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The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study

Physical activity (PA) provides a lot of benefits and can both prevent and manage chronic diseases. A doctor’s advice on PA for their patients is vital in medical care. The aim of this study is to investigate the knowledge, confidence, and physical activity levels of primary care physicians (PCPs) w...

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Main Author: Kee, Lee Ann
Format: Monograph
Language:English
Published: Pusat Pengajian Sains Kesihatan, Universiti Sains Malaysia 2021
Subjects:
R Medicine
Online Access:http://eprints.usm.my/51139/1/LEE%20ANN%20KEE-24%20pages.pdf
http://eprints.usm.my/51139/
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spelling my.usm.eprints.51139 http://eprints.usm.my/51139/ The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study Kee, Lee Ann R Medicine Physical activity (PA) provides a lot of benefits and can both prevent and manage chronic diseases. A doctor’s advice on PA for their patients is vital in medical care. The aim of this study is to investigate the knowledge, confidence, and physical activity levels of primary care physicians (PCPs) with regards to physical activity and exercise (PAE) counselling and exercise prescription in HUSM. Barriers and factors related to PCP’s practice of exercise prescription are also identified with a consideration of conditions like Covid-19 pandemic and the Movement Control Order (MCO) in Malaysia. PCPs (n=64) participated in this study through an online questionnaire distributed through the Family Medicine Department, Universiti Sains Malaysia, HUSM. PCPs provided information on their knowledge/training, current practices, confidence, and barriers in PAE counselling and exercise prescription in clinical practices. Sixteen PCPs stated they had formal education/ training in PAE and 48 reported no specific PAE training. Majority of PCPs (n=59) know the difference between physical activity and exercise compared to the rest who were unsure. During daily clinical practice, PCPs mentioned that on average, they provide physical activity and exercise (PAE) consults to patients about 49.7% of the time. Majority of PCPs (67.4%) feel confident and able to provide information and advice on PAE during clinic sessions. The most prominent barriers to clinical PAE practice were the lack of exercise education (3.7/5.0 score, r=0.47), patients preference of pharmaceutical interventions (3.5/5.0 score, r=0.45) and the lack of continuing education on PAE in medical school and housemanship (4.0/5.0 score, r=0.37) , at p<0.001. Other significantly correlated barriers to practice includes the lack of standard guideline on providing PAE consultations during clinical visits (4.0/5.0 score, r=0.32) and noted that PCPs need for more personal knowledge (4.6/5 score, r=0.25). There was a significant effect of PCPs’ PA levels to the practice of recommending PAE, F=4.87 (p<0.05) from the one-way ANOVA analysis. Overall, majority of PCPs counselled on PAE for about half the times during their clinical sessions. PCPs that are physically active tend to advise more of their patients on exercise and the barriers on recommending PAE during clinical sessions were mainly due to insufficient PAE knowledge and department guidelines. Hence, future research could investigate on methods to improve PAE counselling by PCPs to encourage a more physically active lifestyle for their patients. Pusat Pengajian Sains Kesihatan, Universiti Sains Malaysia 2021-06 Monograph NonPeerReviewed application/pdf en http://eprints.usm.my/51139/1/LEE%20ANN%20KEE-24%20pages.pdf Kee, Lee Ann (2021) The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study. Other. Pusat Pengajian Sains Kesihatan, Universiti Sains Malaysia. (Submitted)
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic R Medicine
spellingShingle R Medicine
Kee, Lee Ann
The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study
description Physical activity (PA) provides a lot of benefits and can both prevent and manage chronic diseases. A doctor’s advice on PA for their patients is vital in medical care. The aim of this study is to investigate the knowledge, confidence, and physical activity levels of primary care physicians (PCPs) with regards to physical activity and exercise (PAE) counselling and exercise prescription in HUSM. Barriers and factors related to PCP’s practice of exercise prescription are also identified with a consideration of conditions like Covid-19 pandemic and the Movement Control Order (MCO) in Malaysia. PCPs (n=64) participated in this study through an online questionnaire distributed through the Family Medicine Department, Universiti Sains Malaysia, HUSM. PCPs provided information on their knowledge/training, current practices, confidence, and barriers in PAE counselling and exercise prescription in clinical practices. Sixteen PCPs stated they had formal education/ training in PAE and 48 reported no specific PAE training. Majority of PCPs (n=59) know the difference between physical activity and exercise compared to the rest who were unsure. During daily clinical practice, PCPs mentioned that on average, they provide physical activity and exercise (PAE) consults to patients about 49.7% of the time. Majority of PCPs (67.4%) feel confident and able to provide information and advice on PAE during clinic sessions. The most prominent barriers to clinical PAE practice were the lack of exercise education (3.7/5.0 score, r=0.47), patients preference of pharmaceutical interventions (3.5/5.0 score, r=0.45) and the lack of continuing education on PAE in medical school and housemanship (4.0/5.0 score, r=0.37) , at p<0.001. Other significantly correlated barriers to practice includes the lack of standard guideline on providing PAE consultations during clinical visits (4.0/5.0 score, r=0.32) and noted that PCPs need for more personal knowledge (4.6/5 score, r=0.25). There was a significant effect of PCPs’ PA levels to the practice of recommending PAE, F=4.87 (p<0.05) from the one-way ANOVA analysis. Overall, majority of PCPs counselled on PAE for about half the times during their clinical sessions. PCPs that are physically active tend to advise more of their patients on exercise and the barriers on recommending PAE during clinical sessions were mainly due to insufficient PAE knowledge and department guidelines. Hence, future research could investigate on methods to improve PAE counselling by PCPs to encourage a more physically active lifestyle for their patients.
format Monograph
author Kee, Lee Ann
author_facet Kee, Lee Ann
author_sort Kee, Lee Ann
title The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study
title_short The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study
title_full The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study
title_fullStr The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study
title_full_unstemmed The practice and factors that influence exercise prescription by primary care physicians in Hospital Universiti Sains Malaysia: a cross-sectional study
title_sort practice and factors that influence exercise prescription by primary care physicians in hospital universiti sains malaysia: a cross-sectional study
publisher Pusat Pengajian Sains Kesihatan, Universiti Sains Malaysia
publishDate 2021
url http://eprints.usm.my/51139/1/LEE%20ANN%20KEE-24%20pages.pdf
http://eprints.usm.my/51139/
_version_ 1724074417030430720
score 13.211869

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