Physical activity assessment in practice: a mixed methods study of GPPAQ use in primary care.

Publisher: BioMed Central Country of Publication: England NLM ID: 100967792 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2296 (Electronic) Linking ISSN: 14712296 NLM ISO Abbreviation: BMC Fam Pract Subsets: MEDLINE

Original Publication: London : BioMed Central, [2000-2021]

General Practice* ; Motor Activity* ; Primary Health Care* ; Surveys and Questionnaires*; Adult ; Aged ; Feasibility Studies ; Humans ; Middle Aged

Background: Insufficient physical activity (PA) levels which increase the risk of chronic disease are reported by almost two-thirds of the population. More evidence is needed about how PA promotion can be effectively implemented in general practice (GP), particularly in socio-economically disadvantaged communities. One tool recommended for the assessment of PA in GP and supported by NICE (National Institute for Health and Care Excellence) is The General Practice Physical Activity Questionnaire (GPPAQ) but details of how it may be used and of its acceptability to practitioners and patients are limited. This study aims to examine aspects of GPPAQ administration in non-urgent patient contacts using different primary care electronic recording systems and to explore the views of health professionals regarding its use.
Methods: Four general practices, selected because of their location within socio-economically disadvantaged areas, were invited to administer GPPAQs to patients, aged 35-75 years, attending non-urgent consultations, over two-week periods. They used different methods of administration and different electronic medical record systems (EMIS, Premiere, Vision). Participants' (general practitioners (GPs), nurses and receptionists) views regarding GPPAQ use were explored via questionnaires and focus groups.
Results: Of 2,154 eligible consultations, 192 (8.9%) completed GPPAQs; of these 83 (43%) were categorised as inactive. All practices were located within areas ranked as being in the tertile of greatest socio-economic deprivation in Northern Ireland. GPs/nurses in two practices invited completion of the GPPAQ, receptionists did so in two. One practice used an electronic template; three used paper copies of the questionnaires.End-of-study questionnaires, completed by 11 GPs, 3 nurses and 2 receptionists and two focus groups, with GPs (n = 8) and nurses (n = 4) indicated that practitioners considered the GPPAQ easy to use but not in every consultation. Its use extended consultation time, particularly for patients with complex problems who could potentially benefit from PA promotion.
Conclusions: GPs and nurses reported that the GPPAQ itself was an easy tool with which to assess PA levels in general practice and feasible to use in a range of electronic record systems but integration within routine practice is constrained by time and complex consultations. Further exploration of ways to facilitate PA promotion into practice is needed.

BMC Public Health. 2010 Aug 09;10:463. (PMID: 20696030)
Med Sci Sports Exerc. 2001 Jun;33(6 Suppl):S428-37; discussion S452-3. (PMID: 11427767)
Br J Sports Med. 2012 Nov;46(14):1024-6. (PMID: 22846233)
Br J Sports Med. 2012 Mar;46(4):284-90. (PMID: 21282802)
Ann Behav Med. 1997 Summer;19(3):220-9. (PMID: 9603697)
BMJ. 2009 May 26;338:b1870. (PMID: 19474024)
Br J Sports Med. 2010 Oct;44(13):912-4. (PMID: 20584754)
Br J Sports Med. 1998 Sep;32(3):236-41. (PMID: 9773174)
BMC Public Health. 2006 May 23;6:138. (PMID: 16719900)
J Am Coll Health. 2007 Jan-Feb;55(4):219-25. (PMID: 17319328)
Lancet. 2012 Jul 21;380(9838):219-29. (PMID: 22818936)
Educ Prim Care. 2013 Sep;24(6):427-35. (PMID: 24196599)
Br J Sports Med. 2009 Feb;43(2):89-92. (PMID: 19019898)
Fam Pract. 2004 Aug;21(4):429-36. (PMID: 15249533)
Arch Intern Med. 2007 Sep 10;167(16):1774-81. (PMID: 17846397)
Lancet. 2012 Dec 15;380(9859):2224-60. (PMID: 23245609)
Med Sci Sports Exerc. 1994 Jul;26(7):807-14. (PMID: 7934752)
Patient Educ Couns. 1997 Jul;31(3):191-203. (PMID: 9277242)
Public Health Nutr. 2003 Jun;6(4):407-13. (PMID: 12795830)
BMJ. 1994 May 14;308(6939):1291-5. (PMID: 8205026)
Am J Prev Med. 2005 Nov;29(4):247-55. (PMID: 16242586)
BMC Fam Pract. 2010 Sep 21;11:69. (PMID: 20858273)
Br J Sports Med. 2013 Jul;47(11):718-20. (PMID: 23314886)

MR/K023241/1 United Kingdom MRC_ Medical Research Council

Date Created: 20140116 Date Completed: 20140908 Latest Revision: 20220330

20231215

PMC3897938

10.1186/1471-2296-15-11

24422666