Evidence-Based - Seminar 1 (Physical Activity 2)
- Created by: Former Member
- Created on: 29-03-16 21:39
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- Seminar 1 - Physical Activity
- Key features of the intervention
- Establish the link between physical activity (or lack thereof) and depression
- Aim at increasing patient’s physical activity up to standards set by NICE guidelines
- Instead of focusing on fitness gain, highlight increase in competence, control, & companionship as the main objectives of PA therapy
- The use of motivational strategies and principles to increase PA
- Signpost patients to physical activity opportunities
- Challenges
- For GPs
- GP’s may be reluctant to recommend physical activity
- May be fearful of referring patients that have co-morbid conditions such as type-2 diabetes and obesity to a LI therapist
-
GP may be concerned that if the patient is put on an inappropriate
exercise programme, it may provide opportunities for the patient to experience
social anxiety, avoidance behaviour
- ...likely to maintain their depression rather than alleviate it
- For patients
- Patients do not often associate depression with physical inactivity
- Patients with depression also tend to have more barriers to increase their physical activity
- Physical activity interventions require careful tailoring to the individual, this is because there is a range of physical conditions that could impact on the patient reaching their goal and speed of this
- For GPs
- Overcoming Challenges
- Clarify the rationale and components of the intervention
- Clarify low risk due to short bursts of PA and focus on less sedentary behaviour
- Convince patients of the impact exercise can have on mood
- Use past experience/anecdotes, reflect on this
- Motivate to become physically active
- Increase self perceived competence
- Reduce perceived behavioural barriers
- Provide appropriate support
- Tailor intervention to patient
- Ensure patient feels competence, control and relatedness
- Only plan as much PA as patient is happy with
- Clarify the rationale and components of the intervention
- Key features of the intervention
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