Avaliação da efetividade da promoção da atividade física por agentes comunitários de saúde em visitas domiciliares

Costa, Érico T.; Andrade, Douglas Roque; Garcia, Leandro Martin Totaro; Ribeiro, Evelyn Helena Corgosinho; Santos, Thiago Teixeira; Florindo, Alex Antônio

doi:10.1590/0102-311x00106014

Cited by 7 publications

(22 citation statements)

References 34 publications

(43 reference statements)

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“…This study was a pioneering investigation in Brazil since previous research has focused on non-deprived areas [ 35 – 38 ], applied different interventions [ 35 – 39 ] and used other measurement tools [ 37 , 39 ]. In contrast to the present investigation, previous studies assessed interventions in more generic contexts, involving different target-publics or failed to analyze mixed educational and supervised intervention.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating the impact of a walking program in a disadvantaged area: using the RE-AIM framework by mixed methods

et al. 2017

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BackgroundThe positive health impact of physical activity (PA) is well known, yet a large proportion of the world’s population remains sedentary. General PA programs are common as health promotion initiatives. However, effectiveness evaluations of such PA programs on individual and organizational aspects, which could inform the decision-making process of public health bodies are still lacking, particularly in the most socially disadvantaged areas, where health promotion schemes are particularly needed. The aim of this study was to assess the effectiveness of a Guided Walking Program in a high social vulnerability context.MethodsA quasi-experimental, mixed methods study was conducted. The program had a duration of 6 months and a 6-month follow-up period after the intervention. Session frequency was five times a week, where sessions consisted of supervised PA combined with educational sessions. The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework was followed to assess the program. The International Physical Activity Questionnaire (IPAQ) and accelerometers were used to measure levels of PA. Focus groups were conducted to gain a comprehensive insight on the implementation domain.ResultsMost subjects in the intervention (IG) (n = 74) and control (CG) (n = 74) groups were female (IG:90.5%; CG:95.9%), aged 18–49 years (IG:44.6%; CG:43.2%), received less than 1 minimum wage (IG:74.3%; CG:83.7%) and had 0–4 years of formal education (IG:52.1%; CG:46.1%). The reach of the intervention was 0.3%. The IG showed increased levels of PA at post-intervention and 6-month follow-up. However, the difference between groups was not statistically significant. Adoption data revealed that 89.5% of the professionals in the Primary Health Care Center (health center) team perceived the benefits of the program for the population. The program was independently promoted by the health center team for a further 4 months post-intervention. The qualitative data revealed that the program was discontinued due to participants’ low adherence and human resource limitations in the unit’s operational dynamics.ConclusionsA health promotion intervention in a socially deprived setting faces challenges but can be effective and feasible to implement. The present study informs the development of future health promotion initiatives in this context.Trial registration NCT02857127. Registered: 30 July 2016 (retrospectively registered).

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Section: Discussionmentioning

confidence: 99%

“…The Bonferroni’ test was used for multiple post-hoc comparisons [ 31 , 32 ]. A statistically significant difference for values of p < 0.05 was adopted.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the impact of a walking program in a disadvantaged area: using the RE-AIM framework by mixed methods

et al. 2017

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“…Most of existing studies in primary health care have analyzed association of participation and physical fitness, inflammatory biomarkers or use of health services [25][26][27] . They are descriptive, qualitative, cross sectional or quasi-experimental studies with small samples [9][10]14,15,28,29 . Most of them presented few data about positive impact of PA programs 14 .…”

Section: Discussionmentioning

confidence: 99%

Promotion of physical activity in primary health care settings: evaluation of the Saúde Ativa Rio Claro program

Gomes¹,

Maciel²,

Gomes³

et al. 2018

Rev Bras Ativ Fís Saúde

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To evaluate the association between participation in the SaúdeAtiva Rio Claro (SARC) program and physical activity (PA) levels among adult women. A case control study was conducted in seven primary health care settings in Rio Claro, São Paulo, Brazil. The sample included 111 women participating in the intervention (mean age: 58±13 years). For each participant, we selected a non participant, matched to the intervention participant by age (± 5 years) and neighborhood. The program provides 1-hour multimodal exercise twice a week as well as general advice about health self-care. PA was measured using the International Physical Activity Questionnaire (IPAQ) long version. While 18.0% of the non participants reported practicing 150 min/wk of leisure-time PA (LTPA) or more, 61.3% of the participants achieved such threshold (OR= 7.2; IC95%: 3.8-13.3). Participants performed more minutes compared to non-participants, even omitting the 100 min/wk of PA provided by the intervention (p<0.001). In addition to providing 100 min/wk of PA, SARC, an exercise promotion intervention in primary health care settings in Brazil, stimulates participants to increase PA levels in other settings. (OR=7,2; IC=3,(8)(9)(10)(11)(12)(13)3 Keywords

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“…Therefore, the prevention on functional limitations and consequently the delay in incapacitating processes make the development of interventions directed at the improvement of fitness components effective strategies for the older populations 5,6 . These interventions can be conducted at different levels (individual, specific groups, and populations), contexts (clinical, schools, work place, media, and home), and approaches (individual counseling, education, regulations, environmental changes) 7,8 and have strategies based on Psychology's theoretical models for behavior change related to physical activity [7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

“…Among the intervention proposals, the use of guides for home-based physical exercise has been prominent in older populations with the use of booklets and posters with illustrations of simple physical exercises to be used by participants at home [10][11][12] . Nonetheless, information on these interventions in Brazil are scarce in primary care 8 .…”

Section: Introductionmentioning

confidence: 99%

Home intervention model to promote physical activity in female older adults

Ribeiro

Pinto

Santos³

et al. 2019

Rev Bras Ativ Fís Saúde

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The aim of the study was to describe the logical model of a home intervention using a motivational strategy to improve physical fitness components in female older adults. A quasi-experimental study was conducted with 91 elderly women between 61 and 80 years old, divided into intervention (IG) and control (CG) groups. The participants also answered a questionnaire with sociodemographic information, stage of behaviour change, physical activity and physical performance tests, before and after 12 weeks of intervention. The intervention was performed using a guide with home-based physical exercise associated with motivational strategies (telephone calls and home visits). e intervention with reduced interaction was planned to have a low financial cost, both in relation to the physical space and the materials necessary to practice the home-based physical activities, making feasible the applicability in different places. The logical model provides insight into the intervention and its phases of planning, implementation, and evaluation.

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Avaliação da efetividade da promoção da atividade física por agentes comunitários de saúde em visitas domiciliares

Cited by 7 publications

References 34 publications

Evaluating the impact of a walking program in a disadvantaged area: using the RE-AIM framework by mixed methods

Evaluating the impact of a walking program in a disadvantaged area: using the RE-AIM framework by mixed methods

Promotion of physical activity in primary health care settings: evaluation of the Saúde Ativa Rio Claro program

Home intervention model to promote physical activity in female older adults

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