Lack of time | 14 | 10–14, 16–24 |
Lack of knowledge/training in PA counselling | 8 | 10, 12, 13, 16–19, 23 |
Lack of success with changing patient behaviour | 8 | 13, 14, 16–18, 21, 23, 24 |
PA counselling not a priority/not relevant | 7 | 10,11,14,16,17,23,24 |
Lack of financial incentive/reimbursement for counselling | 5 | 10,14,18,20,21 |
Lack of counselling protocols | 5 | 10,12,15,20,21 |
Organisational barriers | 4 | 10,12,19,23 |
Lack of resources | 3 | 19–21 |
Not enough evidence of benefits of PA | 2 | 11,16 |
Educational materials for patients insufficient | 2 | 18,23 |
Patients expect drug treatment | 1 | 18 |
Lifestyle is personal choice so counselling not appropriate | 1 | 16 |