Physicians will help evaluate prototypes of the guide, expected to be ready for distribution later this year. It will recognize that there are distinct stages in modifying behaviour. CSEP already trains people to do fitness appraisals and set up personalized exercise programs. The National Fitness Appraisal, Certification and Accreditation Program teaches some 5000 people a year to evaluate and counsel people on a fit and healthy lifestyle. Hearst says few physicians take the training, which at the basic level takes up to 32 hours.
Some work is now under way to understand such distinctions.
This spring, the Ottawa Heart Institute will launch a 6-month pilot project to determine what motivates adult women to become and stay physically active. While the scientific evidence is assembled, some doctors just take it for granted that patients need coaching on fitness. Dr. Susan Hauch, a Winnipeg FP who helps train family practice residents at the University of Manitoba, raises the issue during all periodic health exams, even with children. She asks what patients do to exercise and explains why it is important. Hauch, who works out 3 times a week, recommends specific activities and ways to overcome obstacles.