Factors Influencing the Introduction of Physical Activity Interventions in Primary Health Care: a Qualitative Study

International Journal of Behavioral Medicine

Volumn 22, Issue 3, 2015, Pages 404-414

  Huijg, Johanna M ^a   van der Zouwe, Nicolette ^b   Crone, Mathilde R ^c   Verheijden, Marieke W ^d   Middelkoop, Barend J C ^c   Gebhardt, Winifred A ^a  

^a LEIDEN UNIVERSITY   (Netherlands)

^b Public Health Services GGD Hollands Midden   (Netherlands)

^c LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^d TNO   (Netherlands)

Author keywords

Adoption; Continuation; Implementation; Influencing factors; Interventions; Introduction; Physical activity; Primary health care; Qualitative

Indexed keywords

FEMALE; HEALTH CARE PERSONNEL; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MOTOR ACTIVITY; ORGANIZATION AND MANAGEMENT; PHYSIOLOGY; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; STATISTICS AND NUMERICAL DATA;

ATTITUDE OF HEALTH PERSONNEL; FEMALE; HEALTH PERSONNEL; HUMANS; MALE; MOTOR ACTIVITY; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH;

EID: 84930209189     PISSN: 10705503     EISSN: None     Source Type: Journal    
DOI: 10.1007/s12529-014-9411-9     Document Type: Article

References (56)

1. Tulloch H, Fortier M, Hogg W. Physical activity counseling in primary care: who has and who should be counseling? Patient Educ Couns. 2006;64(1–3):6–20.
2. Eakin EG, Glasgow RE, Riley KM. Review of primary care-based physical activity intervention studies. J Fam Pract. 2000;49(2):158–68.
3. Orrow G, Kinmonth A-L, Sanderson S, Sutton S. Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ. 2012;344:e1389.
4. Sørensen JB, Skovgaard T, Puggaard L. Exercise on prescription in general practice: a systematic review. Scand J Prim Health. 2006;24:69–74.
5. Fallon EA, Wilcox S, Laken M. Health care provider advice for African American adults not meeting health behavior recommendations. Prev Chron Dis. 2006;3(2):1–12.
6. Glasgow RE, Eakin EG, Fisher EB, Bacak SJ, Brownson RC. Physician advice and support for physical activity: results from a national survey. Am J Prev Med. 2001;21(3):189–96.
7. VanWormer JJ, Pronk NP, Kroeninger GJ. Clinical counseling for physical activity: translation of a systematic review into care recommendations. Diabetes Spec. 2009;22(1):48–55.
8. Verheijden MW, Bakx JC, Delemarre ICG, Wanders AJ, Woudenbergh NM, Bottema BJAM, et al. GPs’ assessment of patients’ readiness to change diet, activity and smoking. Br J Gen Pract. 2005;55:452–7.
9. Helmink JHM, Meis JJM, De Weerdt I, Visser FN, De Vries NK, Kremers SPJ. Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme. Int J Behav Nutr Phys. 2010;7:49.
10. Green LW, Kreuter MW. Health promotion planning: an educational and environmental approach. 3rd ed. Mountain View: Mayfield; 1999.
11. Glasgow RE, Lichtenstein E, Marcus AC. Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. Am J Public Health. 2003;93:1261–7.
12. Glasgow RE, Bull SS, Gilette C, Klesges LM, Dzewaltowski DA. Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. Am J Prev Med. 2002;23(1):62–9.
13. Wandersman A, Duffy J, Flaspohler P, Noonan R, Lubell K, Stillman L, et al. Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. Am J Community Psychol. 2008;41:171–81.
14. Dzewaltowski DA, Estabrooks PA, Glasgow RE. The future of physical activity behavior change research: what is needed to improve translation of research into health promotion practice? Exerc Sport Sci Rev. 2004;32(2):57–63.
15. Aarons GA, Wells RS, Zagursky K, Fettes DL, Palinkas LA. Implementing evidence-based practice in community mental health agencies: a multiple stakeholder analysis. Am J Public Health. 2009;99(11):2087–95.
16. Eakin EG, Brown WJ, Marshall AL, Mummery K, Larsen E. Physical activity promotion in primary care: bridging the gap between research and practice. Am J Prev Med. 2004;27(4):297–303.
17. Bartholomew KL, Parcel GS, Kok G, Gottlieb NH, Fernández ME. Planning health promotion programs: an intervention mapping approach. 3rd ed. San Francisco: Jossey-Bass; 2011.
18. Fleuren M, Wiefferink K, Paulussen T. Determinants of innovation within health care organizations: literature review and Delphi study. Int J Qual Health Care. 2004;16(2):107–23.
19. Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82(4):581–629.
20. Cane J, O’Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7:37.
21. Fixsen DL, Naoom SF, Blase KA, Friedman RM, Wallace F. Implementation research: a synthesis of the literature. Tampa: University of South Florida; 2005.
22. Paulussen TGWM, Wiefferink K, Mesters I. Invoering van effectief gebleken interventies. In: Brug J, van Asseman P, Lechner L, editors. Gezondheidsvoorlichting en gedragsverandering. Assen: van Gorcum; 2007. p. 151–72.
23. Glasgow R, Vogt T, Boles S. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89:1322–7.
24. Grol R, Wensing M, Eccles M. Improving patient care: the implementation of change in clinical practice. Oxford: Elsevier; 2005.
25. Chaudoir SR, Dugan AG, Barr CHI. Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level. Implement Sci. 2013;8:22.
26. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003;362:1225–30.
27. Rogers EM. Diffusion of innovations. 3rd ed. New York: The Free Press; 1983.
28. Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14:26–33.
29. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.
30. Eakin EG, Smith BJ, Bauman AE. Evaluating the population health impact of physical activity interventions in primary care: are we asking the right questions? Phys Health. 2005;2:197–215.
31. Estabrooks PA, Glasgow RE. Translating effective clinic-based physical activity interventions into practice. Am J Prev Med. 2006;31(4S):S45–56.
32. Grol RPTM, Bosch MC, Hulscher MEJL, Eccles MP, Wensing M. Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Q. 2007;85(1):93–138.
33. Fleuren M, Dusseldorp E, van den Bergh S, Vlek H, Wildschut J, van den Akker E, et al. Implementation of a shared care guideline for back pain: effect on unnecessary referrals. Int J Qual Health Care. 2010;22(5):415–20.
34. de Veer AJE, Fleuren MAH, Bekkema N, Francke AL. Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. BMC Med Inform Decis Making. 2011;11:67.
35. Fleuren MAH, Vrijkotte S, Jans MP, Pin R, van Hespen A, van Meeteren NLU, et al. The implementation of the functional task exercise programme for elderly people living at home. BMC Musculoskelet Disord. 2012;13(1):128.
36. Rosman AN, Vlemmix F, Fleuren MAH, Rijnders ME, Beuckens A, Opmeer BC, et al. Patients’ and professionals’ barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands. Midwifery. 2014;30(3):324–30.
37. ATLAS.ti Scientific Software Development GmbH. ATLAS.ti version 5.2.0. 2013.
38. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.
39. Allenspach EC, Handschin M, Kutlar Joss M, Hauser A, Nüscheler M, Grize L, et al. Patient and physician acceptance of a campaign approach to promoting physical activity: the “Move for Health” project. Swiss Med Wkly. 2007;137:292–9.
40. Bize R, Cornuz J, Martin B. Opinions and attitudes of a sample of Swiss physicians about physical activity promotion in a primary care setting. Swiss Med Wkly. 2007;55:97–100.
41. Bull FC, Milton KE. A process evaluation of a “physical activity pathway” in the primary care setting. BMC Public Health. 2010;10:463.
42. Patel A, Schofield GM, Kolt GS, Keogh JWL. General practitioners’ views and experiences of counselling for physical activity through the New Zealand Green Prescription program. BMC Fam Pract. 2011;12:119.
43. Swinburn BA, Walter LG, Arroll B, Tilyard MW, Russell DG. Green prescriptions: attitudes and perceptions of general practitioners towards prescribing exercise. Brit J Gen Pract. 1997;47(422):567–9.
44. van Sluijs EMF, van Poppel MNM, Stalman WAB, van Mechelen W. Feasibility and acceptability of a physical activity promotion programme in general practice. Fam Pract. 2004;21(4):429–36.
45. Winzenberg T, Reid P, Shaw K. Assessing physical activity in general practice: a disconnect between clinical practice and public health? Brit J Gen Pract. 2009;59:e359–67.
46. Gribben B, Goodyear-smith F, Grobbelaar M, O’Neill D, Walker S. The early experience of general practitioners using Green Prescription. N Z Med J. 2000;113:372–3.
47. Märki A, Bauer GB, Angst F, Nigg CR, Gillmann G, Gehring TM. Systematic counselling by general practitioners for promoting physical activity in elderly patients: a feasibility study. Swiss Med Wkly. 2006;136:482–8.
48. Petrella RJ, Wight D. An office-based instrument for exercise counseling and prescription in primary care. The Step Test Exercise Prescription (STEP). Arch Fam Med. 2000;9(4):339–44.
49. Graham RC, Dugdill L, Cable NT. Health professionals’ perspectives in exercise referral: implications for the referral process. Ergonomics. 2005;48:1411–22.
50. Schmid M, Egli K, Brian MW, Bauer GF. Health promotion in primary care: evaluation of a systematic procedure and stage specific information for physical activity counselling. Swiss Med Wkly. 2009;139:665–71.
51. Douglas F, Van Teijlingen E, Torrance N, Fearn P, Kerr A, Meloni S. Promoting physical activity in primary care settings: health visitors’ and practice nurses’ views and experiences. J Adv Nurs. 2006;55(2):159–68.
52. Puig Ribera A, McKenna J, Riddoch C. Attitudes and practices of physicians and nurses regarding physical activity promotion in the Catalan primary health-care system. Eur J Public Health. 2005;15(6):569–75.
53. Sassen B, Kok G, Vanhees L. Predictors of healthcare professionals’ intention and behaviour to encourage physical activity in patients with cardiovascular risk factors. BMC Public Health. 2011;11:246.
54. Puig Ribera A, McKenna J, Riddoch C. Physical activity promotion in general practices of Barcelona: a case study. Health Educ Res. 2006;21(4):538–48.
55. Smith PA, Gould MM, See Tai S, Iliffe S. Exercise as therapy? Results from group interviews with general practice teams involved in an inner-London “prescription for exercise” scheme. Health Educ J. 1996;55(4):439–46.
56. Walsh JM, Swangard DM, Davis T, McPhee SJ. Exercise counseling by primary care physicians in the era of managed care. Am J Prev Med. 1999;16(4):307–13.