Main Article Content

Ayesha Erum Hadi
Muntaser Ibrahim Aasi Massad
Faraz Waheed
Shagufta Rasool
Maryam Naz
Syed Adnan Rahmat
Sidra Ahmad


Primary Health Care, Counseling, Healthcare Staff, Motor Activity, Public Health


Background: This study aims to characterize the types of physical exercise counseling practitioners utilize in public health care and their corresponding methods. The research was conducted across different regions of Pakistan, focusing on primary health care (PHC) settings.


Methods: A survey was conducted among medical professionals, with 587 (85.4%) female respondents. The study focused on counseling activities conducted within the past 12 months. Functional components and approaches of counseling methods were scrutinized.


Results: Recommendations for physical activity were made in 86.2% (95% CI = 83.2–88.8%) of cases. Counseling was typically described as brief, one-on-one sessions tailored for adults, senior citizens, and individuals with mental health concerns. A significant proportion (89.5%) of individuals were encouraged to join physical exercise groups at Health Centers. The most frequently employed technique within the 5As method was "providing advice" (99.0%) while motivating people to join organizations was the least utilized tactic (0%). Adherence to plans was observed in 22.6% of cases.


Conclusion: Physical exercise counseling predominantly adopted a brief, one-on-one approach, targeting adults, the elderly, and individuals with health issues. However, the effectiveness of these counseling methods appears to be limited, as indicated by the discrepancy between recommended strategies and their actual implementation. Improving support and care for individuals targeted by these counseling procedures is needed.

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5. Facilitating positive health behaviors and well-being to improve health outcomes: standards of care in diabetes—2024. (2024). Diabetes Care, 47(Supplement_1), S77-S110.
2. Alfrey, L., & O'Connor, J. (2024). Transforming physical education: an analysis of context and resources that support curriculum transformation and enactment. Physical Education and Sport Pedagogy, 29(1), 1-17.
3. Aminabee, S. (2024). The Future of Healthcare and Patient-Centric Care: Digital Innovations, Trends, and Predictions Emerging Technologies for Health Literacy and Medical Practice (pp. 240-262): IGI Global.
4. Aziz, T., Hussain, N., Hameed, Z., & Lin, L. (2024). Elucidating the role of diet in maintaining gut health to reduce the risk of obesity, cardiovascular and other age-related inflammatory diseases: recent challenges and future recommendations. Gut Microbes, 16(1), 2297864.
5. Bhatia, D., Paul, S., Acharjee, T., & Ramachairy, S. S. (2024). Biosensors and their widespread impact on human health. Sensors International, 5, 100257.
6. Bleasdale, J., Wilson, K., Aidoo-Frimpong, G., Gabriel, S. J., & Przybyla, S. M. (2024). Lesbian, gay, bisexual, and transgender (LGBT) health education in healthcare professional graduate programs: a comparison of medical, nursing, and pharmacy students. Journal of Homosexuality, 71(1), 193-206.
7. Brinkley, C., & Wagner, J. (2024). Who is planning for environmental justice—and how? Journal of the American Planning Association, 90(1), 63-76.
8. Burgueño, R., García-González, L., Abós, Á., & Sevil-Serrano, J. (2024). Students' motivational experiences across profiles of perceived need-supportive and need-thwarting teaching behaviors in physical education. Physical Education and Sport Pedagogy, 29(1), 82-96.
9. Charchar, F. J., Prestes, P. R., Mills, C., Ching, S. M., Neupane, D., Marques, F. Z., . . . Korostovtseva, L. (2024). Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension. Journal of hypertension, 42(1), 23-49.
10. Clarke, J. (2031). A web-based public health intervention to reduce functional impairment and depressive symptoms in adults with type 2 diabetes (the SpringboarD Trial): Results of a randomized controlled trial. Black Dog Institute.
11. Crowe, C., Liu, L., Bagnarol, N., & Fried, L. (2024). Loneliness prevention and the role of the public health system. Perspectives in public health, 144(1), 31-38.
12. Datta, S., & Barua, R. (2024). 3D Printing in Modern Healthcare: An Overview of Materials, Methods, Applications, and Challenges. Emerging Technologies for Health Literacy and Medical Practice, 132-152.
13. de Almeida, R. S. (2024). Beyond Textbooks and Standard Practices: Advancing Mental Health Literacy with Digital Tools Emerging Technologies for Health Literacy and Medical Practice (pp. 20-46): IGI Global.
14. del Rio Carral, M., Volpato, L., & Michoud, C. (2024). 'I wanted to share some of my healthy habits': YouTubers' staging of health-related practices. Psychology & Health, 39(1), 68-90.
15. Essiet, I. A., Warner, E., Lander, N. J., Salmon, J., Duncan, M. J., Eyre, E. L., & Barnett, L. M. (2024). Exploring Australian teachers' perceptions of physical literacy: a mixed-methods study. Physical Education and Sport Pedagogy, 29(1), 18-37.
16. Fernandez-Rio, J., & Iglesias, D. (2024). What do we know about pedagogical models in physical education so far? An umbrella review. Physical Education and Sport Pedagogy, 29(2), 190-205.
17. Garcia, M. B., Garcia, P. S., Maaliw, R. R., Lagrazon, P. G. G., Arif, Y. M., Ofosu-Ampong, K., . . . Vaithilingam, C. A. (2024). Technological Considerations for Advancing Health Literacy and Medical Practice: A Posthumanist Framework in the Age of Healthcare 5.0 Emerging Technologies for Health Literacy and Medical Practice (pp. 1-19): IGI Global.
18. Gibson, A. L., Wagner, D. R., & Heyward, V. H. (2024). Advanced fitness assessment and exercise prescription: Human kinetics.
19. Goldsteen, R. L., Goldsteen, K., & Dwelle, T. (2024). Introduction to public health: promises and practices.
20. Hamilton, K., Phipps, D., Schmidt, P., Bamberg, S., & Ajzen, I. (2024). The first test of the theory of reasoned goal pursuit: predicting physical activity. Psychology & Health, 39(1), 24-41.
21. Heidari, S., Tavakkoli-Moghaddam, R., Salimi, B., Mehdizadeh-Somarin, Z., & Hamid, M. (2024). An integrated approach for evaluating and improving the performance of hospital ICUs based on ergonomic and work-motivational factors. Computers in Biology and Medicine, 168, 107773.
22. Hernandez Amaro, P., Durbán Reguera, M. L., Aguilera Morillo, M. D. C., Esteban Gonzalez, C., & Arostegui, I. (2025). Modeling physical activity profiles in COPD patients: a new approach to variable-domain functional regression models.
23. Herold, F., Theobald, P., Gronwald, T., Kaushal, N., Zou, L., de Bruin, E. D., . . . Müller, N. G. (2024). Alexa, let's train now!—A systematic review and classification approach to digital and home-based physical training interventions to support healthy cognitive aging. Journal of Sport and Health Science, 13(1), 30-46.
24. IANCU, C. F., FURTUNESCU, F. L., & ARMEAN, P. (2030). Analysis of reproductive health policies in Romania: evolution from the perspective of access and addressability to family planning services. Reproductive health, 2016, 12.
25. Insuasty Pineda, M. P. (2026). Development of an adaptative human-robot interface based on physiological parameters to promote physical activity in sedentary participants.
26. Kanny, D. (2024). Overview and methodology of the National HIV Behavioral Surveillance among Transgender Women—seven urban areas, United States, 2019–2020. MMWR supplements, 73.
27. Khorram-Manesh, A., Gray, L., Goniewicz, K., Cocco, A., Ranse, J., Phattharapornjaroen, P., . . . Hertelendy, A. J. (2024). Care in emergencies and disasters: Can it be person-centered? Patient Education and Counseling, 118, 108046.
28. Kumar, S., Singh, A. K., & Dhiman, S. (2030). Importance of physical therapy approaches to improve quality of living in cancer patient: A review. CANCER, 3.
29. Lee, C.-C., & Yuan, Z. (2024). Impact of energy poverty on public health: A non-linear study from an international perspective. World Development, 174, 106444.
30. Maben, J., & Conolly, A. (2024). Lessons for Structure, Workforce Planning, and Responding to Emergencies from Nurses in the COVID-19 Pandemic Major Incidents, Pandemics and Mental Health: The Psychosocial Aspects of Health Emergencies, Incidents, Disasters and Disease Outbreaks (pp. 301-313): Cambridge University Press.
31. Norouzi, E., Rezaie, L., Bender, A. M., & Khazaie, H. (2024). Mindfulness plus physical activity reduces emotion dysregulation and insomnia severity among people with major depression. Behavioral sleep medicine, 22(1), 1-13.
32. Nutter, S., Eggerichs, L. A., Nagpal, T. S., Ramos Salas, X., Chin Chea, C., Saiful, S., . . . Baur, L. A. (2024). Changing the global obesity narrative to recognize and reduce weight stigma: a position statement from the World Obesity Federation. Obesity Reviews, 25(1), e13642.
33. Pride, T., Beagan, B. L., MacLeod, A., & Sibbald, K. (2024). Educational experiences of health professionals from marginalized groups: "It takes more work." Diaspora, Indigenous, and Minority Education, 18(1), 51-67.
34. Redi, A., & Marliana, L. (2024). Hospital Responsibilities Toward Patients In The Implementation Of Health Services. International Journal of Engineering Business and Social Science, 2(03), 997-1008.
35. Roy, R., & Ashmika, R. (2024). Textile Products in Healthcare: Innovations, Applications, and Emerging Trends. Emerging Technologies for Health Literacy and Medical Practice, 288-314.
36. Sibbald, K. R., & Beagan, B. L. (2024). Disabled healthcare professionals' experiences of altruism: Identity, professionalism, competence, and disclosure. Disability & Society, 39(1), 174-191.
37. Stewart, M., Brown, J. B., Weston, W. W., Freeman, T., Ryan, B. L., McWilliam, C. L., & McWhinney, I. R. (2024). Patient-centered medicine: transforming the clinical method: CRC press.
38. Tan, A. J., Rusli, K. D., McKenna, L., Tan, L. L., & Liaw, S. Y. (2024). Telemedicine experiences and perspectives of healthcare providers in long-term care: A scoping review. Journal of Telemedicine and Telecare, 30(2), 230-249.
39. Thapliyal, K., Thapliyal, M., & Thapliyal, D. (2024). Social Media and Health Communication: A Review of Advantages, Challenges, and Best Practices. Emerging Technologies for Health Literacy and Medical Practice, 364-384.
40. Voisin, S., Seale, K., Jacques, M., Landen, S., Harvey, N. R., Haupt, L. M., . . . Thompson, J. L. M. (2024). Exercise is associated with younger methylome and transcriptome profiles in human skeletal muscle. Aging Cell, 23(1), e13859.
41. Wang, F., Sohail, A., Tang, Q., & Li, Z. (2024). Impact of fractals emerging from fitness activities on the retail of intelligent wearable devices. Fractals, 32(01), 2240112

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