RehabMove 2018: THE PIE=M PROJECT; DEVELOPMENT OF A TOOL TO ENFORCE EXERCISE AS MEDICINE IN HOSPITAL CARE

Autor: Bouma, A.J., Van Nassau, F., Krops, L.A., Van der Ploeg, H.P., De Jong, J., Stevens, M., Schwertz, M.A., Zwerver, J., Van den Akker-Scheek, I., Diercks, R.L., Verhagen, E.A.L.M., PIE=M consortium, Van der Woude, L.H.V., Dekker, R.
Jazyk: angličtina
Rok vydání: 2018
Předmět:
DOI: 10.5281/zenodo.1483688
Popis: PURPOSE: Physical inactivity, has led to an increase in the prevalence of lifestyle-related chronic diseases on a global scale. There is a need for more awareness surrounding the preventive and curative role of a physically active lifestyle in healthcare. The prescription of physical activity in clinical care has been advocated worldwide through the ‘exercise is medicine’ (E=M) paradigm. However, E=M currently has no position in general routine hospital care, which is hypothesized to be due to attitudinal and practical barriers to implementation. This study aims to create an E=M tool to reduce practical barriers to enforcing E=M in hospital care. METHODS: Firstly, this project will perform qualitative research to study the current implementation status of E=M in clinical care as well as its facilitators and barriers to implementation among clinicians and hospital managers. Secondly, an E=M tool towards application of active lifestyle interventions will be developed, based on a prediction model of individual determinants of physical activity behavior and local big data, which will result in a tailored advice for patients on physical activity and motivation. Thirdly, the feasibility of implementing E=M-tool, as designed within this project, will be investigated with a process evaluation, conducting a pilot-study which will integrate the tool in routine care in at least four clinical departments in two Dutch hospitals. RESULTS: Results will, firstly, give insight in the current implementation status of E=M and in factors that influence the actual E=M implementation; Secondly, a E=M tool will be designed providing a tailored E=M prescription for patients as part of clinical care; Thirdly, an implementation strategy will be described of the E=M tool for clinical practice. CONCLUSION: This project envisages an extensive continuation of research on the implementation of E=M, supports the mutual decision making process of lifestyle referral of clinicians and provides insights which can be used to assist in implementing physically active lifestyle prescription in the medical curriculum. 
Databáze: OpenAIRE