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Table 4 Items from the questionnaire for general practitioners

From: Collaboration of general practitioners and exercise providers in promotion of physical activity a written survey among general practitioners

1. Do you think GPs have a professional role in stimulating physical activity?
□ No
□ Yes, but a limited role
□ Yes, a (very) important role
2. Do you advice your patients sometimes to take more exercise?
□ No, never
□ Yes, when patients ask for advise
□ Yes, to specific groups of patients (such as people with (increased risk for) chronic diseases, e.g. DM)
□ Yes, when relevant for the actual health problem
□ Yes, when relevant for the general health status (irrespective the actual health problem)
3. What are the reasons not to advise patients to take more exercise?
□ I don’t think this is my professional task
□ I don’t think of giving advises
□ Lack of time
□ I have to little knowledge of (more) physical exercise
□ I think it’s inconvenient to start talking about more physical activity
□ I doubt the health effects of physical activity
□ Patients limited motivation for physical activity
□ Patients reduced health status
□ Patients cultural background/family situation/living conditions
□ Other, …..…
4. Do you refer your patients sometimes to take more exercise?
□ No, I give non-committal advice only
□ Yes, to a practice nurse /lifestyle counsellor within the practice
□ Yes, to a life style counsellor outside the practice
□ Yes, to a physical therapist within the practice
□ Yes, to a physical therapist outside the practice
□ Yes, to a local fitness centre in the in the community
□ Yes, to another exercise facility in the in the community (no fitness)
□ Yes, other…..
5. What are reasons for referring patients to a (organized) physical activity or fitness in the community?
□ Inapplicable (I never refer my patients)
□ Patients are more willing to respond to a direct referral
□ It is good to stimulate physical activity outside the health care setting
□ There are good and accessible exercise facilities in the community
□ There is a good cooperation with sports and exercise providers in the community
□ We have good experiences with sports and exercise facilities in the community
□ We do not have enough expertise on physical activity ourselves
□ Other…..
6. What are reasons for not referring patients to a (organized) physical activity or fitness in the community?
□ Patients themselves should find an appropriate exercise facility
□ We prefer to send patients to a PT for physical activity
□ Patients prefer exercising under supervision of the PT
□ Insufficient knowledge of local physical activity facilities
□ Insufficient confidence in local exercise facilities
□ Bad experiences with local physical activity facilities
□ Local exercise facilities are unsafe/
□ Trainers of local exercise facilities lack experiences with our group of patients
□ Community physical activity are to intensive for our patients
□ Patients insufficient financial possibilities to participate in organised physical activity
□ Cultural background/family or living conditions hindering physical activity
□ Other, …
7. What proportion of patients who should exercise more for health reasons is actually referred to (organized) physical activity or fitness in the community?
□ 0 %
□ 1-20 %
□ 21-40 %
□ 41-60 %
□ 61-80 %
□ 81-100 %
8. Are you involved in a formal collaboration or network with other health care providers and/or sport and exercise providers in the community to stimulate physical activity?
□ Yes
□ No
9. Who are involved in this network/collaboration?
□ Collegue GPs
□ Practice nurse
□ Physical therapist
□ Life style counselor
□ Fitnesscentre
□ Leisure centre/welfare organisation/home care
□ Patiënts organisation
□ Local exercise facilities (such as sportclubs, hiking- or cyclingclubs, swimming pools, dancing centres etc.
□ Municipal health organisation
□ Municipality
□ Insurance company
□ Other, ..…..
10. Why is the practice not involved in such a formal collaboration or network to stimulate physical activity?
□ We have no interest in such a collaboration
□ As far as I know there is no formal collaboration or network in the community
□ There is a formal collaboration but this does not function adequately
□ It never occurred to me to participate in such a formal collaboration
□ Other……
11. Would your practice be interested in participating in a formal network with health professionals and sports providers when this was available in the neighborhood?
□ No, we are not interested
□ No, because a lack of time
□ Yes, if there would be a good functioning network
□ Yes, but only if this would be financed
□ Yes, because…..….
12. What would be stimulating factors for your practice to refer more patients to local sports and exercise facilities?
□ None
□ Positive effects for my patients
□ Positive experiences for my patients
□ Introductory information meeting about possibilities to refer to local sports- and exercise facilities
□ Good collaboration with trainers from local sports- and exercise facilities
□ Regular meetings with health care professionals and local sports- and exercise providers
□ Trainers adequately trained (medically/psychologically) in supporting inactive people
□ Specific group programmes for the target population
□ Exchange of information about patients progress between trainers and GPs
□ Website with local sports and exercise facilities
□ Flyers for patients with local sports and exercise facilities
□ Introductory lessons against reduced price
□ Affordable sports- and exercise facilities
□ Reimbursement of physical activity
□ Structural financing of collaboration between GP and local exercise providers
□ Other, ….