Selected Abstract

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Estabrooks, P.A., Glasgow, R.E., Dzewaltowski, D.A. (2003). Physical activity promotion through primary care. Journal of the American Medical Association, 289(22), 2913-2916.

There is conclusive evidence that participation in 30 minutes of moderate intensity physical activity for most days of the week will lead to health benefits, but it is important to promote physical activity in the context of the patient’s health, beliefs, social environment, and goals. Although current research on the effectiveness of physician counseling for physical activity has been judged insufficient to support a claim of efficacy or inefficacy, it is important to note that such actions have not been found to be ineffective, only that more research is needed. There is substantial support for behavior change principles and intervention strategies, which could be incorporated into primary care practice. It is also clear that the use of an entire staff with continuity of care is preferable to a single-session prescription provided only by the practicing physician. Collaborations with community organizations, facilities, and programs that offer social support for patient physical activity should facilitate successful promotion.