wow-inequalities/02-data/intermediate/wos_sample/aae5ace40b13b09a44f0cf264150cb20-guglielmo-dana-and/info.yaml

abstract: 'Primary care providers (PCPs) can offer counseling to adults with

  arthritis on physical activity, which can reduce pain and improve

  physical function, mental health, and numerous other health outcomes. We

  analyzed cross-sectional 2018 DocStyles data for 1,366 PCPs who reported

  they always or sometimes recommend physical activity to adults with

  arthritis. Most PCPs sampled (88.2\%) recommended walking, swimming, or

  cycling; 65.5\% did not recommend any evidence-based,

  arthritis-appropriate physical activity programs recognized by the

  Centers for Disease Control and Prevention. Opportunities exist for

  public health awareness campaigns to educate PCPs about evidence-based

  physical activity programs proven to optimize health for adults with

  arthritis when more than counseling is needed. Objective Physical

  activity is recommended for adults with all types of arthritis because

  it can reduce pain and improve physical functioning, mood, and quality

  of life (1,2). Professional organizations encourage health care

  professionals to counsel adults with arthritis on physical activity and

  recommend supervised programs when needed (3,4). Primary care providers

  (PCPs) frequently treat arthritis (5) and are instrumental in promoting

  physical activity. Although we previously found that 98.4\% of PCPs

  always or sometimes recommend physical activity to adults with arthritis

  (6), the content of physical activity counseling may affect its

  effectiveness (3). Addressing patient concerns (eg, arthritis-specific

  physical activity barriers such as pain) warrants specific guidance and

  referrals to safe, supervised programs (3). To build on a previous

  study, we examined physical activity types and programs recommended

  among PCPs recommending physical activity to adults with any type of

  arthritis and compared distributions of characteristics of PCPs

  recommending programs versus PCPs unaware of them. Methods We analyzed

  cross-sectional data from 2018 Porter Novelli Doc Styles

  (https://styles.porternovelli.com/docstyles), an online national market

  research survey assessing PCP attitudes, patient en counters, and use of

  medical information resources. Eligible Doc-Styles participants were

  family practitioners, internists, obstetri-cian/gynecologists, and nurse

  practitioners aged 21 or older, liv-ing and practicing in the US,

  practicing for at least 3 years, treat-ing at least 10 patients weekly,

  and working at an individual, group, or inpatient practice. From June

  through August 2018, Porter Novelli invited participants by email to

  complete the sur-vey from the Sermo Global Medical Panel

  (www.sermo.com), SurveyHealthcareGlobus

  (www.surveyhealthcareglobus.com), and WebMD (www.webmd.com). Target

  quotas (1,000 PCPs, 250 ob-stetricians/gynecologists, and 250 nurse

  practitioners) were met by inviting highly responsive participants

  (defined as completing >75\% of any kind of survey {[}not only

  DocStyles] in which they had been invited to participate) first from

  among those not parti-cipating in DocStyles 2017. Of 2,582 invited

  persons, 1,505 com-pleted the survey (response rate, 58.3\%) and were

  compensated \$55 to \$77 based on number of questions asked. We excluded

  116 PCPs not treating adults with arthritis and 23 never recommend-ing

  physical activity, which resulted in an analytic sample of 1,366.

  Additional survey details are available elsewhere (6). Al-though

  analyses were not subject to Centers for Disease Control and

  Prevention''s (CDC''s) institutional review board, we followed all Council

  of American Survey Research Organizations guidelines, and the data set

  was deidentified.

  The 2018 DocStyles Survey included a module with questions about

  recommendations for CDC-recognized arthritis-appropriate physical

  activity programs (hereafter ``programs{''''}) (7), which have an evidence

  base for addressing physical activity barriers (8). PCPs treating an

  average of at least 1 adult with arthritis weekly completed multiple

  choice questions about physical activity coun-seling for adults with

  arthritis, including physical activity types, programs recommended, and

  reasons for not recommending pro-grams. We calculated percentages for

  physical activity type and program variables overall (N = 1,366) and

  reasons for not recommending programs among PCPs not recommending

  programs (n = 895). To identify opportunities for promoting program

  awareness, we gen-erated distributions of PCP characteristics overall (N

  = 1,366) and for those recommending programs (n = 471) and unaware of

  pro-grams (n = 710). We generated percentages using SAS version 9.4 (SAS

  Institute Inc); we performed chi 2 tests in Excel version 2008

  (Microsoft Corp) to assess differences (significant at alpha = .05)

  between PCP groups. Results PCPs were commonly aged 50 or older (46.2\%;

  95\% CI, 43.5\%-48.8\%), men (57.5\%; 95\% CI, 54.8\%-60.1\%),

  non-Hispanic White (67.1\%; 95\% CI, 64.6\%-69.6\%), and working in a

  group outpatient practice (67.5\%; 95\% CI, 65.0\%-70.0\%) (Ta-ble).

  Most PCPs recommended walking, swimming, or cycling (88.2\%; 95\% CI,

  86.5\%-89.9\%), stretching (63.8\%; 95\% CI, 61.3\%-66.4\%), and

  physical therapy (60.8\%; 95\% CI, 58.2\%-63.4\%) (Figure). Programs

  were recommended less fre-quently than physical activity: 34.5\% (n =

  471) of PCPs recom-mended 1 or more programs. The most commonly

  recommended programs were the Arthritis Foundation''s Aquatic Program

  (18.0\%; 95\% CI, 16.0\%-20.0\%), the Arthritis Foundation''s Exer-cise

  Program (14.4\%; 95\% CI, 12.6\%-16.3\%), and Walk With Ease (13.8\%;

  95\% CI, 12.0\%-15.7\%) (Figure). Most PCPs did not recommend any

  programs (65.5\%; 95\% CI, 63.0\%-68.0\%); among this group (n = 895),

  the most commonly reported reasons were being unaware of them (n = 710;

  79.3\%; 95\% CI, 76.7\%-82.0\%); programs were unavailable in their area

  (22.5\%; 95\% CI, 19.7\%-25.2\%), unaffordable for patients (12.5\%;

  95\% CI, 10.3\%-14.7\%), or inaccessible to patients (12.2\%; 95\% CI,

  10.0\%-14.3\%); and believing patients would not attend (10.5\%; 95\%

  CI, 8.5\%-12.5\%).'
affiliation: 'Guglielmo, D (Corresponding Author), Natl Ctr Chron Dis Prevent \& Hlth
  Promot, Div Populat Hlth, Ctr Dis Control \& Prevent, 4770 Buford Hwy NE,MS S107-6,
  Atlanta, GA 30341 USA.

  Guglielmo, Dana; Theis, Kristina A.; Helmick, Charles G.; Odom, Erica L.; Duca,
  Lindsey M.; Croft, Janet B., Natl Ctr Chron Dis Prevent \& Hlth Promot, Div Populat
  Hlth, Ctr Dis Control \& Prevent, 4770 Buford Hwy NE,MS S107-6, Atlanta, GA 30341
  USA.

  Guglielmo, Dana, Oak Ridge Inst Sci \& Educ, Oak Ridge, TN USA.

  Murphy, Louise B., Optum Life Sci Inc, Eden Prairie, MN USA.

  Boring, Michael A., ASRT Inc, Smyrna, GA USA.

  Omura, John D., Natl Ctr Chron Dis Prevent \& Hlth Promot, Div Nutr Phys Act \&
  Obes, Ctr Dis Control \& Prevent, Atlanta, GA USA.

  Duca, Lindsey M., Natl Ctr Chron Dis Prevent \& Hlth Promot, Epidem Intelligence
  Serv, Ctr Dis Control \& Prevent, Atlanta, GA USA.'
article-number: e92
author: Guglielmo, Dana and Theis, Kristina A. and Murphy, Louise B. and Boring, Michael
  A. and Helmick, Charles G. and Omura, John D. and Odom, Erica L. and Duca, Lindsey
  M. and Croft, Janet B.
author-email: danagugliel@gmail.com
author_list:
- family: Guglielmo
  given: Dana
- family: Theis
  given: Kristina A.
- family: Murphy
  given: Louise B.
- family: Boring
  given: Michael A.
- family: Helmick
  given: Charles G.
- family: Omura
  given: John D.
- family: Odom
  given: Erica L.
- family: Duca
  given: Lindsey M.
- family: Croft
  given: Janet B.
da: '2023-09-28'
doi: 10.5888/pcd18.210194
files: []
issn: 1545-1151
journal: PREVENTING CHRONIC DISEASE
keywords-plus: EXERCISE; BENEFITS
language: English
month: OCT
number-of-cited-references: '12'
orcid-numbers: 'Odom, Erica/0000-0003-0080-8192

  Guglielmo, Dana/0000-0001-5879-9474'
papis_id: afe53442cd6c3379f5bcd83ef4f066d9
ref: Guglielmo2021physicalactivity
times-cited: '0'
title: Physical Activity Types and Programs Recommended by Primary Care Providers
  Treating Adults With Arthritis, DocStyles 2018
type: article
unique-id: WOS:000717282900002
usage-count-last-180-days: '1'
usage-count-since-2013: '2'
volume: '18'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2021'