10.2174/1573399818666211221150345] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 07/19/2021] [Accepted: 09/21/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND This study explores the management of self-concept in improving the quality of life of diabetic ulcer patients. Low confidence in the quality of life is a factor causing patients with long-term diabetes to believe they cannot be cured properly. Ulcers result from diabetes mellitus complications due to the nervous system and blood vessel damage. Patients with diabetic ulcers experience depression and feel acute stress when the disease has been categorized as a chronic condition. METHODS This study uses quantitative methods with a cross-sectional study design approach. The data collection techniques used purposive sampling and had 82 diabetic ulcer sufferers as respondents in the study. RESULTS This study empirically proves that (p-value ≤ α=0.05) where there is effective management of the concept of self-health applied by diabetic ulcer patients in reducing the level of depression and sufferers can increase their confidence in better health factors. CONCLUSION The effectiveness of self-care management is an important indicator in overcoming diabetic ulcer disease. The low management of self-concept for people with diabetes will certainly impact increasing depression and acute stress, decreasing the quality of life for sufferers.
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Affiliation(s)
- Chairun Nasirin
- Sekolah Tinggi Ilmu Kesehatan (STIKES) Mataram, Health Sciences, Mataram, Indonesia
| | - Andries Lionardo
- Universitas Sriwijaya Palembang, State Administration Science, Palembang, Indonesia
| | - Anita Nurzani
- Sekolah Tinggi Ilmu Kesehatan (STIKES) Mataram, Health Sciences, Mataram, Indonesia
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Marques-Sule E, Miró-Ferrer S, Muñoz-Gómez E, Bermejo-Fernández A, Juárez-Vela R, Gea-Caballero V, Martínez-Muñoz MDC, Espí-López GV. Physical activity in health care professionals as a means of primary prevention of cardiovascular disease: A STROBE compliant cross-sectional study. Medicine (Baltimore) 2021; 100:e26184. [PMID: 34087883 PMCID: PMC8183826 DOI: 10.1097/md.0000000000026184] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Accepted: 05/15/2021] [Indexed: 01/04/2023] Open
Abstract
The aim of this study was to assess the physical activity level of health care professionals, as well as the differences by sex, age, academic background, and among different health care professions.This is an cross-sectional study.Health care settings in the Valencian Community, Spain.A total of 647 health care professionals.Physical activity was assessed with the European Health Interview Survey-Physical Activity Questionnaire (EHIS-PAQ) that includes the assessment of work-related physical activity, transport-related physical activity, health-enhancing physical activity, muscle-strengthening physical activity, and total physical activity.93.51% of all health care professionals were physically active at work. Transport-related physical activity and health-enhancing physical activity were significantly lower in women (21.62% vs 41.86%, P < .001; and 50.19% vs 68.99%, P < .001, respectively). In addition, compliance with health-enhancing and muscle-strengthening physical activity guidelines were lower in older professionals (42.7% vs 61.84%, P < .001; and 47.57% vs 61.84%, P < .001, respectively). Those with higher education were more compliant with health-enhancing and muscle-strengthening physical activity guidelines (58.55% vs 45.69%, P = .002; and 60.24% vs 48.28%, P = .003, respectively). Moreover, 67.98% of physiotherapists performed health-enhancing physical activity and 67.54% muscle-strengthening physical activity regularly, and significant differences in all outcomes were observed compared to the rest of health care professionals (P < .05). Technicians showed lower work-related and total physical activity than nurses and nursing assistants (74.55% vs 90.37%, P = .002; and 83.64% vs 95.72%, P < .001, respectively). Additionally, nursing assistants showed higher work-related physical activity compared to nurses (97.18% vs 90.37%, P = .008).Most health care professionals showed an appropriate level of physical activity. Men performed more transport-related and health-enhancing physical activity than women. Younger professionals and those with higher education were more compliant with health-enhancing and muscle-strengthening physical activity guidelines. Physiotherapists were more physically active when compared to the rest of health care professionals.
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Affiliation(s)
- Elena Marques-Sule
- Department of Physiotherapy
- Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia
- Heart Institute of Valencia, Spanish Heart Foundation, Valencia
| | - Silvia Miró-Ferrer
- Cardiac Rehabilitation Unit, Department of Rehabilitation, University General Hospital of Castellón, Castellón de la Plana
| | | | | | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, Logroño
- Hospital La Paz Institute for Health Research (IdiPAZ), Madrid
| | - Vicente Gea-Caballero
- Nursing School La Fe, Adscript Center of Universidad de Valencia, Research Group GREIACC, Health Research Institute La Fe, Valencia, Spain
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Huntington J, Dwyer JJM, Shama S, Brauer P. Registered Dietitians' Knowledge, Attitudes, and Behaviour Related to Physical Activity and Sedentariness. CAN J DIET PRACT RES 2021; 82:45-48. [PMID: 33320791 DOI: 10.3148/cjdpr-2020-029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Purpose: To explore knowledge, attitudes, and behaviour related to physical activity (PA) and sedentariness among registered dietitians (RDs) in family health teams in Ontario.Methods: This cross-sectional, descriptive study utilized a semi-structured interview guide to conduct qualitative interviews with 20 RDs. Self-administered questionnaires were used to assess personal PA (short version of the International Physical Activity Questionnaire) and sedentary behaviour (Sedentary Behavior Questionnaire).Results: Thematic analysis indicated that, in general, participants had good knowledge of PA and sedentariness. They were knowledgeable about the PA guidelines. They had positive attitudes toward PA and nonsedentariness, stating that both are important in the prevention and treatment of chronic conditions. Quantitative analysis indicated they had moderate-to-high PA levels and were fairly sedentary.Conclusions: This study supports the position that RDs can serve as excellent role models for PA. Though participants had basic knowledge, RDs may benefit from additional education regarding PA and sedentariness when counselling.
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Affiliation(s)
- Jessica Huntington
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
| | - John J M Dwyer
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
| | - Sara Shama
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
| | - Paula Brauer
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON
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Souza Neto JMD, Florindo AA, Costa FFD. Associated factors with physical activity counseling among Brazilian Family Health Strategy workers. CIENCIA & SAUDE COLETIVA 2021; 26:369-378. [PMID: 33533858 DOI: 10.1590/1413-81232020261.10082019] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Accepted: 04/19/2019] [Indexed: 11/22/2022] Open
Abstract
This study aimed to determine the prevalence and associated factors with physical activity counseling among Brazilian Family Health Strategy workers. This is a cross-sectional study conducted with a random sample of 591 health workers who work in the Family Health Teams of João Pessoa-PB, Brazil. Counseling for physical activity was defined as any advising targeted for increasing patients' physical activity levels conducted for at least six months. The following factors were considered: time working in health care units, amount of daily attendance, continuing education, perceived barriers, self-efficacy, attitude, self-rated health, physical activity level and nutritional status. Prevalence of counseling was 46.3%, being higher among physicians (74.5%; 95%CI: 59.6-85.2) and nurses (60.3%; 95%CI: 48.0-71.4) compared to community health workers (42.9%; 95%CI: 38.2-47.7) and nurses assistants (31.5%; 95%CI: 20.2-45.4). The results showed health professionals with positive self-rated health, without perception of barriers, having a positive attitude and high self-efficacy were more likely to perform physical activity counseling. Knowledge and actions on factors associated with physical activity counseling can help broaden the involvement of primary health care providers in health education.
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Affiliation(s)
- João Miguel de Souza Neto
- Programa Associado de Pós-Graduação em Educação Física, Universidade Federal da Paraíba (UFPB). Jardim Universitário s/n, Castelo Branco. 58051-900 João Pessoa PB Brasil.
| | - Alex Antônio Florindo
- Escola de Artes, Ciências e Humanidades, Universidade de São Paulo. São Paulo SP Brasil
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Ramautar Y, Tlou B, Dlungwane TP. Knowledge, attitudes and practices of hospital-based staff regarding physical activity at a private hospital in Johannesburg. S Afr Fam Pract (2004) 2021; 63:e1-e7. [PMID: 33567841 PMCID: PMC8378149 DOI: 10.4102/safp.v63i1.5131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 09/25/2020] [Accepted: 09/30/2020] [Indexed: 11/06/2022] Open
Abstract
Background Physical activity has been established as an important component to incorporate into a healthy lifestyle. Hospital-based staff are also threatened by the risks of sedentary lifestyles, despite their association with a healthcare environment. The aim of this study was to determine the knowledge, attitudes and practices of private hospital-based staff regarding physical activity in Johannesburg. Methods A cross-sectional study was conducted. Data were collected using a self-administered questionnaire. Data were analysed with a combination of descriptive and inferential statistics. A p-value less than 0.05 was deemed statistically significant. Results A total number of 217 participants responded to the questionnaire. The majority of participants (n = 179; 82.49%) displayed excellent knowledge of physical activity, had a good attitude towards physical activity (n = 157; 72.35%) and displayed satisfactory practices (n = 137; 63.13%). Participants with the highest level of education had better mean knowledge, attitude and practice scores as opposed to those with lower levels of education. There was a statistically significant difference amongst staff categories in terms of knowledge (p = 0.004) and practice scores (p = 0.031). In addition, there was a statistically significant difference amongst different levels of education in terms of knowledge (p = 0.000), attitude (p = 0.02) and practice scores (p = 0.004). Conclusion Staff members who participated in the study displayed only satisfactory physical activity practices. The hospital’s employee wellness programme should establish appropriate strategies to improve staff practices of physical activity in order to promote health.
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Affiliation(s)
- Yurisha Ramautar
- School of Nursing and Public Health, Discipline of Public Health Medicine, University of KwaZulu-Natal, Durban.
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Ramautar Y, Tlou B, Dlungwane TP. Knowledge, attitudes and practices of hospital-based staff regarding physical activity at a private hospital in Johannesburg. S Afr Fam Pract (2004) 2020. [DOI: 10.4102/safp.v62i1.5131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Randomized Controlled Trial of Primary Health Care Strategies for the Promotion of Leisure-Time Physical Activity Among Older Brazilians. J Phys Act Health 2019; 16:706-714. [PMID: 31310991 DOI: 10.1123/jpah.2017-0502] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Revised: 02/22/2019] [Accepted: 04/20/2019] [Indexed: 01/12/2023]
Abstract
BACKGROUND Physical activity promotion within primary health care is in the spotlight. However, few studies have evaluated the long-term effectiveness of possible interventions. This study aimed to compare the effectiveness of 3 primary health care interventions in increasing leisure-time physical activity among older Brazilians. METHODS Experimental study with 142 older residents of an ongoing urban cohort in São Paulo (Brazil). Participants were randomized into 3 groups: minimal intervention group, physician-based counseling group, and individual counseling and referral for physical activity programs group (CRG). We used the long version of the International Physical Activity Questionnaire to assess leisure-time physical activity at baseline, 4 years after baseline without any intervention, 3 months after intervention, and 6 months after intervention. Statistical analysis included repeated analysis of variance. RESULTS At baseline, 31% of the individuals were active, and this figure remained stable for a period of 4 years. Three months after the interventions, there was a significant increase in leisure-time physical activity for CRG compared with the minimal intervention (P < .001) and physician-based counseling (P < .02) groups, and these differences persisted after 6 months (P < .001 and P < .05, respectively). CONCLUSION Results indicate that interventions with CRG are effective in producing sustained changes in physical activity among older Brazilians.
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Saridi M, Filippopoulou T, Tzitzikos G, Sarafis P, Souliotis K, Karakatsani D. Correlating physical activity and quality of life of healthcare workers. BMC Res Notes 2019; 12:208. [PMID: 30947739 PMCID: PMC6449892 DOI: 10.1186/s13104-019-4240-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Accepted: 03/28/2019] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE The purpose of the present study was to investigate healthcare workers' physical exercise levels linked to their quality of life. Healthcare workers' from all departments of a General hospital participated in the study. The instruments used for data collection regarding quality of life and physical exercise (Short Form Health Survey (SF-36) and International Physical Activity Questionnaire-short form). RESULTS Regarding the lack of physical exercise, the participants mainly put the blame on lack of free time (58%, n = 106), work hours (41% n = 75), but also pure negligence (37%, n = 67). The SF-36 scores showed that the existence of health problems can affect in a negative way and aggravate almost every quality of life parameter. Regarding physical activities in the past 7 days prior to the survey, most of them were about housekeeping and household-related chores (42.3%), followed by out-of-the-house errands (13.2%). There were also differences among mental health and postgraduate education level. According to our findings, a major factor that could boost healthcare professionals' physical activity, is to increase knowledge and raise awareness about the benefits linked to physical activity.
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Affiliation(s)
- Maria Saridi
- Nursing Department, General Hospital of Corinth, Corinth, Greece.,Faculty of Social and Education Policy, University of Peloponnese, 20131, Corinth, Greece
| | | | - Georgios Tzitzikos
- Renal Unit, Nursing Department, General Hospital of Corinth, 20131, Corinth, Greece
| | - Pavlos Sarafis
- Department of Nursing, School of Health Sciences, Limassol, University of Technology, 3041, Limassol, Cyprus.
| | - Kyriakos Souliotis
- Faculty of Social and Education Policy, University of Peloponnese, 20131, Corinth, Greece
| | - Despoina Karakatsani
- Faculty of Social and Education Policy, University of Peloponnese, 20131, Corinth, Greece
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Ungar N, Tsiouris A, Haussmann A, Herbolsheimer F, Wiskemann J, Steindorf K, Sieverding M. To rest or not to rest-Health care professionals' attitude toward recommending physical activity to their cancer patients. Psychooncology 2019; 28:784-791. [PMID: 30716190 DOI: 10.1002/pon.5020] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Revised: 01/25/2019] [Accepted: 01/28/2019] [Indexed: 01/10/2023]
Abstract
OBJECTIVE While in the past cancer patients were advised to rest, recent research revealed various beneficial effects of physical activity, including increased treatment tolerability during cancer treatment and prolonged survival, which has led to a paradigm shift in relevant guidelines. This study examined if this paradigm shift from rest to activity has been consolidated in health care professionals' (HCP') attitude. It was investigated if the two dimensions of attitude (rest and activity) are endorsed empirically within the theory of planned behavior (TPB). Differences between physicians and nurses were examined. METHODS Five hundred forty seven physicians and 398 nurses treating breast, prostate, or colorectal cancer patients completed a cross-sectional questionnaire. To assess attitude toward physical activity during cancer treatment, we developed a 15-item scale, which included original statements of HCP. TPB variables were assessed. RESULTS A factor analysis revealed the proposed distinction of attitude into two dimensions. The activity-paradigm was stronger represented in HCP' attitude compared with rest-paradigm (Mactivity-paradigm = 4.1 versus Mrest-paradigm = 2.7, p < 0.001). Additionally, the activity-paradigm had higher exploratory power in explaining intention to recommend physical activity in cancer patients. However, the rest-paradigm was able to explain intention to recommend physical activity over and above activity-paradigm (ΔR2 = 0.05). Nurses had higher scores on the rest-paradigm than physicians. CONCLUSIONS The activity-paradigm has already been consolidated in HCP' minds. However, the rest-paradigm is still present in the daily routine of oncology physicians and nurses. Addressing concerns and insecurities related to supporting cancer patients in maintaining or building up a physically active lifestyle is a very important educational task.
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Affiliation(s)
- Nadine Ungar
- Institute of Psychology, Heidelberg University, Heidelberg
| | - Angeliki Tsiouris
- Division of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg and University Hospital Heidelberg, Heidelberg
| | - Alexander Haussmann
- Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Heidelberg
| | - Florian Herbolsheimer
- Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Heidelberg.,Institute of the History, Philosophy and Ethics of Medicine, Ulm University, Ulm
| | - Joachim Wiskemann
- Division of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg and University Hospital Heidelberg, Heidelberg
| | - Karen Steindorf
- Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Heidelberg
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Lin ML, Huang JJ, Chuang HY, Tsai HM, Wang HH. Physical activities and influencing factors among public health nurses: a cross-sectional study. BMJ Open 2018; 8:e019959. [PMID: 29678974 PMCID: PMC5914891 DOI: 10.1136/bmjopen-2017-019959] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVES Public health nurses are responsible for promoting and managing the health of community members, and if they do not have enough physical activity or ignore their own health, not only will their own health decline but the quality of life of the public will also be affected. This study investigated the physical activity of public health nurses and analysed the effects of attitudes, subjective norms, perceived behavioural control and behavioural intention to engage in physical activity. METHODS This study adopted a cross-sectional research design, and convenience sampling was used to select the research subjects. 198 public health nurses were invited to participate, and 172 completed the questionnaire. Multiple linear regression was used to analyse the influencing factors of physical activity intention and physical activity. RESULTS Attitudes towards physical activity and perceived behavioural control of physical activity affected physical activity intention. When they had higher behavioural intention, their physical activity behaviour also improved. The physical activity intention significantly influenced the number of days that they had engaged in vigorous physical activity (95% CI 0.1786 to 0.3060, p<0.0001), and significantly influenced the number of days that they walked daily for 10 min (95% CI 0.2158 to 0.4144, p<0.0001), and also significantly influenced their daily sedentary time (95% CI -0.3020 to 0.0560, p=0.0046). CONCLUSIONS Encouraging public health nurses to heed their own health and motivating them to engage in physical activity warrants attention from policy-makers and government health agencies.
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Affiliation(s)
- Miao-Ling Lin
- College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
- Long-Term Care Division, Department of Health, Kaohsiung City Government, Kaohsiung, Taiwan
| | - Joh-Jong Huang
- Graduate Institute of Gender Studies, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Hung-Yi Chuang
- Department of Public Health, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Hsiu-Min Tsai
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
| | - Hsiu-Hung Wang
- College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
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Hidalgo KD, Mielke GI, Parra DC, Lobelo F, Simões EJ, Gomes GO, Florindo AA, Bracco M, Moura L, Brownson RC, Pratt M, Ramos LR, Hallal PC. Health promoting practices and personal lifestyle behaviors of Brazilian health professionals. BMC Public Health 2016; 16:1114. [PMID: 27776496 PMCID: PMC5078940 DOI: 10.1186/s12889-016-3778-2] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Accepted: 10/15/2016] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND This study was conducted to examine the lifestyle behaviors and health promoting practices of physicians, nurses, and community health workers in Brazil. METHODS A random sample of primary health care units in Brazil was selected, and a pretested questionnaire was administered via phone interviews, in 2011, to 182 physicians, 347 nurses, and 269 community health workers, totaling 798 health professionals. The total initial sample included 1600 eligible health professionals. Variables measured included physical activity, alcohol intake, hours of sleep, diet, and perceived self-efficacy to provide preventive counseling on related lifestyle behaviors. RESULTS More than 25 % of physicians, nurses, and community health workers reported eating 0-2 portions of fruits and vegetables per day. In terms of cervical and breast cancer, nurses reported to be 'very prepared' to advise patients on these topics more frequently than physicians. The prevalence of smoking ranged from 4.9 % among nurses to 7.4 % among community health workers. The proportion of physical inactivity ranged from 40.3 % among nurses to 52.1 % among community health workers. CONCLUSION A reasonably high proportion of physicians, nurses, and community health workers report not engaging in healthy lifestyle behaviors that impact chronic diseases, thus, they may be less likely to encourage such behaviors in their patients.
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Affiliation(s)
- Karen D. Hidalgo
- JFK Johnson Rehabilitation Institute, JFK Medical Center, Edison, NJ USA
| | - Grégore I. Mielke
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Diana C. Parra
- Program in Physical Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO USA
| | - Felipe Lobelo
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA USA
| | - Eduardo J. Simões
- School of Medicine, Department of Health Management and Informatics, University of Missouri, Columbia, MO USA
| | - Grace O. Gomes
- Gerontology Department, Federal University of Sao Carlos, São Carlos, SP Brazil
| | - Alex A. Florindo
- School of Arts, Sciences and Humanities, University of Sao Paulo, Sao Paulo, Brazil
| | - Mário Bracco
- Center of Studies and Research Dr. João Amorim, CEJAM, São Paulo, SP Brazil
| | | | - Ross C. Brownson
- Prevention Research Center in St. Louis, Washington University in St. Louis, Brown School, St. Louis, MO USA
- School of Medicine, Division of Public Health Sciences and Alvin J. Siteman Cancer Center, Washington University in St. Louis, St. Louis, MO USA
| | - Michael Pratt
- Department of Family Medicine and Public Health, University of California, San Diego, CA USA
| | - Luiz R. Ramos
- Department of Preventive Medicine, Federal University of São Paulo, São Paulo, Brazil
| | - Pedro C. Hallal
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
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15
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Malta MB, Carvalhaes MADBL, Takito MY, Tonete VLP, Barros AJD, Parada CMGDL, Benício MHD. Educational intervention regarding diet and physical activity for pregnant women: changes in knowledge and practices among health professionals. BMC Pregnancy Childbirth 2016; 16:175. [PMID: 27439974 PMCID: PMC4955265 DOI: 10.1186/s12884-016-0957-1] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Accepted: 07/09/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The knowledge and practices of health professionals have a recognized role in behaviors related to the health of their patients. During pregnancy, this influence can be even stronger because there is frequent contact between women and doctors/nurses at periodic antenatal visits. When trained, supported and motivated, these professionals can act as health promoters. This study aimed to evaluate the effect of a focused educational intervention on improving the knowledge and practices of health professionals concerning diet and physical activity during pregnancy. METHODS A controlled, non-randomized study was performed to assess the effects of an educational intervention on the knowledge and practices of nurses and doctors who provide primary care to pregnant women. The intervention group, doctors and nurses (n = 22) from the family health units in a medium-sized city of São Paulo State, Brazil, received 16 h of training comprising an introductory course and three workshops, whereas the control group, doctors and nurses (n = 20) from traditional basic health units in Botucatu, did not. The professionals' knowledge was assessed at two time points, 1 month prior to and 1 year after the beginning of the intervention, using an ad hoc self-report questionnaire. The increases in the knowledge scores for walking and healthy eating of the intervention and control groups were calculated and compared using Student's t-test. To analyze the professionals' practice, women in the second trimester of pregnancy were asked whether they received guidance on healthy eating and leisure-time walking; 140 of these women were cared for by professionals in the intervention group, and 141 were cared for by professionals in the control group. The percentage of pregnant women in each group that received guidance was compared using the chi-square test and the Prevalence Ratio (PR), and the corresponding 95 % confidence intervals (CI) were calculated. RESULTS The intervention improved the professionals' knowledge regarding leisure-time walking (92 % increase in the score, p < 0.001). The women who were cared for by the intervention group were more likely to receive guidance regarding leisure-time walking (PR = 2.65; 95 % CI = 1.82-3.83) and healthy eating (PR = 1.76; 95 % CI = 1.34-2.31) when compared to the control group. CONCLUSION It is possible to improve the knowledge and practices of health professionals through the proposed intervention aimed at primary health care teams providing antenatal care.
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Affiliation(s)
- Maíra Barreto Malta
- Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo - USP, Av. Dr. Arnaldo, 715, São Paulo, São Paulo, 01246-904, Brazil. .,, Rua Egidio Martins, 160 ap 315 Ponta da Praia, Santos, São Paulo, 11030160, Brazil.
| | | | - Monica Yuri Takito
- Departamento de Pedagogia do Movimento do Corpo Humano, Escola de Educação Física e Esporte, Universidade de São Paulo - USP, Av. Prof. Mello Moraes, 65, 05508-030, São Paulo, São Paulo, Brazil
| | - Vera Lucia Pamplona Tonete
- Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - UNESP, Av. Professor Montenegro, 18618970, Botucatu, São Paulo, Brazil
| | - Aluísio J D Barros
- Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal de Pelotas, Rua Mal. Deodoro, 1160, 3ºpiso, Pelotas, 96020220, Rio Grande do Sul, Brazil
| | - Cristina Maria Garcia de Lima Parada
- Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - UNESP, Av. Professor Montenegro, 18618970, Botucatu, São Paulo, Brazil
| | - Maria Helena D'Aquino Benício
- Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo - USP, Av. Dr. Arnaldo, 715, São Paulo, São Paulo, 01246-904, Brazil
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16
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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. Clin J Sport Med 2016; 26:259-65. [PMID: 27359294 DOI: 10.1097/jsm.0000000000000363] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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17
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Thornton JS, Frémont P, Khan K, Poirier P, Fowles J, Wells GD, Frankovich RJ. 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. Br J Sports Med 2016; 50:1109-14. [PMID: 27335208 DOI: 10.1136/bjsports-2016-096291] [Citation(s) in RCA: 119] [Impact Index Per Article: 14.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/03/2016] [Indexed: 12/31/2022]
Abstract
Non-communicable disease is a leading threat to global health. Physical inactivity is a large contributor to this problem; in fact, the WHO ranks it as the fourth leading risk factor for overall morbidity and mortality worldwide. In Canada, at least 4 of 5 adults do not meet the Canadian Physical Activity Guidelines of 150 min of moderate-to-vigorous physical activity per week. Physicians play an important role in the dissemination of physical activity (PA) recommendations to a broad segment of the population, as over 80% of Canadians visit their doctors every year and prefer to get health information directly from them. Unfortunately, most physicians do not regularly assess or prescribe PA as part of routine care, and even when discussed, few provide specific recommendations. PA prescription has the potential to be an important therapeutic agent for all ages in primary, secondary and tertiary prevention of chronic disease. Sport and exercise medicine (SEM) physicians are particularly well suited for this role and should collaborate with their primary care colleagues for optimal patient care. The purpose of this Canadian Academy and Sport and Exercise Medicine position statement is to provide an evidence-based, best practices summary to better equip SEM and primary care physicians to prescribe PA and exercise, specifically for the prevention and management of non-communicable disease. This will be achieved by addressing common questions and perceived barriers in the field.Author note This position statement has been endorsed by the following nine sport medicine societies: Australasian College of Sports and Exercise Physicians (ACSEP), American Medical Society for Sports Medicine (AMSSM), British Association of Sports and Exercise Medicine (BASEM), European College of Sport & Exercise Physicians (ECOSEP), Norsk forening for idrettsmedisin og fysisk aktivite (NIMF), South African Sports Medicine Association (SASMA), Schweizerische Gesellschaft für Sportmedizin/Swiss Society of Sports Medicine (SGSM/SSSM), Sport Doctors Australia (SDrA), Swedish Society of Exercise and Sports Medicine (SFAIM), and CASEM.
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Affiliation(s)
| | - Pierre Frémont
- Dip Sport Med (CASEM), Laval University, Ville de Québec, Quebec, Canada
| | - Karim Khan
- University of British Columbia, Vancouver, British Columbia, Canada
| | - Paul Poirier
- Institut Universitaire de Cardiologie et de Pneumologie de Québec and Faculty of Pharmacy, Laval University, Québec, Canada
| | | | - Greg D Wells
- Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
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