Can an acute admission to hospital be an opportunity for healthcare professionals to provide physical activity advice? A qualitative study of patients’ perspectives

Can an acute admission to hospital be an opportunity for healthcare professionals to provide physical activity advice? A qualitative study of patients’ perspectives

Abstract

Physical inactivity causes morbidity, mortality and healthcare expenditure. A minority of people undertake sufficient physical activity to meet the DoH recommendations. NICE has determined that brief advice in primary care is costeffective in increasing physical activity levels but there is no current recommendation for secondary care. Acute medical admissions represent “teachable moments” where patients might be receptive to advice. Qualitative methodology was used to determine the perspectives of acute medical in-patients on their willingness to receive physical activity advice and on its format and delivery. Most participants thought physical activity should be discussed by health care professionals if it related to the reason they were admitted to hospital but wanted individually-tailored advice on overcoming their specific barriers to physical activity.

[download-attachments container="div" style="list" display_icon="1" display_count="1" display__size="0"]

References

  1. Lee, I.M, Shiroma E.J., Lobelo, F., Puska, P., Blair S.N., Katzmarzyk, P.T., 2012. Effect of physical inactivity on major noncommunicable diseases worldwide: an analysis of burden of disease and life expectancy. The Lancet, 380(9838), pp.219–229.
  2. Forouzanfar et al., 2015. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990– 2013: a systematic analysis for the Global Burden of Disease Study The Lancet, 386(10010), pp.2287–2323.
  3. Scarborough, P., Bhatnagar, P., Wickramasinghe, K.K., Allender, S., Foster, C., Rayner, M., 2011. The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006–07 NHS costs. Journal of Public Health, 33(4), pp.527–535.
  4. Warburton, D., Nicol, C.W. & Bredin, S., 2006. Health benefits of physical activity: the evidence. Canadian Medical Association Journal, 174(6), pp.801–809. doi:10.1503/cmaj.051351.
  5. Kujala, U.M., 2009. Evidence on the effects of exercise therapy in the treatment of chronic disease. British Journal of Sports Medicine, 43(8), p.550.
  6. Lollgen, H., Bockenhoff, A., Knapp, G. 2009. Physical activity and all-cause mortality: an updated meta-analysis with different intensity categories. Int J Sports Med. 30:213–24. [PubMed:19199202]
  7. Rosenbaum, S., Tiedemann, A., Sherrington, C., Curtis, J., Ward, P.B., 2014. Physical activity interventions for people with mental illness: A systematic review and meta-analysis. Journal of Science and Medicine in Sport, 18, p.e150.
  8. Pedersen, B.K. & Saltin, B., 2015. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports, 25, pp.1–72.
  9. Beaglehole, Robert et al., 2011. Priority actions for the noncommunicable disease crisis. The Lancet, 377(9775), pp.1438–1447.
  10. Department of Health (DOH). 2011. Start Active, Stay Active. A report on physical activity for health from the four home countries’ Chief Medical Officers. DH, London. www.bhfactive.org.uk/userfiles/Documents/startactivestayactive.pdf (accessed 17/07/17)
  11. Health and Social Care Information Centre (HSCIC). 2013. Health Survey for England 2012. Volume 1: Chapter 2 – Physical activity in adults. Health and Social Care Information Centre: Leeds.
  12. Hallal, P.C., Andersen, L.B., Bull, F.C., Guthold, R., Haskell, W., Ekelund, U., 2012. Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), pp.247–40
  13. Campbell, F., Blank, L., Messina, J., Day, M. Buckley, W.H., Payne, N., Goyder, E., Armitage, C., 2012. National Institute for Health and Clinical Excellence (NICE) public health intervention guidance physical activity: BA for adults in primary care. Review of effectiveness evidence. London: NICE
  14. Anokye, N.K., Lord, J., Fox-Rushby, J.I., 2014. Is brief advice in primary care a cost-effective way to promote physical activity? British Journal of Sports Medicine, 48(3), p.202.
  15. National Institute for Health and Clinical Excellence (NICE), Physical activity: brief advice for adults in primary care. London: NICE, nice.org.uk/guidance/ph44.
  16. Orrow, G., Kinmonth, A.L., Sanderson, S., Sutton, S., 2012. Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ, 344(7850), p.e1389.
  17. National Institute for Health and Clinical Excellence (NICE), Behaviour change at population, community and individual levels. London: NICE, http://guidance.nice.org.uk/PH006.
  18. Pope, C. & Mays, N., 2006. Qualitative research in health care / edited by Catherine Pope, Nicholas Mays. 3rd ed., Malden, Mass.; Oxford.
  19. Green, J. & Thorogood, N., 2014. Qualitative methods for health research. 3rd ed., London.
  20. Gorgon, E., Said, C. & Galea, M., 2007. Mobility on discharge from an aged care unit. Physiotherapy Research International, 12(2), pp.72–81.
  21. Wareham, N., Jakes, R., Rennie, K., Mitchell, J., Hennings, S.& Day, N.; Validity and repeatability of the EPIC-Norfolk Physical Activity Questionnaire, International Journal of Epidemiology, Volume 31, Issue 1, 1 February 2002, Pages 168–174,
  22. Anyan, F., 2013. The Influence of Power Shifts in Data Collection and Analysis Stages: A Focus on Qualitative Research Interview. Qualitative Report, 18, pp. Qualitative Report, 2013, Vol.18.
  23. Britten, N., 2006. Qualitative interviews. In Qualitative research in health care / edited by Catherine Pope, Nicholas Mays. 3rd ed., Malden, Mass.; Oxford.
  24. Braun, V. & Clarke, V., 2006. Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), pp.77–101.
  25. Gale, NK, Heath, G., Cameron, E., Rashid, S., Redwood, S., Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC medical research methodology, 13, p.117.
  26. Haynes, C.L., 2008. Health promotion services for lifestyle development within a UK hospital - Patients’ experiences and views. BMC Public Health, 8(1), p.284.
  27. McBride, A., 2004. Health promotion in the acute hospital setting: the receptivity of adult in-patients. Patient Education and Counseling, 54(1), pp.73–78.
  28. Guest, G., Bunce, A. & Johnson, L. (2006). “How many interviews are enough? An experiment with data saturation and variability”. Field Methods, 18(1), 59-82
  29. Polit, D. & Beck, CT., 2010. Generalization in quantitative and qualitative research: Myths and strategies. International Journal of Nursing Studies, 47(11), pp.1451–1458.
  30. Braun, V. & Clarke, V., 2013. Successful qualitative research: a practical guide for beginners. Virginia Braun, Victoria Clarke., London. SAGE 2013.

Request Permissions

To request copyright permission to republish or share portions of our works, please visit Copyright Clearance Center’s (CCC) Marketplace website by clicking the button below:

Get Permission

Can an acute admission to hospital be an opportunity for healthcare professionals to provide physical activity advice? A qualitative study of patients’ perspectives

26th March 2018
PMID: 29589600
Authors Affiliations
James NF Murphy Honorary Assistant Professor, University of Nottingham
Ivan Le Jeune BMBCh, BA, MRCP, PhD. Department of Research and Education in Emergency medicine, Acute medicine and Major trauma (DREEAM), Nottingham University Hospitals NUH Trust, Nottingham, UK

Can an acute admission to hospital be an opportunity for healthcare professionals to provide physical activity advice? A qualitative study of patients’ perspectives

Cite this article as:

Murphy JNF, Le Jeune I. Can an acute admission to hospital be an opportunity for healthcare professionals to provide physical activity advice? A qualitative study of patients' perspectives. Acute Med. 2018;17(1):10-17. PMID: 29589600.

Can an acute admission to hospital be an opportunity for healthcare professionals to provide physical activity advice? A qualitative study of patients’ perspectives

Share this article

Click the icon of the social media platform on which you would like to share this article.


Shopping Basket
Scroll to Top