Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study

Healthcare professionals (HCPs) have a key role in promoting physical activity, particularly among populations at greatest risk of poor health due to physical inactivity. This research explored HCPs’ knowledge, decision making, and routine practice of physical activity promotion with older adults. F...

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Autores principales:	Conor Cunningham, Roger O’Sullivan
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	physical activity healthcare professionals older adults theoretical domains framework policy behaviour change Medicine R
Acceso en línea:	https://doaj.org/article/a5893aa1fc9a44f0a45b0e2a5cc7dd29
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spelling	oai:doaj.org-article:a5893aa1fc9a44f0a45b0e2a5cc7dd292021-11-11T16:22:31ZHealthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study10.3390/ijerph1821112221660-46011661-7827https://doaj.org/article/a5893aa1fc9a44f0a45b0e2a5cc7dd292021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11222https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Healthcare professionals (HCPs) have a key role in promoting physical activity, particularly among populations at greatest risk of poor health due to physical inactivity. This research explored HCPs’ knowledge, decision making, and routine practice of physical activity promotion with older adults. Furthermore, it aimed to enhance our understanding of the supports that HCPs need to effectively promote physical activity in routine practice across a wide range of healthcare professions, settings, and sectors. Semi-structured online interviews were completed with HCPs between November 2020–March 2021. Data were first analysed by coding instances within the transcripts, mapping onto relevant Theoretical Domains Framework (TDF) domains utilising a deductive thematic analysis approach. The data were then analysed utilising an inductive approach to thematically generate explanatory subthemes within the identified domains. Participants (<i>n</i> = 63) included general practitioners (15.87%), occupational therapists (30.16%), physiotherapists (38.10%), and nurses (15.87%) from the island of Ireland (Ireland and Northern Ireland). Of those interviewed, 10 (15.87%) were male and 53 (84.13%) were female. Two thirds (65.08%) were HCPs practicing in Ireland. Domains and subthemes related to the application of physical activity, and emergent themes on developing practice to support the application and integration of physical activity in routine practice are discussed. HCPs identified that focused education, appropriate training, and access to tailored resources are all essential to support the promotion of physical activity in routine practice. For such supports to be effective, a ‘cultural shift’ is required in HCP training and health service provision to adopt the growing evidence base that physical activity promotion must be part of disease prevention and treatment in routine practice. HCPs highlighted a range of areas for service development to support them to promote physical activity. Further research is required to explore the feasibility of implementing these recommendations in routine practice.Conor CunninghamRoger O’SullivanMDPI AGarticlephysical activityhealthcare professionalsolder adultstheoretical domains frameworkpolicybehaviour changeMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11222, p 11222 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	physical activity healthcare professionals older adults theoretical domains framework policy behaviour change Medicine R
spellingShingle	physical activity healthcare professionals older adults theoretical domains framework policy behaviour change Medicine R Conor Cunningham Roger O’Sullivan Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study
description	Healthcare professionals (HCPs) have a key role in promoting physical activity, particularly among populations at greatest risk of poor health due to physical inactivity. This research explored HCPs’ knowledge, decision making, and routine practice of physical activity promotion with older adults. Furthermore, it aimed to enhance our understanding of the supports that HCPs need to effectively promote physical activity in routine practice across a wide range of healthcare professions, settings, and sectors. Semi-structured online interviews were completed with HCPs between November 2020–March 2021. Data were first analysed by coding instances within the transcripts, mapping onto relevant Theoretical Domains Framework (TDF) domains utilising a deductive thematic analysis approach. The data were then analysed utilising an inductive approach to thematically generate explanatory subthemes within the identified domains. Participants (<i>n</i> = 63) included general practitioners (15.87%), occupational therapists (30.16%), physiotherapists (38.10%), and nurses (15.87%) from the island of Ireland (Ireland and Northern Ireland). Of those interviewed, 10 (15.87%) were male and 53 (84.13%) were female. Two thirds (65.08%) were HCPs practicing in Ireland. Domains and subthemes related to the application of physical activity, and emergent themes on developing practice to support the application and integration of physical activity in routine practice are discussed. HCPs identified that focused education, appropriate training, and access to tailored resources are all essential to support the promotion of physical activity in routine practice. For such supports to be effective, a ‘cultural shift’ is required in HCP training and health service provision to adopt the growing evidence base that physical activity promotion must be part of disease prevention and treatment in routine practice. HCPs highlighted a range of areas for service development to support them to promote physical activity. Further research is required to explore the feasibility of implementing these recommendations in routine practice.
format	article
author	Conor Cunningham Roger O’Sullivan
author_facet	Conor Cunningham Roger O’Sullivan
author_sort	Conor Cunningham
title	Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study
title_short	Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study
title_full	Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study
title_fullStr	Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study
title_full_unstemmed	Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study
title_sort	healthcare professionals’ application and integration of physical activity in routine practice with older adults: a qualitative study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a5893aa1fc9a44f0a45b0e2a5cc7dd29
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Healthcare Professionals’ Application and Integration of Physical Activity in Routine Practice with Older Adults: A Qualitative Study

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