title: From a Vital Sign to Vitality: Selling Exercise So Patients Want to Buy It.
abstract: Exercise is Medicine (EIM) and physical activity as a vital sign are based on health-focused research and reflect ideal frames and messages for clinicians. However, they are nonoptimal for patients because they do not address what drives patients' decision-making and motivation. With the growing national emphasis on patient-centered and value-based care, it is the perfect time for EIM to evolve and advance a second-level consumer-oriented exercise prescription and communication strategy. Through research on decision-making, motivation, consumer behavior, and meaningful goal pursuit, this article features six evidence-based issues to help clinicians make physical activity more relevant and compelling for patients to sustain in ways that concurrently support patient-centered care. Physical activity prescriptions and counseling can evolve to reflect affective and behavioral science and sell exercise so patients want to buy it.
authors.affiliation: 1Sport, Health, and Activity Research and Policy (SHARP) Center, University of Michigan, Ann Arbor, MI; 2Institut de Recherche de l'Hôpital Montfort, Ottawa, Ontario Canada; 3Boston VA Healthcare System, West Roxbury, Massachusetts.
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Segar
authors.forename: Eva
authors.initials: E
authors.lastname: Guérin
authors.forename: Edward
authors.initials: E
authors.lastname: Phillips
authors.forename: Michelle
authors.initials: M
authors.lastname: Fortier
mesh_terms: D019317:Evidence-Based Medicine; D005081:Exercise Therapy / Q000523:psychology*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008389:Marketing of Health Services / Q000379:methods*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D064797:Physical Conditioning, Human / Q000523:psychology*; D010817:Physician-Patient Relations