TY - JOUR
T1 - Connecting primary care patients to community-based physical activity
T2 - a qualitative study of health professional and patient views
AU - Carstairs, Sharon Ann
AU - Rogowsky, Rayna H
AU - Cunningham, Kathryn B
AU - Sullivan, Frank
AU - Ozakinci, Gozde
N1 - Funding Information:
This study was supported by the NHS Fife Endowment Fund Grant, which was awarded as part of a larger project (FIF142). The funding body had no impact on the design of the study and collection, analysis, and interpretation of data or in writing of the manuscript. The views expressed are those of the authors.
Funding Information:
We would like to thank the health professionals and patients who participated in this part of the study. The research team acknowledges and would like to thank the support received from the NHS Research Scotland Primary Care Network in their service to recruit health professionals for this study. Patient recruitment to this study was facilitated by SHARE, the Scottish Health Research Register, which is supported by NHS Research Scotland, all the Universities of Scotland and the Chief Scientist’s Office of the Scottish Government. We would additionally like to thank our advisors; - local jogscotland group leaders, and the jogscotland Development Officer, and Dr Laura Wilkie for their collaborative input into the larger research project.
Publisher Copyright:
© 2020, The Authors.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - BACKGROUND: Inconclusive evidence supporting referrals from health professionals to gym-based exercise programmes has raised concern for the roll-out of such schemes, and highlights the importance of developing links between healthcare settings and community-based opportunities to improve physical activity (PA) levels.AIM: This study aimed to identify methods, and explore barriers and facilitators, of connecting primary care patients with PA opportunities from the perspectives of both health professionals (HPs) and patients, using the example of jogscotland.DESIGN & SETTING: An exploratory study utilising semi-structured interviews with primary care patients (n = 14) and HPs (n = 14) from one UK NHS board was conducted.METHOD: Patient and HP transcripts were analysed separately using thematic analysis. Potential methods of connection were identified. The Capability, Opportunity, Motivation, behavioural (COM-B) model and theoretical domains framework (TDF) were employed to facilitate identification of barriers and facilitators for connecting primary care to community jogscotland groups.RESULTS: Three methods of connecting patients to community-based groups were identified: informal passive signposting, informal active signposting, and formal referral or prescribing. Barriers and facilitators for patient connection fell into five TDF domains for HPs and two COM-B model components for patients.CONCLUSION: For patients, HPs raising the topic of PA can help to justify, facilitate, and motivate action to change. The workload associated with connecting patients with community-based opportunities is central to implementation by HPs. Integrative resource solutions and social support for patients can provide a greater variety of PA options and the vital information and support for connecting with local opportunities, such as jogscotland.
AB - BACKGROUND: Inconclusive evidence supporting referrals from health professionals to gym-based exercise programmes has raised concern for the roll-out of such schemes, and highlights the importance of developing links between healthcare settings and community-based opportunities to improve physical activity (PA) levels.AIM: This study aimed to identify methods, and explore barriers and facilitators, of connecting primary care patients with PA opportunities from the perspectives of both health professionals (HPs) and patients, using the example of jogscotland.DESIGN & SETTING: An exploratory study utilising semi-structured interviews with primary care patients (n = 14) and HPs (n = 14) from one UK NHS board was conducted.METHOD: Patient and HP transcripts were analysed separately using thematic analysis. Potential methods of connection were identified. The Capability, Opportunity, Motivation, behavioural (COM-B) model and theoretical domains framework (TDF) were employed to facilitate identification of barriers and facilitators for connecting primary care to community jogscotland groups.RESULTS: Three methods of connecting patients to community-based groups were identified: informal passive signposting, informal active signposting, and formal referral or prescribing. Barriers and facilitators for patient connection fell into five TDF domains for HPs and two COM-B model components for patients.CONCLUSION: For patients, HPs raising the topic of PA can help to justify, facilitate, and motivate action to change. The workload associated with connecting patients with community-based opportunities is central to implementation by HPs. Integrative resource solutions and social support for patients can provide a greater variety of PA options and the vital information and support for connecting with local opportunities, such as jogscotland.
KW - Consultation
KW - Health promotion
KW - Motivation
KW - Physical activity
KW - Primary health care
KW - Social prescribing
UR - http://www.scopus.com/inward/record.url?scp=85091523558&partnerID=8YFLogxK
U2 - 10.3399/bjgpopen20X101100
DO - 10.3399/bjgpopen20X101100
M3 - Article
C2 - 32694135
SN - 2398-3795
VL - 4
SP - 1
EP - 13
JO - British Journal of General Practice Open (BJGP Open)
JF - British Journal of General Practice Open (BJGP Open)
IS - 3
M1 - bjgpopen20X101100
ER -