Improving Primary Care Providers’ Knowledge and Intent to Prescribe Exercise for Overweight and Obese Adults
AuthorSievers, Eric Michael
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PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
AbstractBackground: Obesity and lack of exercise prescription is a major national and local health concern in a mostly rural, northwestern part of the United States. A brief educational intervention and exercise prescription template were used to address this issue in a primary care setting at a local healthcare organization. Purpose: The purpose of this quality improvement (QI) project is to: (1) improve provider knowledge on exercise recommendations and how to write exercise prescriptions, (2) increase intent and feasibility for prescribing exercise, and (3) evaluate satisfaction with the educational intervention. Methods: A one group, quasi-experimental pre-test/post-test design was used. The project was conducted at a local healthcare organization. All primary care providers (n=16) were invited. The intervention included a 15-minute, in-person PowerPoint presentation covering current exercise recommendations and prescription of exercise and an exercise prescription template. The pre-test and post-test surveys utilized multiple choice and five-point Likert-scale questions. However, free text responses were allowed at the end of the post-test. Surveys assessed: basic demographics, knowledge, self-rated knowledge, comfortability, self-reported need, feasibility, current prescription habits, and satisfaction with the intervention. Surveys were given immediately prior and after the presentation. Descriptive statistics were used for data analysis. Results: Five primary care providers participated. Physicians (n=3), physician assistants (n=1), and nurse practitioners (n=1) were present. The majority of participants were 36-50 years old (n=3) and had practiced for >15 years (n=3). On a five-point scale, with greater numbers associated with more positive responses, current exercise prescription habits had a mean of ‘3.8,’ min of ‘2,’ and max of ‘5’ and satisfaction with the intervention had a mean of ‘4.4,’ min of ‘4,’ and max of ‘5.’ Improvements were seen in means associated with: knowledge (22.58%), self-rated knowledge (21.43%), comfortability (28.57%), and feasibility (16.67%). No improvement was seen in need for exercise prescriptions; both pre-test and post-test had a mean of ‘4.6,’ min of ‘4,’ and max of ‘5.’ Conclusion: At this organization, an in-person presentation and exercise prescription template were found satisfactory and effective at improving: knowledge, self-rated knowledge, comfortability, and feasibility associated with exercise recommendations and its prescription.
Degree ProgramGraduate College