Considerable research demonstrates the positive outcomes of physical activity on chronic diseases. Fitness professionals are experts in physical activity and are absent in healthcare. This study aimed to discover the history of and perceived barriers of fitness professionals’ absence from healthcare. A group of 24 fitness professionals and healthcare decision-makers were interviewed to learn about their perceptions of fitness professionals working in healthcare. The findings revealed that barriers exist to patients getting the highest quality, evidence-based care they need. Healthcare providers need education on the benefits of physical activity and who can provide exercise programming. Fitness professionals need to clarfiy their certifications, regulation, and scope of practice. Fitness professionals also need training in behavior modification and lifestyle interventions to treat patients with chronic medical conditions. Our healthcare system makes the cost for fitness services a barrier, opening the potential for Health and Wellness Coaches,
