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Research Articles

Physical activity on prescription in Swedish primary care: a survey on use, views, and implementation determinants amongst general practitioners

, ORCID Icon & ORCID Icon
Pages 61-71 | Received 24 Mar 2023, Accepted 21 Nov 2023, Published online: 04 Dec 2023

References

  • Katzmarzyk PT, Friedenreich C, Shiroma EJ, et al. Physical inactivity and non-communicable disease burden in low-income, Middle-income and high-income countries. Br J Sports Med. 2022;56(2):101–106. doi: 10.1136/bjsports-2020-103640.
  • WHO. Guidelines approved by the guidelines review committee. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020.
  • The Public Health Agency of Sweden. The development of public health – annual report 2021. In Swedish: Folkhälsans utveckling – årsrapport 2021. Stockholm, Sweden: Folkhälsomyndigheten; 2021.
  • Ekelund U, Tarp J, Steene-Johannessen J, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ. 2019;366:l4570. doi: 10.1136/bmj.l4570.
  • Statens folkhälsoinstitut. Far®: Individanpassad skriftlig ordination av fysisk aktivitet. Östersund: Statens folkhälsoinstitut; 2011.
  • WHO. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009.
  • Wen CP, Wai JP, Tsai MK, et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet. 2011;378(9798):1244–1253. doi: 10.1016/S0140-6736(11)60749-6.
  • WHO. Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: World Health Organization; 2018.
  • Sveriges Kommuner och Regioner. Statistik om hälso- och sjukvård samt regional utveckling 2021 [Statistics about health care and regional development 2021]. [Internet]. Sveriges Kommuner och Regioner: 2020. [Cited 12 July 2023]. Available from: https://skr.se/download/18.5e71e97518692446121b5588/1678982887387/Statistik%20om-halso%20och-sjukvard-samt-regional-utveckling_2021_2023-03-16.pdf.
  • Orrow G, Kinmonth A-L, Sanderson S, et al. Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ. 2012;344(mar26 1):e1389–e1389. doi: 10.1136/bmj.e1389.
  • van der Wardt V, di Lorito C, Viniol A. Promoting physical activity in primary care: a systematic review and meta-analysis. Br J Gen Pract. 2021;71(706):e399–e405. doi: 10.3399/BJGP.2020.0817.
  • Sanchez A, Bully P, Martinez C, et al. Effectiveness of physical activity promotion interventions in primary care: a review of reviews. Prev Med. 2015;76 Suppl: S56–S67. doi: 10.1016/j.ypmed.2014.09.012.
  • Kettle VE, Madigan CD, Coombe A, et al. Effectiveness of physical activity interventions delivered or prompted by health professionals in primary care settings: systematic review and meta-analysis of randomised controlled trials. BMJ. 2022;376:e068465. doi: 10.1136/bmj-2021-068465.
  • The Swedish Council on Technology Assessment in Health Care (SBU). Methods of promoting physical ­activity: a systematic review. 2007 Mar. SBU Yellow Report. No 181.
  • Professional Associations for Physical Activity. Dohrn IM, Börjesson M, Hagströmer M, eds. Physical activity in the prevention and treatment of disease, FYSS 2021 (in Swedish: Fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling, FYSS 2021). Stockholm: Läkartidningen Förlag AB; 2021.
  • The Swedish National Board of Health and Welfare. National guidelines for prevention and treatment of unhealth lifestyle habits. [In Swedish: Nationella riktlinjer för prevention och behandling vid ohälsosamma levnadsvanor. Stöd för styrning och ledning]. Stockholm: Socialstyrelsen; 2018.
  • Lundqvist S. Physical activity on prescription in primary care: impact on physical activity level, metabolic health and health-related quality of life, and its cost-effectiveness – a short- and long-term perspective [dissertation]. Gothenburg: University of Gothenburg; 2020. 175. p.
  • WHO. Promoting physical activity in the health sector: current status and success stories from the European Union member states of the WHO European region. Copenhagen: World Health Organization. Regional Office for Europe, 2018. Report No.: Contract No.: WHO/EURO:2018-3311-43070-60279.
  • European Physical Activity on Prescription model Organisation (EUPAP). [Internet]; 2022. cited 3 March 2023]. Available from: https://www.eupap.org.
  • Onerup A, Arvidsson D, Blomqvist Å, et al. Physical ­activity on prescription in accordance with the swedish model increases physical activity: a systematic ­review. Br J Sports Med. 2019;53(6):383–388. doi: 10.1136/bjsports-2018-099598.
  • Lundqvist S, Börjesson M, Cider Å, et al. Long-term physical activity on prescription intervention for patients with insufficient physical activity level-a randomized controlled trial. Trials. 2020;21(1):793. doi: 10.1186/s13063-020-04727-y.
  • Lundqvist S, Cider Å, Larsson ME, et al. The effects of a 5-year physical activity on prescription (PAP) intervention in patients with metabolic risk factors. PLoS One. 2022;17(10):e0276868. doi: 10.1371/journal.pone.0276868.
  • Joelsson M, Lundqvist S, Larsson MEH. Tailored physical activity on prescription with follow-ups improved motivation and physical activity levels. A qualitative study of a 5-year Swedish primary care intervention. Scand J Prim Health Care. 2020;38(4):399–410. doi: 10.1080/02813432.2020.1842965.
  • Rollnick S, Miller WR. What is motivational interviewing? Behav. Cogn. Psychother. 1995;23(4):325–334. doi: 10.1017/S135246580001643X.
  • Jacobson DM, Strohecker L, Compton MT, et al. Physical activity counseling in the adult primary care setting: position statement of the American College of Preventive Medicine. Am J Prev Med. 2005;29(2):158–162. doi: 10.1016/j.amepre.2005.04.009.
  • Lawlor DA, Keen S, Neal RD. Can general practitioners influence the nation’s health through a population ­approach to provision of lifestyle advice? Br J Gen Pract. 2000;50(455):455–459.
  • Falskog F, Landsem AM, Meland E, et al. Patients want their doctors’ help to increase physical activity: a cross sectional study in general practice. Scand J Prim Health Care. 2021;39(2):131–138. doi: 10.1080/02813432.2021.1910670.
  • The Swedish National Board of Health and Welfare. Om implementering [About implementation]. Västerås: Socialstyrelsen; 2012. Article no. 2012-6-12. ISBN 978-91-87169-37-3.
  • Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10(1):53. doi: 10.1186/s13012-015-0242-0.
  • May CR, Mair F, Finch T, et al. Development of a theory of implementation and integration: normalization process theory. Implement Sci. 2009;4:29.
  • May C, Rapley T, Mair FS, et al. Normalization process theory on-line users’ manual, toolkit and nomad instrument: NPT; 2015. [Accessed Mar 23, 2023]. Available from: https://normalization-process-theory.northumbria.ac.uk/.
  • Persson G, Brorsson A, Ekvall Hansson E, et al. Physical activity on prescription (PAP) from the general practitioner’s perspective – a qualitative study. BMC Fam Pract. 2013;14(1):128. doi: 10.1186/1471-2296-14-128.
  • Gustavsson C, Nordqvist M, Bröms K, et al. What is required to facilitate implementation of Swedish physical activity on prescription? – Interview study with primary healthcare staff and management. BMC Health Serv Res. 2018;18(1):196. doi: 10.1186/s12913-018-3021-1.
  • The Swedish Public Health Authority. FaR i Sverige - en beskrivning av regionernas arbete med metoden Fysisk aktivitet på recept. [PAP in Sweden – a description of the region’s work with the method Physical activity on prescription]. [Internet]. Stockholm: The Swedish Public Health Authority; 2022. Article no. 21232. [Cited 12 July 2023]. Available from: https://www.folkhalsomyndigheten.se/publikationer-och-material/publikationsarkiv/f/far-i-sverige–en-beskrivning-av-regionernas-arbete-med-metoden-fysisk-aktivitet-pa-recept/.
  • Västra Götalandsregionen. Centrum för fysisk aktivitet, Göteborg 2021. [Accessed Mar 23, 2023]. Available from: https://www.vgregion.se/halsa-och-vard/levnadsvanor/aktivitetskatalog-far/.
  • Finch TL, Girling M, May CR, et al. NoMAD: implementation measure based on normalization process theory. measurement instrument]; 2015. [Accessed Mar 23, 2023]. Available from: https://normalization-process-theory.northumbria.ac.uk/.
  • Finch TL, Girling M, May CR, et al. Improving the ­normalization of complex interventions: part 2 – validation of the nomad instrument for assessing implementation work based on normalization process theory (NPT). BMC Med Res Methodol. 2018;18(1):135. doi: 10.1186/s12874-018-0591-x.
  • Elf M, Nordmark S, Lyhagen J, et al. The swedish version of the normalization process theory measure s-nomad: translation, adaptation, and pilot testing. Implement Sci. 2018;13(1):146. doi: 10.1186/s13012-018-0835-5.
  • Joelsson M, Bernhardsson S, Larsson MEH. Patients with chronic pain may need extra support when prescribed physical activity in primary care: a qualitative study. Scand J Prim Health Care. 2017;35(1):64–74. doi: 10.1080/02813432.2017.1288815.
  • Curbach J, Apfelbacher C, Knoll A, et al. Physicians’ perspectives on implementing the prevention scheme "physical activity on prescription": results of a survey in Bavaria. Z Evid Fortbild Qual Gesundhwes. 2018;131-132:66–72. doi: 10.1016/j.zefq.2018.02.001.
  • Fowles JR, O’Brien MW, Solmundson K, et al. Exercise is medicine Canada physical activity counselling and exercise prescription training improves counselling, prescription, and referral practices among physicians across Canada. Appl Physiol Nutr Metab. 2018;43(5):535–539. doi: 10.1139/apnm-2017-0763.
  • Leemrijse CJ, de Bakker DH, Ooms L, et al. Collaboration of general practitioners and exercise providers in promotion of physical activity a written survey among general practitioners. BMC Fam Pract. 2015;16(1):96. doi: 10.1186/s12875-015-0316-8.
  • Din NU, Moore GF, Murphy S, et al. Health professionals’ perspectives on exercise referral and physical activity promotion in primary care: Findings from a process evaluation of the national exercise referral scheme in Wales. Health Educ J. 2015;74(6):743–757. doi: 10.1177/0017896914559785.
  • Boman C, Bernhardsson S, Lauruschkus K, et al. Prerequisites for implementing physical activity on prescription for children with obesity in paediatric health care: a cross-sectional survey. Front Health Serv. 2022;2:1102328. doi: 10.3389/frhs.2022.1102328.