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: |
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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 |
Externí odkaz: |
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