Evelyn Helena Corgosinho Ribeiro

Interventions for physical activity promotion applied to the primary healthcare settings for people living in regions of low socioeconomic level: study protocol for a non-randomized controlled trial

BackgroundRegular physical activity practice has been widely recommended for promoting health, but the physical activity levels remain low in the population. Therefore, the study of interventions to promote physical activity is essential. Objective: To present the methodology of two physical activity interventions from the “Ambiente Ativo” (“Active Environment”) project.Methods12-month non-randomized controlled intervention trial. 157 healthy and physically inactive individuals were selected: health education (n = 54) supervised exercise (n = 54) and control (n = 49). Intervention based on health education: a multidisciplinary team of health professionals organized the intervention in group discussions, phone calls, SMS and educational material. Intervention based on supervised exercise program: consisted of offering an exercise program in groups supervised by physical education professionals involving strength, endurance and flexibility exercises. The physical activity level was assessed by the International Physical Activity Questionnaire (long version), physical activities recalls, pedometers and accelerometers over a seven-day period.ResultThis study described two different proposals for promoting physical activity that were applied to adults attended through the public healthcare settings. The participants were living in a region of low socioeconomic level, while respecting the characteristics and organization of the system and its professionals, and also adapting the interventions to the realities of the individuals attended.ConclusionBoth interventions are applicable in regions of low socioeconomic level, while respecting the social and economic characteristics of each region.Trial registrationClinicalTrials.gov NCT01852981

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

This study analyzed the effectiveness of physical activity promotion by community health workers (CHW) during home visits. This was a non-randomized controlled trial that lasted six months, with one group of CHW that received training to promote physical activity during home visits among users of the Brazilian Unified National Health System (SUS) and a control group. Physical activity and stages of behavior change were evaluated in 176 adults (n = 90 in the intervention group and n = 86 in the control group) assisted by the CHW. Associations, prevalence ratios, and generalized estimate equations were conducted to verify differences between groups. No evidence of differences in physical activity and stages of behavior change were observed between the two groups. CHW from the intervention group conducted more home visits promoting physical activity among elders, those with low schooling, unemployed, and those with chronic diseases. It is important to reassess the work and priorities of CHW to expand physical activity promotion under the SUS.Este estudo verificou a efetividade da promocao de atividade fisica realizada por agentes comunitarios de saude (ACS) em visitas domiciliares. Trata-se de um ensaio controlado nao randomizado com duracao de seis meses, com um grupo de ACS que passou por um processo educativo para promover atividade fisica nas visitas domiciliares para intervir em usuarios do Sistema Unico de Saude (SUS) e um grupo controle. Foram avaliados a pratica de atividade fisica e os estagios de mudanca de comportamento em 176 adultos (n = 90 do grupo intervencao e n = 86 do grupo controle) atendidos pelos ACS. Foram realizadas analises de associacao, razoes de prevalencia e equacoes de estimativas generalizadas para verificar diferencas entre os grupos. Nao foram observadas evidencias de diferencas nos niveis de atividade fisica e nos estagios de mudanca de comportamento entre os usuarios dos dois grupos. Os ACS do grupo intervencao realizaram mais visitas domiciliares para promover atividade fisica aos idosos, pessoas com baixa escolaridade, que nao trabalhavam e que tinham doencas cronicas. E importante que os modos de trabalho e prioridades dos ACS sejam repensados para ampliar a promocao da atividade fisica no SUS.

Evaluation of the effectiveness of home-based physical activity promotion by community health workers

This study analyzed the effectiveness of physical activity promotion by community health workers (CHW) during home visits. This was a non-randomized controlled trial that lasted six months, with one group of CHW that received training to promote physical activity during home visits among users of the Brazilian Unified National Health System (SUS) and a control group. Physical activity and stages of behavior change were evaluated in 176 adults (n = 90 in the intervention group and n = 86 in the control group) assisted by the CHW. Associations, prevalence ratios, and generalized estimate equations were conducted to verify differences between groups. No evidence of differences in physical activity and stages of behavior change were observed between the two groups. CHW from the intervention group conducted more home visits promoting physical activity among elders, those with low schooling, unemployed, and those with chronic diseases. It is important to reassess the work and priorities of CHW to expand physical activity promotion under the SUS.Este estudo verificou a efetividade da promocao de atividade fisica realizada por agentes comunitarios de saude (ACS) em visitas domiciliares. Trata-se de um ensaio controlado nao randomizado com duracao de seis meses, com um grupo de ACS que passou por um processo educativo para promover atividade fisica nas visitas domiciliares para intervir em usuarios do Sistema Unico de Saude (SUS) e um grupo controle. Foram avaliados a pratica de atividade fisica e os estagios de mudanca de comportamento em 176 adultos (n = 90 do grupo intervencao e n = 86 do grupo controle) atendidos pelos ACS. Foram realizadas analises de associacao, razoes de prevalencia e equacoes de estimativas generalizadas para verificar diferencas entre os grupos. Nao foram observadas evidencias de diferencas nos niveis de atividade fisica e nos estagios de mudanca de comportamento entre os usuarios dos dois grupos. Os ACS do grupo intervencao realizaram mais visitas domiciliares para promover atividade fisica aos idosos, pessoas com baixa escolaridade, que nao trabalhavam e que tinham doencas cronicas. E importante que os modos de trabalho e prioridades dos ACS sejam repensados para ampliar a promocao da atividade fisica no SUS.

Evaluación de la efectividad de la promoción de la actividad física por agentes comunitarios de salud en visitas a domicilios

This study analyzed the effectiveness of physical activity promotion by community health workers (CHW) during home visits. This was a non-randomized controlled trial that lasted six months, with one group of CHW that received training to promote physical activity during home visits among users of the Brazilian Unified National Health System (SUS) and a control group. Physical activity and stages of behavior change were evaluated in 176 adults (n = 90 in the intervention group and n = 86 in the control group) assisted by the CHW. Associations, prevalence ratios, and generalized estimate equations were conducted to verify differences between groups. No evidence of differences in physical activity and stages of behavior change were observed between the two groups. CHW from the intervention group conducted more home visits promoting physical activity among elders, those with low schooling, unemployed, and those with chronic diseases. It is important to reassess the work and priorities of CHW to expand physical activity promotion under the SUS.Este estudo verificou a efetividade da promocao de atividade fisica realizada por agentes comunitarios de saude (ACS) em visitas domiciliares. Trata-se de um ensaio controlado nao randomizado com duracao de seis meses, com um grupo de ACS que passou por um processo educativo para promover atividade fisica nas visitas domiciliares para intervir em usuarios do Sistema Unico de Saude (SUS) e um grupo controle. Foram avaliados a pratica de atividade fisica e os estagios de mudanca de comportamento em 176 adultos (n = 90 do grupo intervencao e n = 86 do grupo controle) atendidos pelos ACS. Foram realizadas analises de associacao, razoes de prevalencia e equacoes de estimativas generalizadas para verificar diferencas entre os grupos. Nao foram observadas evidencias de diferencas nos niveis de atividade fisica e nos estagios de mudanca de comportamento entre os usuarios dos dois grupos. Os ACS do grupo intervencao realizaram mais visitas domiciliares para promover atividade fisica aos idosos, pessoas com baixa escolaridade, que nao trabalhavam e que tinham doencas cronicas. E importante que os modos de trabalho e prioridades dos ACS sejam repensados para ampliar a promocao da atividade fisica no SUS.