Swipe om te navigeren naar een ander artikel
The online version of this article (doi:10.1186/1757-1146-6-37) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
PC, VC, TW participated in the conception and design of the study. PC performed acquisition of data and statistical analysis. All authors helped draft and approved the final manuscript. PC was the principal investigator. All authors read and approved the final manuscript.
Health professionals are encouraged to play a part in reducing the health risks of physical inactivity. Little is known of the physical activity promotion practice behaviours of podiatrists.
We performed 20 semi-structured interviews with purposefully selected podiatrists to explore their physical activity promotion attitudes, beliefs, knowledge and practice. Transcribed interviews were coded using an iterative thematic approach to identify major themes and salient beliefs.
Overall, the participants had a positive attitude to physical activity promotion, considering it a normal part of their role. They saw their role as giving information, encouraging activity and making recommendations, however in practice they were less inclined to follow up on recommendations, monitor activity levels or document the process. Their approach was generally opportunistic, informal and unstructured and the content of assessment and promotion dependent upon the presenting patient’s condition. Advice tended to be tailored to the patient’s capabilities and interests. They considered there are opportunities to promote physical activity during regular consultations, however, were more likely to do so in patients with chronic diseases such as diabetes. Main barriers to physical activity promotion included unreceptive and unmotivated patients as well as a lack of time, skills and resources.
Physical activity promotion appears feasible in podiatry practice in terms of opportunity and acceptability to practitioners, but there is scope for improvement. Strategies to improve promotion need to consider the major issues, barriers and opportunities as well as provide a more structured approach to physical activity promotion by podiatrists.
Additional file 1: Table S1: Interview schedule. (DOCX 154 KB)13047_2013_578_MOESM1_ESM.docx
Additional file 2: Participant demographic and physical activity characteristics survey.(DOC 31 KB)13047_2013_578_MOESM2_ESM.doc
Additional file 3: Table S2: Supplementary quotes. (DOC 150 KB)13047_2013_578_MOESM3_ESM.doc
Pate R, Pratt M, Blair S, Haskell W, Macera C, Bouchard C, Buchner D, Ettinger W, Heath G, King A: Physical activity and public health: a recommendation from the centers for disease control and prevention and the American college of sports medicine. JAMA. 1995, 273: 402-10.1001/jama.1995.03520290054029. CrossRefPubMed
Warburton D, Nicol C, Bredin S: Health benefits of physical activity: the evidence. Can Med Assoc J. 2006, 174: 801-10.1503/cmaj.051351. CrossRef
Indicators for chronic diseases and their determinants. 2008, http://www.aihw.gov.au/publications/index.cfm/title/10385,
ABS, Australian health survey first results. 2011, http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012011-12, –12, cat. No. 4364.0,
World Health Assembly 57.17: Global strategy on diet, physical activity and health. 2004, Geneva: World Health Organization
Partnership NPH: Be active Australia: a framework for health sector action for physical activity. 2005, Melbourne VIC: NPHP
Gould MM, Thorogood M, Iliffe S, Morris JN: Promoting physical activity in primary care: measuring the knowledge gap. Health Educ J. 1995, 54: 304-311. 10.1177/001789699505400305. CrossRef
Winzenberg T, Reid P, Shaw K: Assessing physical activity in general practice: a disconnect between clinical practice and public health?. Br J Gen Pract. 2009, 59: 850-855. CrossRef
Kotecki JE, Elanjian SI, Torabi MR: Health promotion beliefs and practices among pharmacists. J Am Pharm Assoc. 2000, 40: 773-779. CrossRef
Phongsavan P, Merom D, Bauman A, Wagner R: Mental illness and physical activity: therapists’ beliefs and practices. Aust N Z J Psych. 2007, 41: 458-459. CrossRef
Grimshaw JM, Eccles MP, Walker AE, Thomas RE: Changing physicians’ behavior: what works and thoughts on getting more things to work. J Contin Educ Heal Prof. 2002, 22: 237-243. 10.1002/chp.1340220408. CrossRef
O’Boyle PE, Hodkinson F, Fleming P: Health promotion in podiatry: podiatrists’ perceptions and the implications for their professional practice (October, 1998). British Journal of Podiatry. 2000, 3: 21-28.
Moore P: Role of podiatrists in promoting physical activity. Podiatry Now. 2009, 12: 34-35.
Find a Podiatrist. http://www.findapodiatrist.org/,
Smith JA, Osborn M, Smith J: Interpretative phenomenological analysis. Qualitative Psychology: A Practical Guide to Methods. Edited by: Smith JA. 2003, London: Sage, 51-80.
Ajzen I: The theory of planned behaviour. Organizational Behaviour and Human Decision Processes. 1991, 50: 179-211. 10.1016/0749-5978(91)90020-T. CrossRef
Millstein S: Utility of the theories of reasoned action and planned behavior for predicting physician behavior: a prospective analysis. Health psychology: official journal of the Division of Health Psychology, American Psychological Association. 1996, 15: 398- CrossRef
Fereday J, Muir-Cochrane E: Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods. 2008, 5: 80-92.
Douglas F, Torrance N, Van Teijlingen E, Meloni S, Kerr A: Primary care staff’s views and experiences related to routinely advising patients about physical activity. A questionnaire survey. BMC Publ Health. 2006, 6: 138-10.1186/1471-2458-6-138. CrossRef
Farndon L, Vernon W, Parry A: What is the evidence for the continuation of core podiatry services in the NHS? A review of foot surveys. British Journal of Podiatry. 2006, 9: 89-94.
Eakin EG, Glasgow RE, Riley KM: Review of primary care-based physical activity intervention studies - effectiveness and implications for practice and future research. J Fam Pract. 2000, 49: 158-168. PubMed
Foster C, Hillsdon M, Thorogood M: Interventions for promoting physical activity. Cochrane Database Syst Rev. 2005, 1: 1-28.
Patrick K, Pratt M, Sallis RE: The healthcare sector’s role in the U.S. National physical activity plan. J Phys Act Health. 2009, 6: S211-S219. PubMed
Graham AS, Hammond A, Walmsley S, Williams AE: Foot health education for people with rheumatoid arthritis—some patient perspectives. Jour of Foot and Ankle Res. 2012, 5: 23-10.1186/1757-1146-5-23. CrossRef
Eakin EG, Smith BJ, Bauman AE: Evaluating the population health impact of physical activity interventions in primary care–are we asking the right questions?. J Phys Act Health. 2005, 2: 197-
- Understanding the physical activity promotion behaviours of podiatrists: a qualitative study
- BioMed Central