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The general practitioner's role in promoting physical activity to older adults: a review based on program theory
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4479556
Author(s) Hinrichs, Timo; Brach, Michael
Author(s) at UniBasel Hinrichs, Timo
Year 2012
Title The general practitioner's role in promoting physical activity to older adults: a review based on program theory
Journal Current Aging Science
Volume 5
Number 1
Pages / Article-Number 41-50
Abstract Positive influences of physical activity both on many chronic diseases and on preservation of mobility are well documented. But chronically ill or mobility restricted elderly living in their own homes are difficult to reach for interventions. The general practitioner's (GP) surgery offers one of the few opportunities to give advice for physical activity to those people. We used program theory to sound out knowledge on GP-centered physical activity counseling. The "conceptual theory" (evidence for training effects in old age) and the "implementation theory" (unique position of the GP) were reviewed narratively. The "action theory" (effects of GP counseling) was reviewed systematically. According to program theory, appropriate MeSH (Medical subject headings) concepts were Aged OR Aged, 80 and over (Target group), Physicians, Family OR Primary Health Care (Implementation/Setting), Counseling OR Patient Education as Topic OR Disease Management OR Health promotion (Intervention), Exercise OR Motor Activity OR Physical Fitness OR Sports (Determinants). The resulting six review papers (Pubmed, 2000-2009) were presented using the STARLITE mnemonic. Authors agree, that the GP plays a central role in the promotion of physical activity to elderly people, but there is conflicting evidence concerning counseling effectiveness. Utilizing behavioral change strategies and the collaboration between GPs and specialised professions are recommended and currently under research.
Publisher Bentham Science Publishers
ISSN/ISBN 1874-6098 ; 1874-6128
Full Text on edoc No
Digital Object Identifier DOI 10.2174/1874609811205010041
PubMed ID
ISI-Number MEDLINE:21762090
Document type (ISI) Journal ArticleReview

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