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Physical Activity Assessment and Recommendation for Adults With Arthritis by Primary Care Providers—DocStyles, 2018
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5 2021
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Source: Am J Health Promot. 35(4):559-570
Details:
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Alternative Title:Am J Health Promot
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Personal Author:
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Description:Purpose:
To examine primary care providers’ (PCPs) physical activity assessment and recommendation behaviors for adults with arthritis.
Design:
Cross-sectional.
Setting:
2018 DocStyles online national market research survey of US physicians and nurse practitioners.
Sample:
1,389 PCPs seeing adults with arthritis.
Measures:
2 independent behaviors (assessment and recommendation) as 3 non-mutually exclusive groups: “always assesses,” “always recommends,” and “both” (“always assesses and recommends”).
Analysis:
Calculated percentages of each group (overall and by PCP characteristics), and multivariable-adjusted prevalence ratios (PRs) using binary logistic regression.
Results:
Among PCPs, 49.2% always assessed and 57.7% always recommended physical activity; 39.7% did both. Across all 3 groups, percentages were highest for seeing ≥20 adults with arthritis weekly (“both”: 56.4%; “always assesses”: 66.7%; “always recommends”: 71.3%) and lowest among obstetrician/gynecologists (“both”: 26.9%; “always assesses”: 36.8%; “always recommends”: 40.7%). Multivariable-adjusted associations were strongest for seeing ≥20 adults with arthritis weekly (referent: 1-9 adults) and each of “always assesses” (PR = 1.5 [95% confidence interval (CI): 1.3–1.8] and “both” (PR = 1.6 [95% CI: 1.4—1.9]).
Conclusions:
Approximately 40% of PCPs sampled always engaged in both behaviors (assessing and recommending physical activity) with adults with arthritis; seeing a high volume of adults with arthritis was consistently related to engaging in each behavior. Evidence-based approaches to support PCP counseling include offering provider education and training, raising awareness of available resources, and using health system supports.
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Subjects:
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Source:
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Pubmed ID:33356415
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Pubmed Central ID:PMC10479947
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Document Type:
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Funding:
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Volume:35
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Issue:4
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