Integrating Physical Activity in Primary Care Practice

Mona AuYoung, Sarah E. Linke, Sherry Pagoto, Matthew Buman, Lynette L. Craft, Caroline R. Richardson, Adrian Hutber, Bess H. Marcus, Paul Estabrooks, Sherri Sheinfeld Gorin

Research output: Contribution to journalReview article

24 Citations (Scopus)

Abstract

Based on a collaborative symposium in 2014 hosted by the Society of Behavioral Medicine (SBM) and the American College of Sports Medicine (ACSM), this paper presents a model for physical activity counseling for primary care physicians (PCPs). Most US adults do not meet national recommendations for physical activity levels. Socioecological factors drive differences in physical activity levels by geography, sex, age, and racial/ethnic group. The recent Patient Protection and Affordable Care Act incentivizes PCPs to offer patients physical activity counseling. However, PCPs have reported socioecological barriers to physical activity counseling and also patient barriers to physical activity, spanning from the individual to the environmental (eg, lack of safe spaces for physical activity), policy (eg, reimbursement policies), and organizational (eg, electronic medical record protocols, worksite norms/policies) levels. The aims of this paper are to: 1) discuss barriers to PCP counseling for physical activity; 2) provide evidence-based strategies and techniques to help PCPs address these counseling barriers; and 3) suggest practical steps for PCPs to counsel patients on physical activity using strategies and supports from policy, the primary care team, and other support networks.

Original languageEnglish (US)
Pages (from-to)1022-1029
Number of pages8
JournalAmerican Journal of Medicine
Volume129
Issue number10
DOIs
StatePublished - Oct 1 2016

Fingerprint

Primary Health Care
Primary Care Physicians
Exercise
Counseling
Patient Protection and Affordable Care Act
Organizational Policy
Geography
Electronic Health Records
Ethnic Groups
Workplace

Keywords

  • Physical activity
  • Primary care
  • Socioecologic model

ASJC Scopus subject areas

  • Medicine(all)

Cite this

AuYoung, M., Linke, S. E., Pagoto, S., Buman, M., Craft, L. L., Richardson, C. R., ... Sheinfeld Gorin, S. (2016). Integrating Physical Activity in Primary Care Practice. American Journal of Medicine, 129(10), 1022-1029. https://doi.org/10.1016/j.amjmed.2016.02.008

Integrating Physical Activity in Primary Care Practice. / AuYoung, Mona; Linke, Sarah E.; Pagoto, Sherry; Buman, Matthew; Craft, Lynette L.; Richardson, Caroline R.; Hutber, Adrian; Marcus, Bess H.; Estabrooks, Paul; Sheinfeld Gorin, Sherri.

In: American Journal of Medicine, Vol. 129, No. 10, 01.10.2016, p. 1022-1029.

Research output: Contribution to journalReview article

AuYoung, M, Linke, SE, Pagoto, S, Buman, M, Craft, LL, Richardson, CR, Hutber, A, Marcus, BH, Estabrooks, P & Sheinfeld Gorin, S 2016, 'Integrating Physical Activity in Primary Care Practice', American Journal of Medicine, vol. 129, no. 10, pp. 1022-1029. https://doi.org/10.1016/j.amjmed.2016.02.008
AuYoung M, Linke SE, Pagoto S, Buman M, Craft LL, Richardson CR et al. Integrating Physical Activity in Primary Care Practice. American Journal of Medicine. 2016 Oct 1;129(10):1022-1029. https://doi.org/10.1016/j.amjmed.2016.02.008
AuYoung, Mona ; Linke, Sarah E. ; Pagoto, Sherry ; Buman, Matthew ; Craft, Lynette L. ; Richardson, Caroline R. ; Hutber, Adrian ; Marcus, Bess H. ; Estabrooks, Paul ; Sheinfeld Gorin, Sherri. / Integrating Physical Activity in Primary Care Practice. In: American Journal of Medicine. 2016 ; Vol. 129, No. 10. pp. 1022-1029.
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