Behavioral Counseling in Primary Care To Promote Physical Activity: Recommendation and Rationale

  title={Behavioral Counseling in Primary Care To Promote Physical Activity: Recommendation and Rationale},
  author={U. S. Preventive Services Task Force},
  journal={Annals of Internal Medicine},
Summary of the Recommendation The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to recommend for or against behavioral counseling in primary care settings to promote physical activity. This is a grade I recommendation. (See Appendix Table 1 for a description of the USPSTF classification of recommendations.) The USPSTF found insufficient evidence to determine whether counseling patients in primary care settings to promote physical activity leads to… 
The Gap Between Clinical Trial and Application in Health Behavior Counseling: Can Behavioral Medicine Build a Bridge?
Patients desire to have information about health-related behaviors (e.g., exercise) provided to them by their health care provider. Outcomes of clinical trials in physical activity counseling are
The development, implementation and evaluation of a system based physical activity promotion program in a free, rural, primary care clinic
An educational program to identify beliefs about physical activity that act as barriers among providers and to educate them about the current recommendations for physical activity resulted in significant increases in knowledge and change in attitudes that were sustained over a twelve week period.
The primary prevention of heart disease in women through health behavior change promotion in primary care.
Physical activity and physical fitness counseling patterns of adult nurse practitioners
Examination of physical activity counseling practices of adult nurse practitioners nationwide found that most ANPs counsel patients on physical activity at least once a year and simply asking about it was the most common method for assessing physical activity.
Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses.
It is concluded that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.
Physician Counseling and Longer Term Physical Activity
Findings provide support for the effectiveness of brief physician counseling, however, the additional telephone support did not appear to enhance the physician counseling.
Efficacy of GP referral of insufficiently active patients for expert physical activity counseling: protocol for a pragmatic randomized trial (The NewCOACH trial)
If referral of primary care patients to exercise specialists increases physical activity, this process offers the prospect of systematically and sustainably reaching a large proportion of insufficiently active adults and provides evidence to expand public funding beyond those with a chronic disease and for delivery via telephone as well as face-to-face consultations.


Physician-based physical activity counseling for middle-aged and older adults: A randomized trial
Results suggest that more intensive, sustained interventions may be necessary to promote the adoption of physical activity among sedentary, middle-aged, and older adults in primary care medical practices.
Effectiveness of physician-based assessment and counseling for exercise in a staff model HMO.
The results suggest that a one-time PACE counseling session with minimal reinforcement, in a setting with high baseline levels of activity, does not further increase activity, and the finding that Contemplators advanced in stage of behavior change suggests that further studies are needed to examine long-term, repeated counseling interventions.
Promoting physical activity in general practice: a controlled trial of written advice and information materials
A prescription for physical activity from a general practitioner, supplemented by additional written materials, can lead to modest short term improvements in self reported physical activity levels among inactive patients.
How to implement physical activity in primary and secondary prevention. A statement for healthcare-professionals from the Task Force on Risk-reduction, American Heart Association.
The purpose of this “how-to” statement is to delineate the fundamentals of implementation of physical activity in both primary and secondary prevention of cardiovascular disease.
The effect among older persons of a general preventive visit on three health behaviors: smoking, excessive alcohol drinking, and sedentary lifestyle. The Medicare Preventive Services Research Team.
This study demonstrates the difficulty of bringing about health behavior change in older patients in the course of a yearly preventive visit for 2 years with their primary care physician when the visit encompasses screening and immunizations, as well as health behavior counseling directed by the physician.
Primary and preventive care: periodic assessments.
  • Gynecologists
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2004
The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners.
A written goal-oriented exercise prescription, in addition to verbal advice, is a useful tool for general practitioners in motivating their parents to increase physical activity.
Status of the year 2000 health goals for physical activity and fitness.
Despite the documented benefits of exercise in enhancing health and reducing the risk of premature death, only 1 of the 13 physical activity and fitness objectives of Healthy People 2000 has been met or exceeded.