HOW CAN AND DO AUSTRALIAN DOCTORS PROMOTE PHYSICAL-ACTIVITY

Background. Physical inactivity is recognized as an important public h ealth issue. Yet little is known about doctors' knowledge, attitude, s kills, and resources specifically relating to the promotion of physica l activity. Our survey assessed the current practice, perceived desira ble practice, confidence, and barriers related to the promotion of phy sical activity in family practice, Methods. A questionnaire was develo ped and distributed to all 1,228 family practitioners in Perth, Wester n Australia. Results. We received a 71% response (n = 789). Family pra ctitioners are most likely to recommend walking to sedentary adults to improve fitness and they are aware of the major barriers to patients participating in physical activity. Doctors are less confident at prov iding specific advice on exercise and may require further skills, know ledge, and experience, Although they promote exercise to patients thro ugh verbal advice in the consultation, few use written materials or re ferral systems, Conclusions. There are significant differences between self-reports of current practice and perceived desirable practice in the promotion of physical activity by doctors, Future strategies need to address the self-efficacy of family physicians and involve resource s of proven effectiveness. The potential of referral systems for suppo rting efforts to increase physical activity by Australians should be e xplored. (C) 1997 Academic Press.