Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity

The World Health Organization (WHO) estimated that physical inactivity (PI) is responsible for 20 to 30% of all non-communicable diseases. We aimed to analyze the effectiveness of a multiple health behavior change (MHBC) intervention to increase physical activity (PA) in patients 45 to 75 years old...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-10, Vol.18 (19), p.10537
Main Authors: Contreras-Martos, Sara, Leiva, Alfonso, Sanchez, Álvaro, Motrico, Emma, Bellón, Juan, Aldecoa Landesa, Susana, Magallón-Botaya, Rosa, Casajuana-Closas, Marc, Zabaleta-del-Olmo, Edurne, Bolíbar, Bonaventura, Maderuelo, José-Ángel, Llobera, Joan
Format: Article
Language:English
Subjects:
Blood pressure
Exercise
Fruits
Health behavior
Health care
Intervention
Outdoor activities
Patients
Physical activity
Primary care
Professionals
Tobacco
Vegetables
Weight loss
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Summary:The World Health Organization (WHO) estimated that physical inactivity (PI) is responsible for 20 to 30% of all non-communicable diseases. We aimed to analyze the effectiveness of a multiple health behavior change (MHBC) intervention to increase physical activity (PA) in patients 45 to 75 years old who had at least 2 of 3 unhealthy behaviors (tobacco use, reduced fruit and vegetable consumption, and insufficient PA). The MHBC intervention is based on the Transtheoretical Model and the conceptual framework of the “5 A’s” and includes an individually tailored intervention, group sessions, and the use of community resources. We included 3062 participants, 1481 in the intervention group and 1581 in the control group. After 12 months, there were no differences in PA intensity measured by metabolic_equivalent_of_task_minutes/week (adjusted mean difference: 284.093, 95% CI: −298.24, 866.42) nor in the proportion of participants who increased PA levels to moderate or high (OR: 1.02, 95% CI: 0.85, 1.23; p = 0.822), and no differences in blood pressure, weight loss, or waist circumference. We found an increased proportion of patients in the intervention group who followed the WHO recommendations for PA (OR: 1.29; 95% CI: 1.04, 1.60; p = 0.02). We concluded that the intervention did not lead to a significant increase in PA.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph181910537