Abstract
Background: Physically active physicians are more apt to counsel patients about exercise. Purposes: The purpose of this study was to determine the effect of a physician fitness program on resident physician cardiovascular fitness, physical activity behavior/stage of change, and physical activity counseling behavior/attitudes. Methods: A prospective, intervention study with measurements at baseline (before intervention), 3 months (immediately after intervention), and 6 months (3 months after intervention) evaluated a multifaceted exercise program for 48 internal medicine residents. Resident physician cardiovascular fitness, energy expenditure, physical activity stage of change, knowledge, attitudes, and counseling behavior were measured. Results: Resident physician fitness significantly declined over time (baseline VO2-170 = 29.1 ml/kg/min, first follow-up VO2-170 = 27.3 ml/kg/min, and second follow-up VO2-170 = 26.2 ml/kg/min; p = .001). Although there was no change in overall energy expenditure, the number of resident physicians in the precontemplation or contemplation stage of change significantly declined with a corresponding increase in the number in a "higher" stage of change at first (p = .0034) and second follow-up (p = .024). There was a nonsignificant increase in self-reported patient counseling. Resident physician counseling confidence and perceived success significantly improved at first follow-up only (p = .01 and p = .03, respectively). Conclusion: Although resident physician fitness and energy expenditure did not improve after intervention, a significant improvement in resident physician physical activity stage of change and attitudes toward patient counseling was noted. Randomized controlled trials are needed to confirm whether these changes are attributable to the intervention.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 27-35 |
| Number of pages | 9 |
| Journal | Teaching and Learning in Medicine |
| Volume | 17 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2005 |
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ASJC Scopus subject areas
- Education
Cite this
A physician fitness program : Enhancing the physician as an "exercise" role model for patients. / Rogers, Laura Q.; Gutin, Bernard; Humphries, Matthew C.; Lemmon, Christian; Waller, Jennifer L; Baranowski, Tom; Saunders, Ruth.
In: Teaching and Learning in Medicine, Vol. 17, No. 1, 01.01.2005, p. 27-35.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A physician fitness program
T2 - Enhancing the physician as an "exercise" role model for patients
AU - Rogers, Laura Q.
AU - Gutin, Bernard
AU - Humphries, Matthew C.
AU - Lemmon, Christian
AU - Waller, Jennifer L
AU - Baranowski, Tom
AU - Saunders, Ruth
PY - 2005/1/1
Y1 - 2005/1/1
N2 - Background: Physically active physicians are more apt to counsel patients about exercise. Purposes: The purpose of this study was to determine the effect of a physician fitness program on resident physician cardiovascular fitness, physical activity behavior/stage of change, and physical activity counseling behavior/attitudes. Methods: A prospective, intervention study with measurements at baseline (before intervention), 3 months (immediately after intervention), and 6 months (3 months after intervention) evaluated a multifaceted exercise program for 48 internal medicine residents. Resident physician cardiovascular fitness, energy expenditure, physical activity stage of change, knowledge, attitudes, and counseling behavior were measured. Results: Resident physician fitness significantly declined over time (baseline VO2-170 = 29.1 ml/kg/min, first follow-up VO2-170 = 27.3 ml/kg/min, and second follow-up VO2-170 = 26.2 ml/kg/min; p = .001). Although there was no change in overall energy expenditure, the number of resident physicians in the precontemplation or contemplation stage of change significantly declined with a corresponding increase in the number in a "higher" stage of change at first (p = .0034) and second follow-up (p = .024). There was a nonsignificant increase in self-reported patient counseling. Resident physician counseling confidence and perceived success significantly improved at first follow-up only (p = .01 and p = .03, respectively). Conclusion: Although resident physician fitness and energy expenditure did not improve after intervention, a significant improvement in resident physician physical activity stage of change and attitudes toward patient counseling was noted. Randomized controlled trials are needed to confirm whether these changes are attributable to the intervention.
AB - Background: Physically active physicians are more apt to counsel patients about exercise. Purposes: The purpose of this study was to determine the effect of a physician fitness program on resident physician cardiovascular fitness, physical activity behavior/stage of change, and physical activity counseling behavior/attitudes. Methods: A prospective, intervention study with measurements at baseline (before intervention), 3 months (immediately after intervention), and 6 months (3 months after intervention) evaluated a multifaceted exercise program for 48 internal medicine residents. Resident physician cardiovascular fitness, energy expenditure, physical activity stage of change, knowledge, attitudes, and counseling behavior were measured. Results: Resident physician fitness significantly declined over time (baseline VO2-170 = 29.1 ml/kg/min, first follow-up VO2-170 = 27.3 ml/kg/min, and second follow-up VO2-170 = 26.2 ml/kg/min; p = .001). Although there was no change in overall energy expenditure, the number of resident physicians in the precontemplation or contemplation stage of change significantly declined with a corresponding increase in the number in a "higher" stage of change at first (p = .0034) and second follow-up (p = .024). There was a nonsignificant increase in self-reported patient counseling. Resident physician counseling confidence and perceived success significantly improved at first follow-up only (p = .01 and p = .03, respectively). Conclusion: Although resident physician fitness and energy expenditure did not improve after intervention, a significant improvement in resident physician physical activity stage of change and attitudes toward patient counseling was noted. Randomized controlled trials are needed to confirm whether these changes are attributable to the intervention.
UR - http://www.scopus.com/inward/record.url?scp=14944372492&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=14944372492&partnerID=8YFLogxK
U2 - 10.1207/s15328015tlm1701_6
DO - 10.1207/s15328015tlm1701_6
M3 - Article
C2 - 15691811
AN - SCOPUS:14944372492
VL - 17
SP - 27
EP - 35
JO - Teaching and Learning in Medicine
JF - Teaching and Learning in Medicine
SN - 1040-1334
IS - 1
ER -