PONE-D-22-06714The association between nurses’ physical activity counselling and patients’ perceptions of care quality in a primary care facility in GhanaPLOS ONE

Dear Dr. Nestor Asiamah,

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Additional Editor Comments:

• On page 10 of the manuscript, the authors talk about "customer satisfaction". It would be more appropriate to say "patient satisfaction". It is true that the customer in the healthcare system is the patient. However, it is more accurate to speak directly of the patient.
• The authors sometimes use "counselling" and sometimes "counselling". Please decide on one form and always use it.
• It would be useful to make a graph showing the relationships between the variables, so that the reader can better follow the text. You can see graphs of this type in many articles. You can see what I mean in the following article (it is not necessary to use it as a bibliographical reference): https://doi.org/10.3390/ijerph18052304

Reviewers' comments:

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Comments to the Author

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Reviewer #1: Yes

Reviewer #2: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

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Reviewer #1: Yes

Reviewer #2: Yes

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Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

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Reviewer #1: I am delighted to review this paper. The study is important for the patients in fast recovery, especially post-operative patients related to bone fracture, nerve injury, delivery etc, by decreasing the burden of disease and health care costs as a result increasing productivity and development.

Despite the good nature of the paper, here are my concerns below.

1. Study population: your study population was patients in the OPD, is that applicable to practice PA counseling for all patients came OPD? I think PA counseling for patients having specific diseases like hypertension, DM etc. Authors study population should be clear

2. Method:” Covariates with p>0.25 were removed and those with p≤0.25 were kept for the second level of the sensitivity analysis” no need to write in this way it is better to write Covariates with p≤0.25 were included for the multivariate analysis (second analysis)

3. Results: the description of the table should be written above the table and cited in the manuscript. See journal criteria for table presentation, in the mean while in the result part write only the main findings, rather presenting all the findings from the table.

4. Conclusion: The conclusion in the abstract and in the manuscript is similar. This section should not repeat what has been mentioned in the abstract; rather, the research and policy importance obtained from the finding should be pointed out.

Furthermore, significant text overlap in method and discussion part seen in your manuscript E.g. https://www.researchgate.net/publication/303948025_HEALTHQUAL_a_multi-item_scale_for_assessing_healthcare_service_quality, www.researchgate.net › profile › Nestor-AsiamahThe Influence of Physicians’ Physical Activity Prescription, https://www.researchgate.net/publication/342601951_The_Influence_of_Physicians%27_Physical_Activity_Prescription_on_Indicators_of_Health_Service_Quality/ and, www.ncbi.nlm.nih.gov › pmc › articlesA Randomised Controlled Trial of Triple Antiplatelet Therapy etc. I would recommend that the authors carefully re-check these.

Reviewer #2: I am an academic teacher and for years has been preparing nursing staff to work with patients.I am convinced that the nursing staff is prepared for the programphysical activity counselling.Your article confirms this belief.You rightly emphasize the role of p[atient loyality. The research methodology is correct and the conclusions are well documented.I believe that the article is important and necessary, I have no reservations about publishing it.

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Reviewer #1: No

Reviewer #2: No

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The association between nurses’ physical activity counselling and patients’ perceptions of care quality in a primary care facility in Ghana

PONE-D-22-06714R1

Dear Dr. Nestor Asiamah,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

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Kind regards,

María del Carmen Valls Martínez, Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments: