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Health professionals' perspectives in exercise referral process: implications for the referral process

Graham, RC, Dugdill, L and Cable, NT 2005, 'Health professionals' perspectives in exercise referral process: implications for the referral process' , Ergonomics, 48 (11-14) , pp. 1411-1422.

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Abstract

The number of exercise referral schemes expanded rapidly across the UK during the 1990s. Health professionals are thought to be one of the most credible sources of health advice for patients and, hence, are thought to have a pivotal role to play in exercise referral schemes. The aim of the study was to investigate the exercise referral process from the health professional's perspective, specifically examining perceived barriers to referral, priority given to an exercise referral scheme in day-to-day consultations, perceived importance of their role in the process and referring practices. Quantitative and qualitative research methods were utilized with 49% (n = 71) of general practitioners and practice nurses (collectively referred to as health professionals throughout), in a large North West borough (population size approximately 287 000) responding to a postal survey and 11 health professionals (general practitioners n = 9 and practice nurses n = 2) volunteering to take part in a semi-structured interview. Barriers to the referral of patients included lack of time, lack of feedback regarding the patients referred. medico-legal responsibility, a feeling that patients may not take exercise advice given and the belief that physical activity promotion is not a priority during routine consultations. Health professionals refer individuals to an exercise referral scheme on an unsystematic basis and express mixed opinions regarding their perceived role in patient physical activity behaviour change. This study calls for closer partnership working, involving training for promoting physical activity in general practice. Also, greater feedback with regard to patient benefits is needed, in order to overcome some of the practical and perceived barriers for health professionals when referring patients to an exercise referral scheme.

Item Type: Article
Uncontrolled Keywords: Cognitive psychology, industrial engineering & manufacturing: ergonomics, sport & exercise science: ergonomics, occupational/industrial health & safety, sports medicine & therapy, work & organizational psychology, barriers, health promotion, physical activity, priority, role
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Subjects / Themes > R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Subjects / Themes > G Geography. Anthropology. Recreation > GV Recreation Leisure > GV0557 Sports
Health and Wellbeing
Subjects outside of the University Themes
Schools: Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Social Justice Research
Journal or Publication Title: Ergonomics
Publisher: Routledge Taylor & Francis
Refereed: Yes
ISSN: 00140139
Depositing User: H Kenna
Date Deposited: 02 Aug 2007 12:05
Last Modified: 20 Aug 2013 16:44
URI: http://usir.salford.ac.uk/id/eprint/36

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