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Integrating "Exercise Is Medicine" into primary care workflow: a study protocol.

Sarah E Linke1, Gene Rusty Kallenberg1, Rick Kronick1

  • 1Department of Family Medicine and Public Health, UC San Diego, La Jolla, CA, USA.

Translational Behavioral Medicine
|September 18, 2020
PubMed
Summary
This summary is machine-generated.

Integrating Exercise Is Medicine (EIM) into primary care improves physical activity (PA) identification and treatment. This quality improvement project combines implementation science and QI models for sustainable integration into clinical workflows.

Keywords:
Exercise Is MedicineHealth care services researchImplementation sciencePhysical activityQuality improvement

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Area of Science:

  • Public Health
  • Health Services Research
  • Implementation Science

Background:

  • Insufficient physical activity (PA) contributes significantly to chronic diseases and healthcare costs.
  • While many PA interventions exist, few are integrated into primary care settings.
  • Exercise Is Medicine (EIM) promotes PA assessment and treatment within healthcare.

Purpose of the Study:

  • To describe an ongoing quality improvement (QI) project integrating EIM into routine primary care.
  • To utilize implementation science (IS) and QI models for adapting, implementing, and evaluating EIM integration.
  • To inform best practices for EIM integration in primary care to increase patient PA levels.

Main Methods:

  • Combined IS and QI models, including PRISM and the learning evaluation QI model.
  • Utilized Plan-Do-Study-Act microcycles for rapid testing and refinement.
  • Employed the Stirman Framework to document adaptations and PRISM outcomes for evaluation.

Main Results:

  • The project is in progress, focusing on adapting and implementing EIM in six primary care clinics.
  • The combined IS and QI approach facilitates workflow optimization and program refinement.
  • Evaluation focuses on reach, adoption, implementation, effectiveness, and maintenance for sustainability.

Conclusions:

  • Combining IS and QI offers a promising approach to integrate EIM into primary care.
  • This strategy has significant potential for improving population health by increasing PA.
  • The findings will guide future EIM integration efforts in primary care settings.