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The Brief Physical Activity Assessment Tool (BPAAT) and the General Practice Physical Activity Questionnaire (GPPAQ) are valid and reliable assessment tools to identify "inactive" patients in primary care.
28 Both NICE and the Department for Health consider brief physical activity intervention in primary care 'exceptional value for money' 29 and may need to incentivise changes in practice rather than leave non-standardised initiatives, such as 'lets get moving,' optional.
Setting 17 primary care practices in Wellington, New Zealand Participants 1089 women aged 40-74 not undertaking 30 minutes of moderate intensity physical activity on at least five days of the week Intervention Brief physical activity intervention led by nurse with six month follow-up visit and monthly telephone support over nine months.
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Participants will be lead through a brief moderate physical activity in each session following didactic content.
One international study has also reported low levels of assessment (34%), brief advice (46%) and follow-up (0%) for smoking [ 34]; and another found similarly low levels for smoking assessment (12%) and brief advice (10%), and physical activity brief advice (15%) [ 33].
Primary health care is an ideal setting to identify adults who are physically inactive and to initiate a brief, cost-effective physical activity intervention.
To examine the impact, acceptability, practicability and implementation of a training intervention, designed using the Behaviour Change Wheel, on the delivery of very brief advice on physical activity, by nurses to cancer patients.
To assess the effect of brief periods of physical activity, we stratified our analysis of physical inactivity according to overall level of physical activity (table 3).
The increased frequency at which nurses provided brief interventions for physical activity, nutrition and weight may reflect the increased identification of these risk factors through more frequent assessments.
In brief, questions about physical activity were adapted from validated questionnaires used in several other studies in Western [ 18] and Chinese populations [ 19], with some additional modifications following a CKB pilot study.
A recent randomised controlled trial of lifestyle risk factor management in Australian general practice found that brief advice for physical activity resulted in an increase in patient self-reported activity but only those patients referred to the group programs demonstrated an improvement in diet and weight (Harris et al, MJA in press).
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