Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
What is required to facilitate implementation of Swedish physical activity on prescription? - interview study with primary healthcare staff and management.
Uppsala University, Dalarna University, Mälardalen University.
Uppsala University, Mälardalen University.
Uppsala University.
Uppsala University, Dalarna University.
Vise andre og tillknytning
2018 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, nr 1, artikkel-id 196Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: The method, Swedish Physical Activity on Prescription (SPAP), has been launched in Swedish healthcare to promote physical activity for prevention and treatment of lifestyle related health disorders. Despite scientific support for the method, and education campaigns, it is used to a limited extent by health professionals. The aim of the study was to describe the views of health professionals on perceived facilitators, barriers and requirements for successful implementation of SPAP in primary healthcare.

METHODS: Eighteen semi-structured interviews with stakeholders in SPAP, i.e. ten people working in local or central management and eight primary healthcare professionals in two regional healthcare organisations, were analysed using qualitative content analysis.

RESULTS: We identified an overarching theme regarding requirements for successful implementation of SPAP: Need for knowledge and organisational support, comprising four main categories: Need for increased knowledge and affirmative attitude among health professionals; Need for clear and supportive management; Need for central supporting structures; Need for local supporting structures. Knowledge of the SPAP method content and core components was limited. Confidence in the method varied among health professionals. There was a discrepancy between the central organisation policy documents declaring that disease preventive methods were prioritised and a mandatory assignment, while the health professionals asked for increased interest, support and resources from management, primarily time and supporting structures. There were somewhat conflicting views between primary healthcare professionals and managers concerning perceived barriers and requirements. In contrast to some of the management's beliefs, all primary healthcare professionals undisputedly acknowledged the importance of promoting physical activity, but they lacked time, written routines and in some cases competence for SPAP counselling.

CONCLUSION: The study provides knowledge regarding requirements to facilitate the implementation of SPAP in healthcare. There was limited knowledge among health professionals regarding core components of SPAP and how to practise the method, which speaks for in-depth training in the SPAP method. The findings highlight the importance of forming policies and guidelines and establishing organisational supporting structures, and ensuring that these are well known and approved in all parts of the healthcare organisation.

sted, utgiver, år, opplag, sider
2018. Vol. 18, nr 1, artikkel-id 196
Emneord [en]
Disease prevention, Health professionals, Health promotion, Implementation, Non-communicable disease prevention, Physical activity, Primary healthcare, Qualitative research method, Sweden
HSV kategori
Forskningsprogram
Medicin/Teknik
Identifikatorer
URN: urn:nbn:se:gih:diva-5231DOI: 10.1186/s12913-018-3021-1ISI: 000428198500005PubMedID: 29562922OAI: oai:DiVA.org:gih-5231DiVA, id: diva2:1193561
Tilgjengelig fra: 2018-03-27 Laget: 2018-03-27 Sist oppdatert: 2018-05-17

Open Access i DiVA

fulltext(792 kB)19 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 792 kBChecksum SHA-512
e21d2a3393b74212797090e7357202c30a456537cfc75890fd5ac19a0313ae09def6981dd0ed7948fd8e6dd8815d811c9271ce7b2c433374576f3aa1708d86fd
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMed

Personposter BETA

Kallings, Lena

Søk i DiVA

Av forfatter/redaktør
Kallings, Lena
Av organisasjonen
I samme tidsskrift
BMC Health Services Research

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 19 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 129 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf