Evidence-Based - Seminar 1 (Physical Activity 2)

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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
    • 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


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