Annals of Behavioral Medicine

, Volume 30, Issue 2, pp 146–154

Physical activity counseling in primary care and patient well-being: Do patients benefit?


    • Department of Public Health SciencesWake Forest University School of Medicine
  • Abby King
    • Stanford Prevention Research CenterStanford University School of Medicine
  • Anita L. Stewart
    • Institute for Health & AgingUniversity of California San Francisco
  • Fabian Camacho
    • Department of Public Health SciencesWake Forest University School of Medicine
  • W. Jack Rejeski
    • Department of Health and Exercise ScienceWake Forest University—Reynolda Campus

DOI: 10.1207/s15324796abm3002_7

Cite this article as:
Anderson, R.T., King, A., Stewart, A.L. et al. ann. behav. med. (2005) 30: 146. doi:10.1207/s15324796abm3002_7


Background: Promoting physical activity is an important public health strategy for long-term reductions in incidence or severity of clinical disease. Benefits to health-related quality of life (HRQL) and subjective well-being may be as important and take less time to accrue.Purpose:We examined the HRQL benefits of a social-cognitive-theory-based intervention of the Activity Counseling Trial (ACT), both directly in terms of changes in physical fitness and indirectly from increased self-efficacy associated with the intervention.Methods: In ACT, 395 female and 479 male inactive patients ages 35 to 75 years were randomized to one of: physician advice, advice plus behavioral counseling during primary care visits, or advice plus behavioral counseling that also included telephone contact and behavioral classes. Participants were assessed at baseline, 6 months, and 24 months. HRQL was assessed as perceived quality of life, perceived stress, depression, and general health. Satisfaction with function and appearance, self-efficacy, and social support were also assessed.Results: At 24 months women who received counseling or assistance had significant reductions in daily stress and improvements in satisfaction with body function compared to those receiving advice only. Men had reductions in daily stress across all treatment arms. These results mirrored V02max changes observed per group. Change in barriers self-efficacy was significantly associated with reductions in daily stress at 24 months.Conclusions: Patient benefit from ACT intervention was mediated by enhanced cardiorespiratory fitness and by barriers self-efficacy.

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© The Society of Behavioral Medicine 2005