"It's not just about walking.....it's the practice nurse that makes it work": a qualitative exploration of the views of practice nurses delivering complex physical activity interventions in primary care

Beighton, Carole, Victor, Christina, Normansell, Rebecca, Cook, Derek, Kerry, Sally, Iliffe, Steve, Ussher, Michael, Whincup, Peter, Fox Rushby, Julia, Woodcock, Alison and Harris, Tess (2015) "It's not just about walking.....it's the practice nurse that makes it work": a qualitative exploration of the views of practice nurses delivering complex physical activity interventions in primary care. BMC Public Health, 15(1236), ISSN (online) 1471-2458

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Abstract

Background: Physical activity (PA) is important for physical and mental health in adults and older adults. Interventions incorporating theory-based behaviour change techniques (BCTs) can be useful in helping people to increase their PA levels and can be delivered by practice nurses in primary care. We undertook two primary care based complex walking interventions among adults and older adults. Both interventions were underpinned by BCTs and delivered by practice nurses and we sought their views and experiences of delivering over 1400 complex PA consultations. Methods: Semi structured interviews with two practice nurse groups (n = 4 and n = 5) and two individual interviews (total n = 11) were conducted by independent facilitators; audio-recorded, transcribed verbatim and analysed using thematic analysis. Results: Five key themes emerged as enablers and/or barriers to delivering the intervention: preparation and training; initial and ongoing support; adherence to the protocol; the use of materials and equipment; and engagement of participants. The themes were organised into a framework of ‘pre-trial’ and ‘delivery of the intervention’. Two additional ‘post-trial’ themes were identified; changed practice and the future feasibility of the intervention. Nurses believed that taking part in the trial, especially the BCT training, enhanced the quality and delivery of advice and support they provided within routine consultations, although the lack of time available routinely makes this challenging. Conclusion: Delivering an effective behaviour change intervention in primary care requires adequate training and support for practice nurses both initially and throughout the trial as well as adequate consultation time. Enhanced skills from participating in such trials can lead to long-term changes, including more patient-centred consulting. Trial registration: PACE-Lift ISRCTN 42122561, PACE-UP ISRCTN 98538934.

Item Type: Article
Additional Information: This project was funded by the National Institute for Health Research (NIHR) through the Research for Patient Benefit Programme (RFPB) (PB-PG-0909- 20055) (PACE-Lift trial) and the Health Technology Assessment (HTA) Programme (10-32-02) (PACE-UP trial).
Uncontrolled Keywords: Practice nurse, Primary care, Randomised controlled trial, Walking intervention, Physical activity, Behaviour change techniques
Research Area: Epidemiology and public health
Primary care and other community based clinical subjects
Faculty, School or Research Centre: Faculty of Health, Social Care and Education
Related URLs:
Depositing User: Carole Beighton
Date Deposited: 05 Jan 2016 09:10
Last Modified: 05 Jan 2016 09:10
URI: http://eprints.kingston.ac.uk/id/eprint/33674

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