The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study

Background: Physicians (MDs) report difficulty including physical activity (PA) and exercise (PAE) as part of routine care. MDs who report previous educational training in PAE may prescribe exercise more frequently. We evaluated the effects of previous training on perceptions and practices of PA cou...

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Autores principales: Myles O'Brien, Chris Shields, Sandra Crowell, Olga Theou, Patrick McGrath, Jonathon Fowles
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Lenguaje:EN
Publicado: Canadian Medical Education Journal 2018
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spelling oai:doaj.org-article:79d4e026b0234099a4f49f9d62346a602021-12-01T22:44:13ZThe effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study10.36834/cmej.430981923-1202https://doaj.org/article/79d4e026b0234099a4f49f9d62346a602018-11-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/43098https://doaj.org/toc/1923-1202Background: Physicians (MDs) report difficulty including physical activity (PA) and exercise (PAE) as part of routine care. MDs who report previous educational training in PAE may prescribe exercise more frequently. We evaluated the effects of previous training on perceptions and practices of PA counselling and exercise prescriptions among MDs in Nova Scotia. Methods: MDs (n=174) across Nova Scotia completed an online self-reflection survey regarding their current PAE practices. MDs who reported previous training (n=41) were compared to those who reported no training (n=133).  Results: Trained-MDs were 22% more confident performing PA counselling than untrained-MDs (p<0.005). In patient appointments, trained-MDs included PAE more often (51% vs 39%; p=0.03) but trained-MDs and untrained-MDs had similar rates of exercise prescriptions (12%; p>0.05). The most impactful barriers (on a scale of 1 to 4) were lack of time (2.5) and perceived patient interest (2.4), which were unaffected by previous training (p>0.05). Conclusion: Previous training was associated with a higher confidence to include PAE discussions with patients by MDs in Nova Scotia, but had minimal influence on their many barriers that prevent exercise prescription. Although some training supports MDs inclusion of PAE into their practice, there is a need for greater, more intensive educational training to assist MDs in prescribing exercise. Myles O'BrienChris ShieldsSandra CrowellOlga TheouPatrick McGrathJonathon FowlesCanadian Medical Education Journalarticleexercise prescriptionphysical activity counsellingphysical activity educationEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 9, Iss 4 (2018)
institution DOAJ
collection DOAJ
language EN
topic exercise prescription
physical activity counselling
physical activity education
Education (General)
L7-991
Medicine (General)
R5-920
spellingShingle exercise prescription
physical activity counselling
physical activity education
Education (General)
L7-991
Medicine (General)
R5-920
Myles O'Brien
Chris Shields
Sandra Crowell
Olga Theou
Patrick McGrath
Jonathon Fowles
The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study
description Background: Physicians (MDs) report difficulty including physical activity (PA) and exercise (PAE) as part of routine care. MDs who report previous educational training in PAE may prescribe exercise more frequently. We evaluated the effects of previous training on perceptions and practices of PA counselling and exercise prescriptions among MDs in Nova Scotia. Methods: MDs (n=174) across Nova Scotia completed an online self-reflection survey regarding their current PAE practices. MDs who reported previous training (n=41) were compared to those who reported no training (n=133).  Results: Trained-MDs were 22% more confident performing PA counselling than untrained-MDs (p<0.005). In patient appointments, trained-MDs included PAE more often (51% vs 39%; p=0.03) but trained-MDs and untrained-MDs had similar rates of exercise prescriptions (12%; p>0.05). The most impactful barriers (on a scale of 1 to 4) were lack of time (2.5) and perceived patient interest (2.4), which were unaffected by previous training (p>0.05). Conclusion: Previous training was associated with a higher confidence to include PAE discussions with patients by MDs in Nova Scotia, but had minimal influence on their many barriers that prevent exercise prescription. Although some training supports MDs inclusion of PAE into their practice, there is a need for greater, more intensive educational training to assist MDs in prescribing exercise.
format article
author Myles O'Brien
Chris Shields
Sandra Crowell
Olga Theou
Patrick McGrath
Jonathon Fowles
author_facet Myles O'Brien
Chris Shields
Sandra Crowell
Olga Theou
Patrick McGrath
Jonathon Fowles
author_sort Myles O'Brien
title The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study
title_short The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study
title_full The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study
title_fullStr The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study
title_full_unstemmed The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study
title_sort effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across nova scotia: a cross-sectional study
publisher Canadian Medical Education Journal
publishDate 2018
url https://doaj.org/article/79d4e026b0234099a4f49f9d62346a60
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