The effectiveness of counsellor support in addition to physical activity on prescription (PAP) from health care professionals has rarely been evaluated. This observational follow-up study investigated differences in physical activity levels and health-related quality of life (HRQoL) one year after PAP regarding patients’ use of counsellor support in addition to PAP in routine care. The study was conducted in a Swedish health care region in which all patients receiving PAP from health care professionals were offered counsellor support. Data were collected from medical records and questionnaires (baseline and follow-up). Of the 400 study participants, 37% used counsellor support. The group of counsellor users attained a higher level of physical activity one year after receiving PAP compared to the group of non-users (p < 0.001). The level of physical activity was measured by a validated index (score 3–19) calculated from weekly everyday activity and exercise training. Comparison of the change in scores between baseline and follow-up showed a significant difference between the two groups, (p < 0.001). The median difference in the PAP + C group was 2.0 (interquartile range, 7.0) and 0.0. among non-users (interquartile range, 4.0). Significant differences in HRQoL were due to positive improvements among counsellor users, with the main improvement in general health. The conclusion is that patients using counsellor support after receiving PAP from health care professionals had higher physical activity and better HRQoL one year after compared with patients who did not use this support.

中文翻译：

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常规医疗保健中的处方体育锻炼：有和没有辅导员支持的患者的1年随访。

很少评估医疗保健专业人员提供的除了处方运动（PAP）以外的辅导员支持的有效性。这项观察性随访研究调查了PAP一年后身体活动水平和健康相关生活质量（HRQoL）方面的差异，这些差异涉及患者在常规护理中除了使用PAP之外还使用辅导员支持。这项研究是在瑞典的医疗保健地区进行的，向该地区的所有从医疗保健专业人员处接受PAP的患者都得到了辅导员的支持。从医疗记录和问卷调查中收集数据（基线和随访）。在400名研究参与者中，有37％使用了辅导员支持。与非使用者组相比，咨询者使用者组在接受PAP一年后的体育锻炼水平更高（p<0.001）。身体活动水平是通过从每周的日常活动和运动训练中计算出的有效指数（得分3-19）进行衡量的。比较基线和随访之间分数的变化，发现两组之间存在显着差异（p < 0.001）。PAP + C组的中位差异为2.0（四分位间距为7.0）和0.0。非使用者之间（四分位间距为4.0）。HRQoL的显着差异归因于咨询用户的积极改善，而总体健康状况得到了主要改善。结论是，与没有使用这种支持的患者相比，在接受了医疗保健专业人员的PAP后使用辅导员支持的患者在一年后具有更高的身体活动能力和更好的HRQoL。