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Related Experiment Video

Updated: May 14, 2026

Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
05:59

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Published on: March 7, 2019

Assessing Physicians' Knowledge, Attitudes, Intentions, Abilities, and Behaviour Toward Physical Activity and

Niki Syrou1,2, Ioannis G Fatouros1, George S Metsios3,4

  • 1Department of Physical Education and Sport Science, University of Thessaly, Karies, 42100 Trikala, Greece.

Healthcare (Basel, Switzerland)
|May 13, 2026
PubMed
Summary

A new questionnaire effectively assesses physicians' knowledge, attitudes, intentions, abilities, and behaviour (KAIAB) regarding physical activity and exercise (PAE) promotion for non-communicable diseases (NCDs). Physicians show high intentions but limited knowledge and practice in PAE for NCD management.

Keywords:
chronic diseasese-Delphi studyperceptionsphysical activity and exercisephysicianspracticesquestionnaire construction and validation

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Area of Science:

  • Public Health
  • Clinical Practice
  • Medical Education

Background:

  • Physical activity and exercise (PAE) offer significant benefits for non-communicable diseases (NCDs) and public health.
  • Multidisciplinary implementation of PAE in clinical practice is crucial for NCD management.
  • A validated instrument is needed to assess physicians' knowledge, attitudes, intentions, abilities, and behaviour (KAIAB) regarding PAE promotion.

Purpose of the Study:

  • To develop and validate a new questionnaire assessing physicians' KAIAB towards PAE in NCD management.
  • To evaluate the KAIAB levels of physicians concerning PAE promotion.

Main Methods:

  • A two-stage design combining an e-Delphi method for questionnaire development and validation, followed by a cross-sectional study.
  • The e-Delphi method involved 16 physician-experts to achieve consensus on the questionnaire content (Content Validity Ratio: 0.5-1).
  • A cross-sectional study assessed the questionnaire's face validity and reliability (Cronbach's alpha: 0.805-0.931) in two physician populations across 12 medical specialties.

Main Results:

  • The developed questionnaire demonstrated high reliability and sufficient face validity.
  • Physicians' KAIAB levels towards PAE promotion in NCD management were assessed using Bloom's levels and found to be predominantly moderate.
  • Specific KAIAB levels: low (13/6), moderate (128/79), high (35/9), moderate (21/8), and moderate (33/8).

Conclusions:

  • The newly developed questionnaire is a reliable and valid tool for assessing physicians' KAIAB regarding PAE promotion.
  • Physicians reported high intentions and moderately positive attitudes towards PAE but exhibited limited knowledge and exercise prescription practices.
  • Enhancing policies and initiatives in medical education and the healthcare system is recommended to improve PAE integration in NCD management.