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  • Gustavsson, CatharinaUppsala universitet,Mälardalens högskola,Högskolan Dalarna,Medicinsk vetenskap,Center for Clinical Research Dalarna; Mälardalens högskola; Uppsala universitet,Hälsa och välfärd,Uppsala university, Sweden; Dalarna University, Sweden,Allmänmedicin och preventivmedicin,Centrum för klinisk forskning Dalarna,Dalarna Univ, Sch Educ Hlth & Social Studies, SE-79188 Falun, Sweden;Malardalen Univ, Sch Hlth Care & Social Welf, Box 883, SE-72123 Vasteras, Sweden (author)

What is required to facilitate implementation of Swedish physical activity on prescription? - interview study with primary healthcare staff and management

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-03-21
  • Springer Science and Business Media LLC,2018
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:du-27430
  • https://urn.kb.se/resolve?urn=urn:nbn:se:du-27430URI
  • https://doi.org/10.1186/s12913-018-3021-1DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-38914URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:137910673URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-354361URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-5231URI
  • https://gup.ub.gu.se/publication/266305URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • BACKGROUND: The method, Swedish Physical Activity on Prescription (SPAP), has been launched in Swedish healthcare to promote physical activity for prevention and treatment of lifestyle related health disorders. Despite scientific support for the method, and education campaigns, it is used to a limited extent by health professionals. The aim of the study was to describe the views of health professionals on perceived facilitators, barriers and requirements for successful implementation of SPAP in primary healthcare.METHODS: Eighteen semi-structured interviews with stakeholders in SPAP, i.e. ten people working in local or central management and eight primary healthcare professionals in two regional healthcare organisations, were analysed using qualitative content analysis.RESULTS: We identified an overarching theme regarding requirements for successful implementation of SPAP: Need for knowledge and organisational support, comprising four main categories: Need for increased knowledge and affirmative attitude among health professionals; Need for clear and supportive management; Need for central supporting structures; Need for local supporting structures. Knowledge of the SPAP method content and core components was limited. Confidence in the method varied among health professionals. There was a discrepancy between the central organisation policy documents declaring that disease preventive methods were prioritised and a mandatory assignment, while the health professionals asked for increased interest, support and resources from management, primarily time and supporting structures. There were somewhat conflicting views between primary healthcare professionals and managers concerning perceived barriers and requirements. In contrast to some of the management's beliefs, all primary healthcare professionals undisputedly acknowledged the importance of promoting physical activity, but they lacked time, written routines and in some cases competence for SPAP counselling.CONCLUSION: The study provides knowledge regarding requirements to facilitate the implementation of SPAP in healthcare. There was limited knowledge among health professionals regarding core components of SPAP and how to practise the method, which speaks for in-depth training in the SPAP method. The findings highlight the importance of forming policies and guidelines and establishing organisational supporting structures, and ensuring that these are well known and approved in all parts of the healthcare organisation.

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  • Nordqvist, MariaUppsala universitet,Centrum för klinisk forskning Dalarna,Malardalen Univ, Sch Hlth Care & Social Welf, Box 883, SE-72123 Vasteras, Sweden,Uppsala University, Mälardalen University (author)
  • Bröms, Kristina,1954-Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Allmänmedicin och preventivmedicin,Uppsala University(Swepub:uu)krisbrom (author)
  • Jerdén, LarsUppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Center for Clinical Research Dalarna, Department of Public Health and Caring Sciences, Uppsala University, Falun,Dalarna University, Falun, Sweden,Centrum för klinisk forskning Dalarna,Dalarna Univ, Sch Educ Hlth & Social Studies, SE-79188 Falun, Sweden(Swepub:uu)lajer205 (author)
  • Kallings, Lena V,1969-Gymnastik- och idrottshögskolan,Uppsala universitet,Allmänmedicin och preventivmedicin,Swedish Sch Sport & Hlth Sci GIH, Dept Sport & Hlth Sci, Box 5626, SE-11486 Stockholm, Sweden,Åstrandlaboratoriet,Uppsala University(Swepub:gih)lenak (author)
  • Wallin, LarsGothenburg University,Göteborgs universitet,Högskolan Dalarna,Omvårdnad,Karolinska institutet; Göteborgs universitet,Karolinska Institutet, Stockholm, Sweden,Dalarna Univ, Sch Educ Hlth & Social Studies, SE-79188 Falun, Sweden;Karolinska Inst, Div Nursing, Dept Neurobiol Care Sci & Soc, SE-17770 Stockholm, Sweden;Univ Gothenburg, Sahlgrenska Acad, Inst Hlth Care Sci, Box 457, S-40530 Gothenburg, Sweden,Dalarna University, Karolinska Institutet, University of Gothenburg,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xwalak (author)
  • Högskolan DalarnaMedicinsk vetenskap (creator_code:org_t)

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  • In:BMC Health Services Research: Springer Science and Business Media LLC18:11472-6963

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