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dc.contributor.authorCunningham, Kathryn B.
dc.contributor.authorRogowsky, Rayna Hilary
dc.contributor.authorCarstairs, Sharon A
dc.contributor.authorSullivan, Francis
dc.contributor.authorOzakinci, Gozde
dc.date.accessioned2020-10-20T09:30:05Z
dc.date.available2020-10-20T09:30:05Z
dc.date.issued2021-06-21
dc.identifier.citationCunningham , K B , Rogowsky , R H , Carstairs , S A , Sullivan , F & Ozakinci , G 2021 , ' Methods of connecting primary care patients with community-based physical activity opportunities : a realist scoping review ' , Health & Social Care in the Community , vol. 29 , no. 4 , pp. 1169-1199 . https://doi.org/10.1111/hsc.13186en
dc.identifier.issn0966-0410
dc.identifier.otherPURE: 270029969
dc.identifier.otherPURE UUID: c9b85952-7589-4b8e-98fc-8cb44653f789
dc.identifier.otherWOS: 000579213100001
dc.identifier.otherScopus: 85092665015
dc.identifier.urihttp://hdl.handle.net/10023/20803
dc.descriptionFunding: NHS Fife Endowment Fund (Grant Number(s): FIF142).en
dc.description.abstractDeemed a global public health problem by the World Health Organization, physical inactivity is estimated to be responsible for one in six deaths in the United Kingdom (UK) and to cost the nation's economy £7.4 billion per year. A response to the problem receiving increasing attention is connecting primary care patients with community-based physical activity opportunities. We aimed to explore what is known about the effectiveness of different methods of connecting primary care patients with community-based physical activity opportunities in the United Kingdom by answering three research questions: 1) What methods of connection from primary care to community-based physical activity opportunities have been evaluated?; 2) What processes of physical activity promotion incorporating such methods of connection are (or are not) effective or acceptable, for whom, to what extent and under what circumstances; 3) How and why are (or are not) those processes effective or acceptable? We conducted a realist scoping review in which we searched Cochrane, Medline, PsycNET, Google Advanced Search, National Health Service (NHS) Evidence and NHS Health Scotland from inception until August 2020. We identified that five methods of connection from primary care to community-based physical activity opportunities had been evaluated. These were embedded in 15 processes of physical activity promotion, involving patient identification and behaviour change strategy delivery, as well as connection. In the contexts in which they were implemented, four of those processes had strong positive findings, three had moderately positive findings and eight had negative findings. The underlying theories of change were highly supported for three processes, supported to an extent for four and refuted for eight processes. Comparisons of the processes and their theories of change revealed several indications helpful for future development of effective processes. Our review also highlighted the limited evidence base in the area and the resulting need for well-designed theory-based evaluations.
dc.format.extent31
dc.language.isoeng
dc.relation.ispartofHealth & Social Care in the Communityen
dc.rightsCopyright © 2020 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en
dc.subjectBehavioural medicineen
dc.subjectEvaluation researchen
dc.subjectExerciseen
dc.subjectHealth promotionen
dc.subjectHealth psychologyen
dc.subjectHealth services researchen
dc.subjectPhysical activityen
dc.subjectPrimary careen
dc.subjectPrimary care researchen
dc.subjectReferral and consultationen
dc.subjectReviewen
dc.subjectSystematic reviewsen
dc.subjectHV Social pathology. Social and public welfareen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectNDASen
dc.subject.lccHVen
dc.subject.lccRA0421en
dc.titleMethods of connecting primary care patients with community-based physical activity opportunities : a realist scoping reviewen
dc.typeJournal itemen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews.Health Psychologyen
dc.contributor.institutionUniversity of St Andrews.Centre for Higher Education Researchen
dc.contributor.institutionUniversity of St Andrews.St Andrews Sustainability Instituteen
dc.identifier.doihttps://doi.org/10.1111/hsc.13186
dc.description.statusPeer revieweden


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