207933 Increasing rates of physical activity assessment and counseling of clients among Kentucky advanced registered nurse practitioners (ARNPs)

Monday, November 9, 2009

Barbara Speck, PhD , School of Nursing, University of Louisville, Louisville, KY
Valerie E. McCarthy, BSN , School of Nursing, University of Louisville, Louisville, KY
John A. Myers, PhD , School of Public Health and Information Sciences, University of Louisville, Louisville, KY
Purpose: The purpose of this study was to determine if increases in percent of inactive clients offered physical activity counseling by Kentucky ARNPs from 2001 (59.3%) to 2007 (75.6%) was due to changes in educational attainment and/or how the ARNPs learned the importance of physical activity.

Method: The same assessment and counseling questionnaire was mailed to Kentucky ARNPs in April 2001 (N=1,291) and October 2007 (N=1,952). The questionnaire included demographic data, education level, practice patterns and avenues used to learn about the importance of regular physical activity.

Findings: Nurses utilized physiologic methods (percent body fat [p=0.0382]; tests of physical performance [p=0.0194]) more frequently to assess physical activity in 2007, compared to 2001. In addition, educational levels rose in ARNPs from 2001 to 2007, and the way they learned the importance of physical activity changed over time. While the way ARNPs learned the importance is significant (p<0.001), educational attainment was not significant (p=0.7235). ARNPs reported discordance between their own physical activity levels; in 2001 67% reported they met recommended guidelines, yet only 19.7% categorized their physical activity level at moderate or vigorous, while 67.1% in 2007 reported they met recommended guidelines and only 25.3% categorized their level at moderate or above.

Discussion: Kentucky continues to have one of the highest levels of physical inactivity. Methods to increase physical activity are significant to the health of the population. Establishing what influences increased physical activity assessment among ARNPs is warranted. Our analysis suggests points of intervention to increase physical activity assessment among ARNPs.

Learning Objectives:
1. Identify factors associated with the difference in physical activity assessment and counseling practices in 2001 and 2007. 2. Discuss the significance of discordance in the two self-reported measures of ARNP personal physical activity levels.

Keywords: Physical Activity, Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD prepared registered nurse who has over 10 years experience in physical activity research that includes funded grants, presentations and publications.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.