Exercise Prescription: Attitude & Barriers among Healthcare Professionals in Hospital Setting, Kenya (original) (raw)
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Exercise Prescription: Practices of Healthcare Professionals in Hospital Setting, Kenya
Journal of Physical Activity Research, 2018
Physical inactivity is a serious epidemic that affects one’s health and there’s evidence that exercise can improve quality of life and health. The healthcare setting has been recognized as an appropriate and promising venue for counseling and prescribing physical activity to increase activity index of the population. An exercise prescription from a healthcare professional will remind the patient that physical activity is part of their treatment plan and should be adhered to with the same diligence with which their medication is taken. However, limited research on the topic suggests that many healthcare professionals are not incorporating exercise into treatment, and many lack the confidence to do so. The purpose of this study was to evaluate current exercise prescription trends among practicing healthcare professionals in Kakamega County, Kenya. A cross-sectional study was carried out in public health facilities in Kakamega County. The target population was nurses, medical officers and clinical officers. Data was collected using self-administered questionnaires and a total of 280 healthcare professionals from 7 government hospitals in Kakamega county participated in the study. From these hospitals 221 healthcare professionals (medical officers=11,5%, nurses= 165,75% and clinical officers=71,32%) completed the questionnaire. Healthcare professionals (HCPs) reported that, they occasionally (n=75, 33.9%) referred patients to other professionals for fitness assessment or appraisal, they occasionally (n=78, 35.3%) provided patients with verbal directions for a physical activity program, they very rarely (n=73, 33%) provided patients with written directions for a physical activity program, they frequently (n=71 32.1%) counselled PA (verbal or written prescription) for purposes of preventing chronic disease, they occasionally (n=76, 34.4%) discussed about physical activity with their patients and 59 (26.7%) very rarely participated in exercise session at least three times a week. The independent between- group ANOVA yielded a non- statistically significantly effect, F (2, 218) = 1.132, p = .324, ƞp2= .01. Statistical power was not adequate and was equal to .248. Thus, the null hypothesis of no significant differences in knowledge of exercise prescription in health professionals at public health facilities in Kakamega was accepted. In conclusion these findings lend support for further training, increased incorporation, and further growth needed in healthcare professionals’ self-efficacy in the prescription of exercise.
International Journal of Research and Innovation in Applied Science, 2019
Objective. To find out the exercise prescription knowledge among healthcare professionals in Kakamega county, Kenya Design. The study design was a descriptive cross-sectional, that utilized quantitative methods Setting. The study was conducted in Public health facilities in Kakamega County, located in Western Kenya. These facilities were four (4) Sub-County hospitals, two (2) County hospitals and one (1) County referral hospital Sample Stratified random sampling was embraced to divide the population into homogeneous subgroups as per the professional cadres then simple random in proportion to their number in the population was done.Formulae that was used for calculating the sample size was Cochran) with an attrition rate of 10%, since the sample size was less than 10,000 people, the sample size was adjusted with the Finite population correction for proportions based on the populations of nurses, doctors and clinical officers (n = 221) Analysis. Data was analyzed through descriptive statistics. All assumption for conducting parametric tests were met before undertaking parametric tests. ANOVA was used to determine if healthcare providers differed with regards to knowledge of exercise prescription. In case of observing significant differences Hochberg's GT2 post-hoc test was used. Alpha level for all the computations was considered p <0.05. Main outcome measures. Exercise prescription knowledge among healthcare professionals Results. (43.4%, n=96) of the respondents agreed that they were aware of the WHO guidelines for physical activity. (42.5%, n=94) said that they are not sure about the ACSM guidelines. (41.2%, n=91) strongly agreed that aerobic and muscle strengthening physical activity are beneficial. (59.3%, n=131) were not sure that age predicted heart rate maximum can easily be determined by 220 minus age. majority of the healthcare professionals had good knowledge of exercise prescription (81%, n=179) scoring 28 or above and there were no significant differences (F (2, 218) = .675, p = .510, ƞ p 2 = .01) in knowledge of exercise prescription amongst healthcare professionals Conclusion. A replication study on healthcare professionals with different characteristics should be conducted to increase the possibility for generalization of the findings.
2018
Introduction: Physical inactivity is a fast growing public health problem and contributes to a variety of chronic diseases and health complications. Currently physical inactivity is one of the major causes of Non-Communicable Diseases (NCDs). NCDs cause more than 36 million deaths per year across the globe (comprising approximately 63% of all deaths) according to (WHO, 2013). Methods and materials: A descriptive survey design was used to assess healthcare professionals' attitude towards physical activity counseling and prescription for non-communicable diseases in hospital setting. The sample hospitals were selected randomly based on the inclusion and exclusion criteria. The sample size was determined by using the formula for estimating a single population proportion. Results: A total of 442 healthcare professionals from 7 government hospitals in Addis Ababa city were participated in the study. From these hospitals 387 healthcare professionals (physicians = 135, 34.9%, nurses = 218, 56.3% and physiotherapist = 34, 8.8%) were completed the questionnaire. Majority of HCPs (n = 385, 90.1%) agree to good physical activity habits of HCPs can encourage their patients to exercise and maintain good health (Table 1). Most of HCPs (88.5%) agree that exercise counseling/prescribing is important in the fi eld of HCP practice, (76.5%) believed that only advise patients about PA if linked to current problem, (78.2%) HCPs agree that discussing the benefi ts of physically active lifestyle with patients is part of HCPs' role, while only (37.7%) of HCPs believe that exercise is as effective as medicine. In general most of healthcare professionals were had positive attitude towards counseling PA as preventative or management modality for chronic diseases. Conclusion: Majority of HCPs agree to good physical activity habits of HCPs can encourage their patients to exercise and maintain good health. Most of HCPs agree that exercise counseling/prescribing is important in the fi eld of HCPs' practice, and this study suggest that physicians were more likely to agree that they advised patients about PA only if it was linked to the current condition and if the patient ask about physical activity.
Journal of the Egyptian Public Health Association, 2020
Background Physical inactivity is considered a problem with great impact on morbidity and mortality. There is a necessity to combat this behavior through an assessment of barriers and benefits perceived by subjects. Objectives The current study aimed to measure exercise intention, in addition to identifying physical exercise predictors, including perceived barriers and benefits among healthcare providers (HCPs) in Ain Shams University Hospitals. Methods A cross-sectional study was performed on a sample (n = 327) of healthcare providers (physicians and nurses) in Ain Shams University Hospitals in Cairo, Egypt, using anonymous self-administrated questionnaires and relevant scales. Results Out of 327 healthcare providers approached, 52.6% of them were males and the mean age of participants was (29.34 ± 7.84 years). Physical exercise was reported by 44.6% of participants. The most significant factors associated with physical exercise engagement were male gender, participants with lower ...
knowledge, attitude and practice of Exercise prescription among physiotherapists in Nigeria
International journal of health sciences
Background: Physiotherapists as primary health care practitioners are well placed in promoting physically active lifestyles, but their role and practice towards its promotion among patients in Nigeria has not been fully investigated. This study was therefore aimed at determining the knowledge, attitude and practice of Nigerian physiotherapists towards promotion of non-treatment physical activity among patients. Methods: Three hundred and eight practicing physiotherapists from various public and private hospitals in 14 states of Nigeria completed an adopted 20-item questionnaire, which collected information on physical activity promotion in physiotherapy practice. Result: Respondents with good knowledge and attitude towards physical activity promotion in patient management were 196(63.6%) and 292(94.8%) respectively. Only 111 (36%) of the respondents counselled more than 10 patients in the past one month on the benefits of adopting a more physically active lifestyle. Chi-square analysis showed a significant association between low practice of physical activity promotion in patient management with inadequate consultation time (ℵ 2 = 3.36, p = 0.043), years of working experience of physiotherapists (ℵ 2 = 11.37, p =0.023) and relative physical activity levels of physiotherapists (ℵ 2 = 11.82, p = 0.037). The need for Physical activity recommendation guideline was supported by 287 (97%) respondents. Conclusion: Nigerian physiotherapists have good knowledge and attitude towards promotion of physically active lifestyle in their patients but do not counsel many of them, due to insufficient consultation time. Integrating brief counselling into usual treatment sessions is perceived as the most feasible form of physical activity promotion in patient management.
European Journal of Physical Education and Sport Science, 2019
Objective: To describe the physical activity prescribing behaviour of Kenyan healthcare professionals and determine if the theory of planned behaviour explains this behavior. Design: The study design was a cross-sectional analytical, that utilized quantitative methods. Setting: The study was conducted in Public health facilities in Kakamega County, located in Western Kenya. These facilities were four (4) Sub-County hospitals, two (2) County hospitals and one (1) County referral hospital. Sample: Stratified random sampling was embraced to divide the population into homogeneous subgroups as per the professional cadres then simple random in proportion to their number in the population was done. Formulae that was used for calculating the sample size was Cochran) with an attrition rate of 10%, since the sample size was less than 10,000 people, the sample size was adjusted with the finite population correction for proportions based on the populations of nurses, doctors and clinical officers (n = 221) Analysis: Data was analyzed through Structural Equation Modelling (SEM). Alpha level for all the computations was considered significant at an α <0.05. Main outcome measures: Self-reported PA prescription behaviour, PA involvement, attitude, subjective norm, perceived behavioural control (PBC) and intention related to PA prescription behaviour were assessed. Results: The estimation of this hypothesized structural model yielded an acceptable fit to the data, χ2 =1634.6, df = 770; χ 2 /df ratio =2.123(good), CFI = .962; RMSEA = .061, with 90% C.I. = .044-.073, SRMR = .068. Subjective norms itself was a direct predictor of intention (β = .137, p = .007), attitude was a direct predictor of intention (β = .393, p < .001), perceived control was a direct predictor of intention (β = .207, p = .023) but it was not a significant predictor of exercise
International Research Journal of Public and Environmental Health, 2017
Exercise is healthy, and it plays a practical and safe means to decrease the burden of non-communicable diseases. Physical activity(PA) and exercise are key interventions for use in primary and secondary prevention of chronic diseases and especially when physical activity and exercise are part of a medical management plan. There is a need for PA promotion interventions in primary care and evidence that providers want to provide PA information to their patients. Several quasi-experimental and randomized trials have been conducted evaluating the efficacy and effectiveness of primary care PA promotion interventions. While not all primary care PA promotion interventions were successful from the review, the majority of studies support this approach to increasing PA. The health care system should play a role in supporting patients and the population at large to increase their PA to sufficient level for prevention and control of these chronic diseases. Even though being physically active for health and well-being is accepted by much of the general population, the majority of people in developed countries fail to meet even minimal requirements. Considering the numerous preventative and therapeutic health benefits associated with a physically active lifestyle, the effectiveness of exercise to treat various chronic diseases, the limited side effects associated with exercise in comparison to pharmaceutical therapies and the role health providers can play in the promotion of physically active lifestyles, health providers should take an active role in exercise prescription for the patient's sake. The Exercise is Medicine Initiative is being used in other parts of the world however, is has not fully taken off in many developing countries.
BMJ Open, 2022
ObjectivesDespite the many proven advantages of a physically active lifestyle in patient populations, prescription of exercise is currently not widely implemented in routine clinical practice. The aims of this study were twofold: (1) to assess perceptions of clinicians on the current practice of exercise is medicine (E=M) prescription in two Dutch university medical centres and (2) to determine their perceived barriers and facilitators for the implementation of E=M in routine clinical care in Dutch university medical centres.DesignA mixed methodologies study, using both online questionnaires and semi-structured interviews.SettingDutch university medical centres.ParticipantsClinicians working within the departments of medical oncology, orthopaedics and rehabilitation medicine of two university medical centres.ResultsForty-five clinicians (response rate of 51%) completed the questionnaire, and 19 clinicians were interviewed. The results showed that even though clinicians had a positiv...
IOSR Journal of Sports and Physical Education, 2017
Introduction: Regular physical activity (PA) plays an important role in the primary and secondary prevention of several chronic diseases, e.g., cardiovascular disease, diabetes, cancer, hypertension, obesity, depression and osteoporosis (WHO 2010, ACSM 2009). Here the healthcare setting has been recognized as an appropriate and promising venue for counseling and prescribing physical activity (Jacobson et al; 2005). Methods and materials: A cross-sectional survey design was used to assess healthcare professionals' physical activity counseling and prescription practice for non-communicable diseases in hospital setting. The sample hospitals were selected randomly based on the inclusion and exclusion criteria. The sample size was determined by using the formula for estimating a single population proportion. Results: A total of 442 healthcare professionals from 7 government hospitals in Addis Ababa city were participated in the study. From these hospitals 387 healthcare professionals (physicians=135,34.9%, nurses= 218,56.3% and physiotherapist=34,8.8%) were completed the questionnaire. Healthcare professionals (HCPs) reported that, they very frequently ask patients about their physical activity level (8.8%), assess patients' fitness as part of a physical exam or through a fitness test (2.3%), Refer patients to other professionals for fitness assessment or appraisal (5.2 %), Provide patients with verbal directions for a physical activity program (21.4 %), provide patients with written directions for a physical activity program (5.4 %), counsel PA for the purpose of preventing chronic diseases (9.2 %) and Counsel PA for the purpose of treating chronic diseases (5.5 %). Personal PA level was positively and significantly correlated with PA prescription/counseling practices (r s = .17, p = .00). There were a significant difference among the three groups of HCPs (χ 2 = 147.85, df = 2, p = .000). Conclusion: Healthcare professionals' PA prescription/counseling rates was low in hospital setting. The need for improved implementation and establish strategies to increases HCPs' practice of PA prescription/counseling in hospital setting.
American Journal of Sports Science, 2017
The purpose of this study is to assess healthcare professionals' physical activity habits and their confidence to prescribe for chronic (non-communicable) diseases in hospital setting through a cross-sectional survey design. Seven sample hospitals were selected randomly based on the inclusion and exclusion criteria from 12 hospitals. The sample size was determined by using the formula for estimating a single population proportion. The mean score of the participants' confidence was (N = 369, M= 21.7 ± 6.36), indicates that above half of healthcare professionals were had moderate confidence to counsel/prescribe physical activity. The majority of (73.7%) of healthcare professionals reported doing moderate level of physical activity, only 2.8% of participants in the study were categorized as vigorous and 23.5% of the respondents were categorized as low physical activity level. Personal physical activity levels was significantly and positively correlated with confidence of HCPs to prescribe/counsel PA (r s =.266, p =.00). Hence, the more physically active the participants, they were had a greater confidence to prescribe/counsel about physical activity for their patients.