Kinesiology 3474A/B Lecture Notes - Lecture 4: Primary Healthcare

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Kinesiology 3474 - Psychology of Interventions (Midterm)
Lecture 4
There is growing recognition that integrating consultants into the realm of exercise and
rehabilitation could help to increase adherence to physical activity and rehabilitation
programs
Primary health care settings can be ideal for delivering physical activity
recommendations and prescriptions because of the potential to reach a large number of
individuals
Primary care physicians are often limited by time or by a lack of specific knowledge
required for prescribing physical activity or counseling behaviour change
Physical activity counselors individuals with specialized knowledge in the areas of
physical activity assessment and prescription, theories of health behaviour change, and
counseling strategies are beginning to be integrated into primary health care settings
To date, physical activity counselling in primary care settings has primarily occurred one-
on-one; however, as the demand for physical activity counselors grows, there may be
some potential for developing group-based sessions in which one counselors can aid a
group of individuals in learning and practicing important psychological skills (patients
want to start right away from their injury, so one on one is going to be the norm, but
when it comes to exercise, groups interventions are quite possible) trying to get
sedentary people to be active, there are a lot of them, so you can group them all
together; individualize it later, but early on, group setting
Coaching, trainers and therapists are ideally positioned to deliver psychological
interventions because they are the individuals who work with the athletes and
exercisers most frequently; if a coach, trainer, or therapist is trainer in delivering
psychological interventions, there is great potential for the interventions to be well
integrated into the larger training program
Again, the major issue is that coaches, trainers, and therapists are often not specifically
trained in implementing these interventions
Researchers do not represent a typical member of a sport, exercise, or rehabilitation
training team, but many of the psychological interventions being developed and
implemented are a part of a research program
Athletes and sport teams, exercisers and exercise facilities and rehabilitation clinics that
participate in or have partnerships with researchers often benefit from having access to
emerging psychological interventions
In particular, exercisers and injured athletes who participate in research studies may
have access to psychological interventions that are not a part of traditional training and
therapy
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Document Summary

There is growing recognition that integrating consultants into the realm of exercise and rehabilitation could help to increase adherence to physical activity and rehabilitation programs. Primary health care settings can be ideal for delivering physical activity recommendations and prescriptions because of the potential to reach a large number of individuals. Primary care physicians are often limited by time or by a lack of specific knowledge required for prescribing physical activity or counseling behaviour change. Physical activity counselors individuals with specialized knowledge in the areas of physical activity assessment and prescription, theories of health behaviour change, and counseling strategies are beginning to be integrated into primary health care settings. Again, the major issue is that coaches, trainers, and therapists are often not specifically trained in implementing these interventions. Researchers do not represent a typical member of a sport, exercise, or rehabilitation training team, but many of the psychological interventions being developed and implemented are a part of a research program.

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