Add wos sample results library
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abstract: 'Primary care providers (PCPs) can offer counseling to adults with
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arthritis on physical activity, which can reduce pain and improve
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physical function, mental health, and numerous other health outcomes. We
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analyzed cross-sectional 2018 DocStyles data for 1,366 PCPs who reported
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they always or sometimes recommend physical activity to adults with
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arthritis. Most PCPs sampled (88.2\%) recommended walking, swimming, or
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cycling; 65.5\% did not recommend any evidence-based,
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arthritis-appropriate physical activity programs recognized by the
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Centers for Disease Control and Prevention. Opportunities exist for
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public health awareness campaigns to educate PCPs about evidence-based
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physical activity programs proven to optimize health for adults with
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arthritis when more than counseling is needed. Objective Physical
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activity is recommended for adults with all types of arthritis because
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it can reduce pain and improve physical functioning, mood, and quality
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of life (1,2). Professional organizations encourage health care
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professionals to counsel adults with arthritis on physical activity and
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recommend supervised programs when needed (3,4). Primary care providers
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(PCPs) frequently treat arthritis (5) and are instrumental in promoting
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physical activity. Although we previously found that 98.4\% of PCPs
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always or sometimes recommend physical activity to adults with arthritis
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(6), the content of physical activity counseling may affect its
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effectiveness (3). Addressing patient concerns (eg, arthritis-specific
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physical activity barriers such as pain) warrants specific guidance and
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referrals to safe, supervised programs (3). To build on a previous
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study, we examined physical activity types and programs recommended
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among PCPs recommending physical activity to adults with any type of
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arthritis and compared distributions of characteristics of PCPs
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recommending programs versus PCPs unaware of them. Methods We analyzed
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cross-sectional data from 2018 Porter Novelli Doc Styles
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(https://styles.porternovelli.com/docstyles), an online national market
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research survey assessing PCP attitudes, patient en counters, and use of
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medical information resources. Eligible Doc-Styles participants were
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family practitioners, internists, obstetri-cian/gynecologists, and nurse
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practitioners aged 21 or older, liv-ing and practicing in the US,
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practicing for at least 3 years, treat-ing at least 10 patients weekly,
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and working at an individual, group, or inpatient practice. From June
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through August 2018, Porter Novelli invited participants by email to
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complete the sur-vey from the Sermo Global Medical Panel
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(www.sermo.com), SurveyHealthcareGlobus
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(www.surveyhealthcareglobus.com), and WebMD (www.webmd.com). Target
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quotas (1,000 PCPs, 250 ob-stetricians/gynecologists, and 250 nurse
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practitioners) were met by inviting highly responsive participants
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(defined as completing >75\% of any kind of survey {[}not only
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DocStyles] in which they had been invited to participate) first from
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among those not parti-cipating in DocStyles 2017. Of 2,582 invited
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persons, 1,505 com-pleted the survey (response rate, 58.3\%) and were
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compensated \$55 to \$77 based on number of questions asked. We excluded
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116 PCPs not treating adults with arthritis and 23 never recommend-ing
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physical activity, which resulted in an analytic sample of 1,366.
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Additional survey details are available elsewhere (6). Al-though
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analyses were not subject to Centers for Disease Control and
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Prevention''s (CDC''s) institutional review board, we followed all Council
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of American Survey Research Organizations guidelines, and the data set
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was deidentified.
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The 2018 DocStyles Survey included a module with questions about
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recommendations for CDC-recognized arthritis-appropriate physical
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activity programs (hereafter ``programs{''''}) (7), which have an evidence
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base for addressing physical activity barriers (8). PCPs treating an
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average of at least 1 adult with arthritis weekly completed multiple
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choice questions about physical activity coun-seling for adults with
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arthritis, including physical activity types, programs recommended, and
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reasons for not recommending pro-grams. We calculated percentages for
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physical activity type and program variables overall (N = 1,366) and
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reasons for not recommending programs among PCPs not recommending
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programs (n = 895). To identify opportunities for promoting program
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awareness, we gen-erated distributions of PCP characteristics overall (N
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= 1,366) and for those recommending programs (n = 471) and unaware of
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pro-grams (n = 710). We generated percentages using SAS version 9.4 (SAS
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Institute Inc); we performed chi 2 tests in Excel version 2008
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(Microsoft Corp) to assess differences (significant at alpha = .05)
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between PCP groups. Results PCPs were commonly aged 50 or older (46.2\%;
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95\% CI, 43.5\%-48.8\%), men (57.5\%; 95\% CI, 54.8\%-60.1\%),
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non-Hispanic White (67.1\%; 95\% CI, 64.6\%-69.6\%), and working in a
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group outpatient practice (67.5\%; 95\% CI, 65.0\%-70.0\%) (Ta-ble).
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Most PCPs recommended walking, swimming, or cycling (88.2\%; 95\% CI,
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86.5\%-89.9\%), stretching (63.8\%; 95\% CI, 61.3\%-66.4\%), and
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physical therapy (60.8\%; 95\% CI, 58.2\%-63.4\%) (Figure). Programs
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were recommended less fre-quently than physical activity: 34.5\% (n =
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471) of PCPs recom-mended 1 or more programs. The most commonly
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recommended programs were the Arthritis Foundation''s Aquatic Program
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(18.0\%; 95\% CI, 16.0\%-20.0\%), the Arthritis Foundation''s Exer-cise
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Program (14.4\%; 95\% CI, 12.6\%-16.3\%), and Walk With Ease (13.8\%;
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95\% CI, 12.0\%-15.7\%) (Figure). Most PCPs did not recommend any
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programs (65.5\%; 95\% CI, 63.0\%-68.0\%); among this group (n = 895),
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the most commonly reported reasons were being unaware of them (n = 710;
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79.3\%; 95\% CI, 76.7\%-82.0\%); programs were unavailable in their area
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(22.5\%; 95\% CI, 19.7\%-25.2\%), unaffordable for patients (12.5\%;
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95\% CI, 10.3\%-14.7\%), or inaccessible to patients (12.2\%; 95\% CI,
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10.0\%-14.3\%); and believing patients would not attend (10.5\%; 95\%
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CI, 8.5\%-12.5\%).'
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affiliation: 'Guglielmo, D (Corresponding Author), Natl Ctr Chron Dis Prevent \& Hlth
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Promot, Div Populat Hlth, Ctr Dis Control \& Prevent, 4770 Buford Hwy NE,MS S107-6,
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Atlanta, GA 30341 USA.
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Guglielmo, Dana; Theis, Kristina A.; Helmick, Charles G.; Odom, Erica L.; Duca,
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Lindsey M.; Croft, Janet B., Natl Ctr Chron Dis Prevent \& Hlth Promot, Div Populat
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Hlth, Ctr Dis Control \& Prevent, 4770 Buford Hwy NE,MS S107-6, Atlanta, GA 30341
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USA.
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Guglielmo, Dana, Oak Ridge Inst Sci \& Educ, Oak Ridge, TN USA.
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Murphy, Louise B., Optum Life Sci Inc, Eden Prairie, MN USA.
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Boring, Michael A., ASRT Inc, Smyrna, GA USA.
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Omura, John D., Natl Ctr Chron Dis Prevent \& Hlth Promot, Div Nutr Phys Act \&
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Obes, Ctr Dis Control \& Prevent, Atlanta, GA USA.
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Duca, Lindsey M., Natl Ctr Chron Dis Prevent \& Hlth Promot, Epidem Intelligence
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Serv, Ctr Dis Control \& Prevent, Atlanta, GA USA.'
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article-number: e92
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author: Guglielmo, Dana and Theis, Kristina A. and Murphy, Louise B. and Boring, Michael
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A. and Helmick, Charles G. and Omura, John D. and Odom, Erica L. and Duca, Lindsey
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M. and Croft, Janet B.
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author-email: danagugliel@gmail.com
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author_list:
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- family: Guglielmo
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given: Dana
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- family: Theis
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given: Kristina A.
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- family: Murphy
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given: Louise B.
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- family: Boring
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given: Michael A.
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- family: Helmick
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given: Charles G.
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- family: Omura
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given: John D.
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- family: Odom
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given: Erica L.
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- family: Duca
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given: Lindsey M.
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- family: Croft
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given: Janet B.
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da: '2023-09-28'
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doi: 10.5888/pcd18.210194
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files: []
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issn: 1545-1151
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journal: PREVENTING CHRONIC DISEASE
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keywords-plus: EXERCISE; BENEFITS
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language: English
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month: OCT
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number-of-cited-references: '12'
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orcid-numbers: 'Odom, Erica/0000-0003-0080-8192
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Guglielmo, Dana/0000-0001-5879-9474'
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papis_id: afe53442cd6c3379f5bcd83ef4f066d9
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ref: Guglielmo2021physicalactivity
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times-cited: '0'
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title: Physical Activity Types and Programs Recommended by Primary Care Providers
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Treating Adults With Arthritis, DocStyles 2018
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type: Article
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unique-id: WOS:000717282900002
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '18'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2021'
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