Online Program

Role of Nurses in Community-based Physical Activity Promotion: A Systematic Review

Sunday, November 1, 2015

Elizabeth (Libby) Richards, PhD, RN, CHES, School of Nursing, Purdue University, West Lafayette, IN
Yun Cai, MSN, RN, School of Nursing, Purdue University, West Lafayette, IN
The purpose of this systematic review is to describe community and home-based physical activity (PA) interventions delivered by nurses and determine intervention attributes associated with positive PA changes.

 A systematic search was conducted through CINAHL, PubMed, PsycINFO, SportDiscus, Cochrane. Key words included physical activity or exercise or walking and community or home. Titles and abstracts were screened independently by two reviewers for inclusion criteria: published in English between 1990-2014, used a nurse-delivered intervention delivery and directly measured overall PA, exercise, or walking.

 Initial search yielded 2,720 citations. After removing duplicates, screening titles and abstracts and reading full-texts, 18 studies remained. Three additional studies were identified through ancestry searches. The final sample included 21 articles (13 in community settings and 8 in home settings).

 Twelve studies were conducted in the U.S. and 11 were guided by health behavior theories. All interventions included multiple contacts. The role of nurses varied including: leading exercise training or monitoring programs, counseling, and providing motivational communication. The most common role involved goal setting and monitoring. Eighteen studies (8 home setting; 10 community settings) reported greater PA change in intervention subjects.

 A previous review focusing on nurse-delivered PA interventions in primary care had less consistent findings, suggesting community and home settings may be more effective in promoting PA behavior change. These findings may indicate that nurses in home and community settings may foster more therapeutic relationships resulting in more positive behavior change. In addition, time constraints may be less of an issue than in primary care settings.

Learning Areas:

Public health or related nursing
Social and behavioral sciences

Learning Objectives:
Describe the role of community health nurses in physical activity promotion Identify 2-3 effective physical activity promotion strategies used by community health nurses

Keyword(s): Physical Activity, Nurses/Nursing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed and conducted this study
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.