Physical Activity Promotion in Primary Health Care Settings

Promoting Physical Activity for Vulnerable Adults and Elderly People: Evaluation of a Walking Program in Primary Care Settings

A quasi experimental study evaluating the effectiveness of a walking program at primary health care settings in a low-income area

Study Overview

• Status: Completed
• Conditions: Motor Activity
• Intervention / Treatment: Behavioral: Walking program

Detailed Description

There is a high prevalence of physical inactivity (AF) in the world and in Brazil. Offering programs of physical activity becomes a convenient option to increase the physical activity level of the population and promote aging process more active and healthy over the life. There is need for greater depth in relation to the operation of programs to promote physical activity and the effects of these programs on different biopsychosocial aspects, especially those offered in primary care settings. This research aims to evaluate a walking program geared to adults and seniors on the following aspects:

1. Characteristics and operation of the intervention,
2. effects of behavior change to physical activity, and
3. biopsychosocial effects of physical activity.

It is a quasi experimental and controlled study, with: 1) intervention group (n = 71), 2) and control group (n = 71). The intervention will last for six months, with a subsequent follow-up period of six months after the intervention. The program will offer supervised exercise twice a week, lasting an hour. The classes will consist of recreational activities, walking and educational strategies of behavior change for physical activity. Variables will be evaluated for attendance, barriers to physical activity, waiver reasons, physical activity level, sociodemographic, socioeconomic and biopsychosocial aspects. Most females, aged over 40 years, low levels of education, income and varied biopsychosocial characteristics are expected. After the intervention, it is expected that the program present characteristics of low adhesion and retention, especially because of the barrier "lack of time". Still, the promotion of supervised walking increase levels of physical activity beyond the time provided by the program and it will improve the biopsychosocial conditions of the participants.

• Study Type: Interventional
• Enrollment (Actual): 148
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Brazil
  • São Paulo
    • São Carlos, São Paulo, Brazil, 13565-517
      • Secretaria Municipal de Saúde

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 100 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• To be insufficiently active
• To accept the intervention invitation
• Living around the selected primary health care
• To sign the Term os Consent
• To have 18 years or more

Exclusion Criteria:

• To participate only in one day of intervention
• To have less than 75% of presence in the intervention
• To give up of the intervention

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; A group of people who participated in the walking program during a six month period. This group also received an educational material and attended meetings for behavioral change strategies.	Behavioral: Walking program; To encourage people to exercise more through a behavioural and educational intervention during six months and other six months of follow up.
No Intervention: Control Group; A group of people who did not receive the educational material and did not participated in any of the activities offered by the research team, such as walking classes and meetings for behavioral change.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Subjective evaluation of physical activity level evaluated through the International Physical Activity Questionnaire	Physical activity level evaluated through the International Physical Activity Questionnaire	six months
Objective evaluation of physical activity level evaluated through accelerometer device	Physical activity level evaluated through accelerometer device	six months

Collaborators and Investigators

• Sponsor: Universidade Federal de Sao Carlos
• Collaborators: Fundação de Amparo à Pesquisa do Estado de São Paulo; Conselho Nacional de Desenvolvimento Científico e Tecnológico
• Investigators: Principal Investigator: Grace AO Gomes, Doctor, Universidade Federal de Sao Carlos

Publications and helpful links

General Publications

• Baba CT, Oliveira IM, Silva AEF, Vieira LM, Cerri NC, Florindo AA, de Oliveira Gomes GA. Evaluating the impact of a walking program in a disadvantaged area: using the RE-AIM framework by mixed methods. BMC Public Health. 2017 Sep 15;17(1):709. doi: 10.1186/s12889-017-4698-5. Erratum In: BMC Public Health. 2017 Oct 18;17 (1):822.

Study record dates

Study Major Dates

• Study Start: July 1, 2014
• Primary Completion (Actual): December 1, 2014
• Study Completion (Actual): July 1, 2016

Study Registration Dates

• First Submitted: July 30, 2016
• First Submitted That Met QC Criteria: August 4, 2016
• First Posted (Estimate): August 5, 2016

Study Record Updates

• Last Update Posted (Estimate): August 5, 2016
• Last Update Submitted That Met QC Criteria: August 4, 2016
• Last Verified: August 1, 2016

More Information

Terms related to this study

• Keywords: Primary Health Care; Motor Activity; Low income population
• Other Study ID Numbers: FAPESP14/03909-2