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

Author

Listed:
  • Sara Contreras-Martos

    (Primary Care Research Unit Majorca, C/Escola Graduada 3, 07002 Palma, Spain
    Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain)

  • Alfonso Leiva

    (Primary Care Research Unit Majorca, C/Escola Graduada 3, 07002 Palma, Spain
    Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain)

  • Álvaro Sanchez

    (Primary Care Research Unit of Bizkaia, Basque Health Service (BHS), Luis Power 18, 48014 Bilbao, Spain)

  • Emma Motrico

    (Department of Psychology, Universidad Loyola Andalucia, Avda. de las Universidades s/n, 41704 Sevilla, Spain)

  • Juan Bellón

    (Biomedical Research Institute of Málaga (IBIMA), 29010 Málaga, Spain
    El Palo Health Centre, Andalusian Health Service (SAS), 29018 Málaga, Spain
    Department of Public Health and Psychiatry, University of Málaga (UMA), 29016 Málaga, Spain)

  • Susana Aldecoa Landesa

    (I-Saúde Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Avda Rosalía Castro 21, 36201 Vigo, Spain)

  • Rosa Magallón-Botaya

    (Biomedical Research Institute of Aragón (IISA), Avda. San Juan Bosco 13, 50009 Zaragoza, Spain
    Department of Medicine, Universidad de Zaragoza, C/ Domingo Miral 5, 50009 Zaragoza, Spain)

  • Marc Casajuana-Closas

    (Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
    Universitat Autònoma de Barcelona, 08193 Barcelona, Spain)

  • Edurne Zabaleta-del-Olmo

    (Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
    Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
    Gerència Territorial de Barcelona, Institut Català de la Salut, c/Balmes 22, 08007 Barcelona, Spain
    Faculty of Nursing, Universitat de Girona, Carrer d’Emili Grahit, 77, 17003 Girona, Spain)

  • Bonaventura Bolíbar

    (Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
    Universitat Autònoma de Barcelona, 08193 Barcelona, Spain)

  • José-Ángel Maderuelo

    (Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca (IBSAL), Paseo de San Vicente, 58-182, 37007 Salamanca, Spain
    La Alamedilla Health Center, Health Service of Castilla y León (SACyL), Avda. Comuneros 27-31, 37003 Salamanca, Spain)

  • Joan Llobera

    (Primary Care Research Unit Majorca, C/Escola Graduada 3, 07002 Palma, Spain
    Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain)

Abstract

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.

Suggested Citation

  • Sara Contreras-Martos & Alfonso Leiva & Álvaro Sanchez & Emma Motrico & Juan Bellón & Susana Aldecoa Landesa & Rosa Magallón-Botaya & Marc Casajuana-Closas & Edurne Zabaleta-del-Olmo & Bonaventura Bol, 2021. "Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity," IJERPH, MDPI, vol. 18(19), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10537-:d:651495
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    References listed on IDEAS

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    1. Shuzhong Ma & Chao Fang, 2021. "The Effect of Online Search on International Trade," Applied Economics, Taylor & Francis Journals, vol. 53(46), pages 5369-5384, October.
    2. Conn, V.S. & Hafdahl, A.R. & Mehr, D.R., 2011. "Interventions to increase physical activity among healthy adults: meta-analysis of outcomes," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 751-758.
    3. Juliet A. Harvey & Sebastien F. M. Chastin & Dawn A. Skelton, 2013. "Prevalence of Sedentary Behavior in Older Adults: A Systematic Review," IJERPH, MDPI, vol. 10(12), pages 1-17, December.
    4. Xia Ting & Chen Lei & Luo Ling & Wang Yong, 2021. "The Effect Of The Weyl Fractional Integral On Functions," FRACTALS (fractals), World Scientific Publishing Co. Pte. Ltd., vol. 29(08), pages 1-5, December.
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