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Open AccessArticle

Physical Activity on Prescription in Routine Health Care: 1-Year Follow-Up of Patients with and without Counsellor Support

1
Department of Research and Development, Region Kronoberg, SE-351 88 Växjö, Sweden
2
Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, SE-581 83 Linköping, Sweden
3
Division of Occupational and Environmental Medicine, Institute of Laboratory Medicine, Lund University, SE-221 00 Lund, Sweden
4
Faculty of Health and Life Sciences, Department of Medicine and Optometry, Linnaeus University, SE-391 82 Kalmar, Sweden
5
Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, SE-391 82 Kalmar, Sweden
6
The Research Section, Region Kalmar County, SE-391 26 Kalmar, Sweden
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(16), 5679; https://doi.org/10.3390/ijerph17165679
Received: 25 June 2020 / Revised: 31 July 2020 / Accepted: 31 July 2020 / Published: 6 August 2020
(This article belongs to the Special Issue Physical Exercise and Chronic Diseases Prevention)
The effectiveness of counsellor support in addition to physical activity on prescription (PAP) from health care professionals has rarely been evaluated. This observational follow-up study investigated differences in physical activity levels and health-related quality of life (HRQoL) one year after PAP regarding patients’ use of counsellor support in addition to PAP in routine care. The study was conducted in a Swedish health care region in which all patients receiving PAP from health care professionals were offered counsellor support. Data were collected from medical records and questionnaires (baseline and follow-up). Of the 400 study participants, 37% used counsellor support. The group of counsellor users attained a higher level of physical activity one year after receiving PAP compared to the group of non-users (p < 0.001). The level of physical activity was measured by a validated index (score 3–19) calculated from weekly everyday activity and exercise training. Comparison of the change in scores between baseline and follow-up showed a significant difference between the two groups, (p < 0.001). The median difference in the PAP + C group was 2.0 (interquartile range, 7.0) and 0.0. among non-users (interquartile range, 4.0). Significant differences in HRQoL were due to positive improvements among counsellor users, with the main improvement in general health. The conclusion is that patients using counsellor support after receiving PAP from health care professionals had higher physical activity and better HRQoL one year after compared with patients who did not use this support. View Full-Text
Keywords: physical activity on prescription; counsellor; counselling; health care; patients physical activity on prescription; counsellor; counselling; health care; patients
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Andersen, P.; Holmberg, S.; Årestedt, K.; Lendahls, L.; Nilsen, P. Physical Activity on Prescription in Routine Health Care: 1-Year Follow-Up of Patients with and without Counsellor Support. Int. J. Environ. Res. Public Health 2020, 17, 5679.

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