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Journal article

Exploring Healthcare Professionals’ Approaches to Promoting Physical Activity and Reducing Sedentary Behaviour in Clinical Paediatric Populations in South Wales

Joanne Hudson, Amie Richards Orcid Logo, Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo, Rachel Knight Orcid Logo, Sarah Denford

Healthcare, Volume: 14, Issue: 12, Start page: 1801

Swansea University Authors: Joanne Hudson, Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo

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Abstract

Background/Objectives: Physical inactivity is a significant public health challenge among children and young people (CYP), particularly within clinical populations. Whilst healthcare professionals (HCPs) are uniquely positioned to implement behaviour change strategies, there is little evidence of im...

Full description

Published in: Healthcare
Published: Basel, Switzerland MDPI 2026
Online Access: https://www.mdpi.com/2227-9032/14/12/1801
URI: https://cronfa.swan.ac.uk/Record/cronfa72151
Abstract: Background/Objectives: Physical inactivity is a significant public health challenge among children and young people (CYP), particularly within clinical populations. Whilst healthcare professionals (HCPs) are uniquely positioned to implement behaviour change strategies, there is little evidence of implementation in practice. This study examined the practices of, as well as barriers and facilitators experienced by, HCPs in South Wales, United Kingdom (UK), when promoting physical activity (PA) and reducing sedentary behaviour (SED) in clinical paediatric populations, together with their perceptions and proficiencies in delivering this support. Methods: A 32-item questionnaire was completed by 41 HCPs, recruited through professional and clinical networks to generate an opportunistic sample from physiotherapists (n = 22), doctors (n = 7), occupational therapists (n = 4), therapy technical instructors (n = 2), and others (n = 1 each). Quantitative responses were analysed using descriptive statistics; free-text responses underwent qualitative content analysis. Results: The findings revealed that 95% of HCPs discussed PA at some or all appointments, with similar figures reported for SED (90%) and exercise (88%). However, only 63% of participants felt PA was adequately addressed within their services. Barriers included time constraints, resource limitations, and knowledge gaps. Key facilitators included training, toolkit availability, and multidisciplinary collaboration. Conclusions: This study highlights the need for system-level changes to enable HCPs to deliver consistent, effective messaging that promotes PA and reduces SED, ultimately improving health outcomes for CYP receiving clinical input. Facilitating this approach requires embedding PA promotion into HCP training, expanding referral pathways to CYP, and strengthening multidisciplinary working.
Keywords: health promotion; behaviour change; lifestyle interventions; child health
College: Faculty of Science and Engineering
Funders: Fee waived
Issue: 12
Start Page: 1801