Introduction
Primary care providers have limited time for physical
activity counseling. They can optimize counseling time by referring patients to
community resources for more comprehensive support. To facilitate referrals,
resource guides (lists of community opportunities with descriptive information)
are often created but seldom used. We elicited the detailed opinions of
providers about how to make resource guides more useful for them.
Methods
We asked a convenience sample of health care providers
open-ended questions about resource guide usefulness. Providers included 7
physicians, 6 physical/occupational therapists, 5 registered nurses, and 2 nurse
practitioners practicing in diverse settings. We identified key themes using
grounded theory methodology.
Results
All participants thought resource guides were potentially
useful, particularly providers who worked in communities that were
socioeconomically or culturally different from their own. Perceived benefits
included providing easy access to information, facilitating specific activity
recommendations, and reminding health care providers about the scope of
available opportunities. Participants cautioned that resource guides were not a
substitute for individual recommendations or provider counseling. They said
resource guide usefulness was limited by inconvenience, frustration with
outdated entries, and discomfort referring patients to programs without personal
experience of program quality. Providers offered suggestions for useful
information to include in the resource guides.
Conclusions
Resource guides may offer a critical link between
clinical services and community resources. Integrating guides with existing
clinical systems, incorporating mechanisms for frequent updating, and providing
multiple copies will help address provider concerns. Web-based resource guides
may help achieve these goals.