Tools to guide clinical discussions on physical activity, sedentary behaviour, and/or sleep for health promotion between primary care providers and adults accessing care: a scoping review

BMC Primary Care

Research

Amanda Ross-White¹  Amanda Lorbergs²  Mary Duggan³  Kirstin N. Lane⁴  Kaleigh Maclaren⁵  Michelle S. Fortier⁶  Taylor McFadden⁷  Jennifer R. Tomasone⁸  Tamara L. Morgan⁸  Emma Faught⁹  Rahul Jain^1,10 

[1] Bracken Health Sciences Library, Queen’s University, Kingston, ON, Canada;Canadian Frailty Network, Kingston, ON, Canada;Canadian Society for Exercise Physiology, Ottawa, ON, Canada;Canadian Society for Exercise Physiology, Ottawa, ON, Canada;School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada;Independent Communication Specialist, Ottawa, ON, Canada;School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada;School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada;Canadian Medical Association, Ottawa, ON, Canada;School of Kinesiology and Health Studies, Queen’s University, 28 Division Street, K7L 3N6, Kingston, ON, Canada;School of Medicine, Queen’s University, Kingston, ON, Canada;Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada;

关键词: Physical activity;    Sedentary behaviour;    Sleep;    24-Hour Movement Guidelines;    Primary care;    Assessment;    Counselling;    Prescription;    Referral;    Tool;   

DOI  :  10.1186/s12875-023-02091-9

 received in 2022-10-05, accepted in 2023-06-22,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHealth care providers have reported low knowledge, skill, and confidence for discussing movement behaviours (i.e., physical activity, sedentary behaviour, and sleep), which may be improved with the use of tools to guide movement behaviour discussions in their practice. Past reviews have examined the psychometric properties, scoring, and behavioural outcomes of physical activity discussion tools. However, the features, perceptions, and effectiveness of discussion tools for physical activity, sedentary behaviour, and/or sleep have not yet been synthesized. The aim of this review was to report and appraise tools for movement behaviour discussions between health care providers and adults 18 + years in a primary care context within Canada or analogous countries.MethodsAn integrated knowledge translation approach guided this review, whereby a working group of experts in medicine, knowledge translation, communications, kinesiology, and health promotion was engaged from research question formation to interpretation of findings. Three search approaches were used (i.e., peer-reviewed, grey literature, and forward searches) to identify studies reporting on perceptions and/or effectiveness of tools for physical activity, sedentary behaviour, and/or sleep. The quality of included studies was assessed using the Mixed Methods Appraisal Tool.ResultsIn total, 135 studies reporting on 61 tools (i.e., 51 on physical activity, one on sleep, and nine combining two movement behaviours) met inclusion criteria. Included tools served the purposes of assessment (n = 57), counselling (n = 50), prescription (n = 18), and/or referral (n = 12) of one or more movement behaviour. Most tools were used or intended for use by physicians, followed by nurses/nurse practitioners (n = 11), and adults accessing care (n = 10). Most tools were also used or intended to be used with adults without chronic conditions aged 18–64 years (n = 34), followed by adults with chronic conditions (n = 18). The quality of the 116 studies that evaluated tool effectiveness varied.ConclusionsMany tools were positively perceived and were deemed effective at enhancing knowledge of, confidence for, ability in, and frequency of movement behaviour discussions. Future tools should guide discussions of all movement behaviours in an integrated manner in line with the 24-Hour Movement Guidelines. Practically, this review offers seven evidence-based recommendations that may guide future tool development and implementation.

【 授权许可】

CC BY   
© The Author(s) 2023

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