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. 2021 Dec 16;18(24):13245. doi: 10.3390/ijerph182413245

Table 2.

Actions and proposed resources to support healthcare providers wanting to promote exercise.

Actions and Resource Development Target Audience
Service Training (i.e., sharing of knowledge between exercise- specialist healthcare providers with non-exercise specialist healthcare providers or behaviour change specialist healthcare providers with non-behaviour change specialist providers) to deliver evidenced guideline-based exercise promotion to patients/clients, ideally for use at initial consultations and review consultations thereafter Neurologists and the multidisciplinary healthcare team, and healthcare team systems
Professional Training (i.e., theory based education) to deliver evidenced guideline-based exercise promotion to patients/clients, ideally undertaken at graduate level and post-graduate continual education Neurologists and the multidisciplinary healthcare team, educational establishments and national MS advocacy organisations
Evidenced guideline-based resources or protocols to apply exercise health benefits and knowledge to design, or refer for design (by appropriate exercise specialist healthcare provider), patient/client specific programmes Neurologists and the multidisciplinary healthcare team
Initial and ongoing consultations where exercise outcome expectations and goal discussion are salient and where knowledge can be shared in client-accessible print and electronic materials (with consideration of health-literacy and language capacity) Neurologists and the multidisciplinary healthcare team, persons with MS, carers.
Cross-referral pathways between exercise-specialist healthcare providers/behaviour change specialist healthcare providers with non-exercise/non-behaviour change specialist healthcare providers should be developed to ensure appropriate and comprehensive content and acknowledgement ofMS symptoms (e.g., fatigue, mobility-disability, depression and cognitive impairment), personal circumstances and community circumstances which may prevent engagement in exercise. MS healthcare providers Neurologists and the multidisciplinary healthcare team systems and national MS advocacy organisations
Exercise and behaviour change preparation through appropriate provision of exercise programme explanations, equipment and faciliries, and use of evidenced behavioral strategies, goal discussion, sequestering of
barriers and mastery of life-long exercise behaviours
MS Exercise specialist providers and MS Behavioural specialist providers
Monitoring of exercise behaviour performance ideally at initial consultation and review consultations thereafter. Inclusive of monitoring functional progress, client accountability toward exercise behaviour, exercise behavioural (un) achievement and goal discussion updates. Neurologists and the multidisciplinary healthcare team