Challenges and opportunities for promoting physical activity in health care: a qualitative enquiry of stakeholder perspectives

SPEAKE, Helen, COPELAND, Robert, BRECKON, Jeff and TILL, Simon (2019). Challenges and opportunities for promoting physical activity in health care: a qualitative enquiry of stakeholder perspectives. European Journal of Physiotherapy.

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Background: Evidence suggests that physical activity (PA) programmes promoted via healthcare settings worldwide may not currently meet the needs of many patients and healthcare professionals (HCPs). This paper describes the outcomes of a qualitative enquiry into the perspectives of patients and professionals from multiple healthcare services regarding the role of PA. Materials and Methods: 19 patients and 22 HCPs were purposively recruited from physiotherapy, podiatry, chronic pain, diabetes and continence services at a community-based healthcare clinic in the United Kingdom. Participants’ views were explored using semi-structured interviews and analysed using thematic analysis. Results: Results identified five themes: differences between the social and medical rationales underpinning PA promotion; the impact of the patient-professional relationship on patient activation, self-management and PA; a risk culture surrounding PA; challenges to meet variation in patients’ needs and preferences; and lack of formal role for PA as a core part of routine healthcare. Conclusions: The study highlights tensions between needs and aspirations, and the reality of delivering advice and support for PA. Challenges resonated with patients and HCPs across different care groups and were not condition-specific. This highlights a need for sharing good practice across healthcare services and system-level interventions to address organisational barriers to the promotion of PA.

Item Type: Article
Uncontrolled Keywords: Physical activity; health promotion; patients; healthcare professionals; interviews; qualitative
Identification Number:
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 25 Nov 2019 11:53
Last Modified: 17 Mar 2021 22:01

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