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Health Education Research Advance Access first published online on May 15, 2006
This version published online on June 9, 2006
Health Education Research, doi:10.1093/her/cyl008
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org
Received August 10, 2005
Accepted February 27, 2006

Original article

Physical activity promotion in general practices of Barcelona: a case study

Anna Puig Ribera 1 *, Jim McKenna 2, and Chris Riddoch 3

1 Universitat de Vic, C/ Sagrada Família 7, 08500, Vic, Catalonia (Spain)
2 School of Sport, Exercise and Physical Education, Leeds Metropolitan University, Leeds LS6 3QS, UK
3 London Institute for Sport and Exercise, Middlesex University, London N19 5LW, UK

* To whom correspondence should be addressed.
Anna Puig Ribera, E-mail: annam.puig{at}uvic.es


  Abstract

This case study aimed to generate explanations for the lack of integration of physical activity (PA) promotion in general practices of Barcelona, the capital of Catalonia. This explanatory study adopted a qualitative approach, based on three techniques; focus groups (n = 3), semi-structured (n = 25) and short individual interviews (n = 5). These approaches explored the wider environment surrounding primary care from a range of distinctive professional and personal perspectives. Participants were recruited as patients (n = 20), policy makers (n = 6), academics (n = 5), PA professionals (n = 3), medical doctors (n = 3), researchers (n = 2), media employees (n = 2) and one social worker. Phenomenological techniques were used for data coding and interpretation. Contributors confirmed the final interpretation. Three main factors underpinned the lack of integration of PA promotion approaches. PA promotion delivery rarely accounted for either patients' individual needs or the circumstances that influenced their interest in PA promotion. This was a missed opportunity in promotional consultations. There was also a lack of official support for general practitioner-based PA promotion. Finally, primary care staff intentionally isolated their practice from other professionals and/or services in the community. Community-based PA promotion could be better integrated by (i) introducing stage-based strategies, (ii) creating top-down approaches and (iii) connecting primary care with other professionals and institutions in the community.


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