liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Does a physical activity referral scheme improve the physical activity among routine primary health care patients?
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. (Landstinget i Östergötland; Centre for Public Health Sciences; Centre for Public Health Sciences; Folkhälsovetenskapligt centrum; Folkhälsovetenskapligt centrum)
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Department of Medical Specialist.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Show others and affiliations
2009 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 19, no 5, 627-636 p.Article in journal (Refereed) Published
Abstract [en]

Physical activity referral (PAR) schemes or concepts occur in varying forms. Because few physical activity intervention studies have been carried out in routine health care settings, it is difficult to translate research findings into daily practice. The aim of this study was to analyze the effectiveness of a PAR scheme implemented in routine primary health care. The study did not include a control group and was based on the ordinary staff's work efforts and follow-up measures. During a 2-year period, 6300 PARs were issued. Effectiveness was measured by an increase in self-reported physical activity. Half of the patients reached reported increased physical activity both at 3 months (49%) and at 12 months (52%). The proportion of inactive patients decreased from 33% at baseline to 17% at 3 months and 20% at 12 months. The proportion of patients who were physically active on a regular basis increased from 22% at baseline to 33% at 3 months and 32% at 12 months. Neither the patient's age nor the profession of the prescriber was associated with differences in effectiveness. The patient's activity level at baseline, the type of physical activity as well as the reason for the prescription were associated with increased physical activity.

Place, publisher, year, edition, pages
2009. Vol. 19, no 5, 627-636 p.
Keyword [en]
Exercise, prescription, lifestyle, primary prevention, health promotion, health education, interpersonal relations, health service research
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-15609DOI: 10.1111/j.1600-0838.2008.00820.xOAI: oai:DiVA.org:liu-15609DiVA: diva2:126758
Note
The definitive version is available at www.blackwell-synergy.com: M. E. Leijon, P. Bendtsen, P. Nilsen, K. Festin, A. Ståhle, Does a physical activity referral scheme improve the physical activity among routine primary health care patients?, 2008, Scandinavian Journal of Medicine and Science in Sports.http://dx.doi.org/10.1111/j.1600-0838.2008.00820.x. Copyright: Blackwell Publishing www.blackwell-synergy.comAvailable from: 2008-11-21 Created: 2008-11-21 Last updated: 2010-05-10Bibliographically approved
In thesis
1. Activating People: Physical activity in the general population and referral schemes among primary health care patients in a Swedish county
Open this publication in new window or tab >>Activating People: Physical activity in the general population and referral schemes among primary health care patients in a Swedish county
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In this thesis the need for physical activity interventions is investigated in a general adult population, the characteristics of physical activity referral (PAR) scheme recipients and referral practitioners, and the effectiveness of PAR in a routine primary health-care (PHC) setting in the county of Östergötland, Sweden. The thesis consists of four papers: three papers are based on a quantitative, uncontrolled prospective PAR study and one paper is based on a population survey in the county of Östergötland, Sweden.

In 2006, only one in four of the adult population, aged 18–84 years, in Östergötland was considered sufficiently active to meet the Swedish national public health recommendations, stated as “30 minutes of moderate physical activity a day”. More than one-third (37%) reported that they hade no intentions to change their physical activity levels, while 36% had thought about change, and 27% were determined to change. Although the individuals felt a large responsibility for their own physical activity, they also believed that this responsibility is partly shared by health-care providers. Among those who wanted to increase their physical activity level, almost one in seven of the total population and one in four among those reporting poor general health, with a BMI over 30 and those who were inactive reported that they wanted support to bring about this change. More than half of them wanted this support from their health-care provider.

During 2004 and 2005, a total of 6300 patients received PARs as part of the Östergötland PAR scheme. Two-thirds of the patients were female and half of the patients were 45–64 years old. The PAR scheme reached a relatively high proportion of physically inactive people. PARrelated statistics, including the numbers of referrals made at individual PHC centres and by different professional categories, showed large differences in prescribing activities, both by patient categories, and by prescribing professionals, indicating great potential for further improvements of this scheme in the future.

Half of the patients (51%) who received PARs were recommended home-based activities, such as walking. Patient follow-up showed that an increase in self-reported physical activity level was achieved by 52% of the patients at the 12-month follow-up. The proportion of inactive patients decreased from 33% at baseline to 20% at 12 months. The proportion of patients who were physically active on a regular basis increased from 22% at baseline to 32% at 12 months. Neither patient age, diagnosis/PAR reason nor the profession of the prescriber were associated with differences in effectiveness. Low activity levels at baseline and homebased activities were significantly associated with increased physical activity at 12 months. Half of the patients (50%) achieved adherence to PARs at the 12-month follow-up, with adherence assessed by simply asking the patients about their adherence to prescribed activity. Patients’ activity levels at baseline (being at least somewhat physically active) and being issued home-based activities were significantly associated with higher adherence at 12 months.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2009. 100 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1096
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-16825 (URN)978-91-7393-710-8 (ISBN)
Public defence
2009-03-11, Aulan i Hälsans hus, ingång 16, Campus US, Linköpings Universitet, Linköping, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2009-02-20 Created: 2009-02-20 Last updated: 2017-06-30Bibliographically approved

Open Access in DiVA

fulltext(204 kB)775 downloads
File information
File name FULLTEXT01.pdfFile size 204 kBChecksum SHA-512
23318cf6b57e0af41057e646e7e01343455f30b4ae7e62187236687928952936ba79a89a9312753222d628fbb7661c6fc1234664e418561d2a9090afe2b48057
Type fulltextMimetype application/pdf

Other links

Publisher's full textLink to Ph.D. Thesis

Authority records BETA

Leijon, Matti E.Bendtsen, PrebenNilsen, PerFestin, Karin

Search in DiVA

By author/editor
Leijon, Matti E.Bendtsen, PrebenNilsen, PerFestin, Karin
By organisation
Division of Preventive and Social Medicine and Public Health ScienceFaculty of Health SciencesDepartment of Medical Specialist
In the same journal
Scandinavian Journal of Medicine and Science in Sports
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 775 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 473 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf