Description of the Countrywide Physical Activity Network Coordinated by the Brazilian Ministry of Health: 2005−2008

2010 ◽  
Vol 7 (s2) ◽  
pp. S253-S258 ◽  
Author(s):  
Alan G. Knuth ◽  
Deborah C. Malta ◽  
Danielle K. Cruz ◽  
Adriana M. Castro ◽  
Janaína Fagundes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Present Article ◽  
Process Evaluation ◽  
Public Spaces ◽  
Small Cities ◽  
Ministry Of Health ◽  
Promotion Policy ◽  
Physical Activity Interventions ◽  
Indoor Sports

Background:Based on the Brazilian National Health Promotion Policy (PNPS), the Ministry of Health (MoH) started stimulating and funding physical activity interventions in 2005, leading to the establishment of a countrywide network. The aim of the present article is to geographically describe this network (2005−2008) and to present structure and process evaluation indicators of interventions funded in 2006 and 2007.Methods:In 2005, the 27 state capitals received funding for carrying out physical activity-related interventions. From 2006 onwards, public calls for proposals were announced, and cities were selected through a competitive basis. Coordinators of interventions in cities who got funding in 2006 and 2007 answered to survey questions on structure and process aspects of the interventions.Results:The network currently comprises 469 projects, out of which over 60% are carried out in small cities (<30,000 inhabitants). The most frequently used public spaces for the interventions are squares and indoor sports courts. The main physical activity-related topic of the PNPS prioritized in the projects is healthy diet. The main partnerships developed are between City's Health and Education Secretariats.Conclusion:Expanding the network to 1000 cities by 2010 and continuing the evaluation efforts are the next goals of the Brazilian MoH.

Physical Health Promotion through Modern Technologies

2016 ◽  
pp. 889-907
Author(s):  
Sandul Yasobant
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Health Behaviors ◽  
Physical Health ◽  
Interactive Video ◽  
Future Research ◽  
Positive Health ◽  
Physical Activity Interventions ◽  
Future Research Directions

Health promotion and the maintenance of the quality of life are realized recently. Advancement in technologies offer new possibilities for both the promotion of positive health behaviors that were unimaginable even a decade ago. Though promoting physical activity has been proven an important component of health promotion by many researchers, still a lot of efforts on how to improve physical activity being provided by group of researchers. Technology such as pedometers, accelerometers, and heart rate monitors have been used to promote physical activity for years. Newer technologies such as global positioning system (GPS), geographic information systems (GIS), interactive video games, and persuasive technology, Internet-based physical activity interventions have been used recently to promote and change exercise behavior. This chapter seeks to provide a complete insight of technologies used to changing health behaviors especially physical health promotion and will take a forward to analyses all the issues while using these technologies and future research directions.

scholarly journals A prática de atividade física mediada pelo meio geográfico: a distância entre as moradias e as instalações

2019 ◽  
Vol 18 (1) ◽  
pp. 83-88
Author(s):  
Dartel Ferrari Lima ◽  
Lohran Anguera Lima ◽  
Bruno Henrique Hoffmann ◽  
Rafael Eduardo Strey ◽  
Maria das Graças Anguera
Keyword(s):  
Physical Activity ◽  
Urban Space ◽  
Public Spaces ◽  
Small Cities ◽  
Cross Sectional ◽  
Public Facilities ◽  
Accessibility Barriers ◽  
Geographical Environment ◽  
Different Types ◽  
The Relationship

OBJETIVO: Identificar comportamento de acesso de usuários a espaços públicos para a prática de atividade física recreativa (AF), considerando o distanciamento das moradias às instalações, bem como, a descrição da prática de diferentes tipos de AF sediados por esses espaços, em particular, a caminhada e a corrida. MÉTODOS: Estudo descritivo, reuniu dados transversais de investigações que exploraram, com metodologia semelhante, aspectos relacionados à acessibilidade às instalações públicas apropriadas para a prática de AF, em municípios de pequeno e médio porte situados na região Oeste do Estado do Paraná (Brasil). RESULTADOS: Foram entrevistados 98 participantes de ambos os sexos; a caminhada foi a opção de 50% dos entrevistados; 65% se deslocavam ativamente aos locais de atividade, sendo que três de cada quatro usuários se deslocavam a pé; o acesso às instalações foi predominantemente passivo para os usuários que residiam a 2 km ou mais de distância, e 80% dos entrevistados informaram residir até 2 km de distância das instalações. CONCLUSÃO: A falta de percepção de potencialidade de espaços possíveis para a prática de AF pode constituir um obstáculo para a adesão. Esta abordagem realça a importância da contextualização territorial dos espaços, dado que a relação entre a AF e o espaço urbano não se confina apenas aos locais especialmente destinados à prática de AF, mas também à sua acessibilidade. ABSTRACT. The practice of physical activity mediated by the geographical environment: accessibility barriers. OBJECTIVE: Identifying access characteristics of users to public spaces for the practice of physical activity (PA), as well as to describe the different types of PA located in these spaces, in particular, walking and running, considering the location and accessibility to the facilities. METHODS: A descriptive study which gathered cross-sectional research data that explored, with the same methodology, aspects related to accessibility to public facilities appropriate to the practice of PA, in medium and small cities located in the West of Paraná (Brazil). RESULTS: Ninety-eight participants of both genders were interviewed; the walk was the option of 50% of the interviewees; 65% were active moving to the activity places, 76% of whom did it on foot; the access to the facilities was predominantly passive for residents 2 km or more away, and 80% of respondents were residing up to 2 km away from the facilities. CONCLUSION: The lack of perception of the potentiality of possible spaces for the practice of PA constitutes an obstacle to the adhesion to recreational PA. This approach emphasizes the importance of the spaces’ territorial contextualization, once the relationship between PA and urban space is not restricted to the sites specifically directed to the practice of PA, but also to its accessibility.

scholarly journals Planning implementation and scale-up of physical activity interventions for people with walking difficulties: study protocol for the process evaluation of the ComeBACK trial

Trials ◽  
2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Siobhan Wong ◽  
Leanne Hassett ◽  
Harriet Koorts ◽  
Anne Grunseit ◽  
Allison Tong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Process Evaluation ◽  
Text Messaging ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Controlled Trial ◽  
Scale Up ◽  
Complex Interventions ◽  
Trial Registration ◽  
Physical Activity Interventions

Abstract Background There is currently little evidence of planning for real-world implementation of physical activity interventions. We are undertaking the ComeBACK (Coaching and Exercise for Better Walking) study, a 3-arm hybrid Type 1 randomised controlled trial evaluating a health coaching intervention and a text messaging intervention. We used an implementation planning framework, the PRACTical planning for Implementation and Scale-up (PRACTIS), to guide the process evaluation for the trial. The aim of this paper is to describe the protocol for the process evaluation of the ComeBACK trial using the framework of the PRACTIS guide. Methods A mixed methods process evaluation protocol was developed informed by the Medical Research Council (MRC) guidance on process evaluations for complex interventions and the PRACTIS guide. Quantitative data, including participant questionnaires, health coach and administrative logbooks, and website and text message usage data, is being collected over the trial period. Semi-structured interviews and focus groups with trial participants, health coaches and health service stakeholders will explore expectations, factors influencing the delivery of the ComeBACK interventions and potential scalability within existing health services. These data will be mapped against the steps of the PRACTIS guide, with reporting at the level of the individual, provider, organisational and community/systems. Quantitative and qualitative data will elicit potential contextual barriers and facilitators to implementation and scale-up. Quantitative data will be reported descriptively, and qualitative data analysed thematically. Discussion This process evaluation integrates an evaluation of prospective implementation and scale-up. It is envisaged this will inform barriers and enablers to future delivery, implementation and scale-up of physical activity interventions. To our knowledge, this is the first paper to describe the application of PRACTIS to guide the process evaluation of physical activity interventions. Trial registration Australian and New Zealand Clinical Trials Registry (ANZCTR) Registration date: 10/12/2018.

Implementation of a workplace physical activity intervention in child care: process evaluation results from the Care2BWell trial

2021 ◽  
Author(s):  
Cody D Neshteruk ◽  
Erik Willis ◽  
Falon Smith ◽  
Amber E Vaughn ◽  
Anna H Grummon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Health Promotion ◽  
Child Care ◽  
Process Evaluation ◽  
Physical Activity Intervention ◽  
Care Process ◽  
Child Care Workers ◽  
Self Monitoring ◽  
Care Workers

Abstract Care2BWell was designed to evaluate the efficacy of Healthy Lifestyles (HL), a worksite health promotion intervention to increase child care workers’ physical activity. The purpose of this study was to use process evaluation to describe the implementation of HL and determine if different levels of implementation are associated with changes in workers’ physical activity. Data were collected from 250 workers randomized to HL, a 6 month, multilevel intervention that included an educational workshop followed by three 8 week campaigns that included self-monitoring and feedback, raffle incentive, social support, and center director coaching. Process evaluation data collection included direct observation, self-reported evaluation surveys, website analytics and user test account data, tracking databases and semi-structured interviews. Implementation scores were calculated for each intervention component and compared at the center and individual levels. Nearly a third of workers never self-monitored and few (16%) met self-monitoring goals. Only 39% of centers engaged with the social support component as intended. Raffle and social support components were perceived as the least useful. Implementation varied widely by center (25%–76%) and individual workers (0%–94%). No within- or between-group differences for high compared to low implementation groups for change in physical activity were evident. Interview themes included limited sustainability, competing priorities, importance of social support, and desire for a more intensive, personalized intervention. Wide variation in implementation may explain limited effects on intervention outcomes. Future worksite interventions designed for child care workers can use these findings to optimize health promotion in this setting.

Key Strategies for Physical Activity Interventions Among Older Women: Process Evaluation of a Clinical Trial

2017 ◽  
Vol 32 (3) ◽  
pp. 561-570 ◽  
Author(s):  
Leanne L. Lefler ◽  
Sara Jones ◽  
Breanna Harris
Keyword(s):  
Physical Activity ◽  
Clinical Trial ◽  
Older Women ◽  
Process Evaluation ◽  
Medical Center ◽  
Well Being ◽  
Structured Interview ◽  
Shared Value ◽  
Unexpected Finding ◽  
Physical Activity Interventions

Purpose: To describe strategies salient to physical activity (PA) initiation and maintenance among older women who participated in a clinical trial that tested a PA intervention. Design: A descriptive phenomenological, qualitative design for a process evaluation of a successful clinical trial. Setting: Senior primary care clinics associated with a large medical center in a southern state. Participants: A total of 20 older women at least 60 years without advanced frailty. Method: Purposive sampling using maximum variation technique was used to select participants. A semi-structured interview guide facilitated individual, in-depth interviews lasting 45 to 90 minutes. Narratives were analyzed using content analysis with constant comparison technique to summarize the data. Results: Eight African American and 12 white older women with a mean age of 68 from control and intervention arms participated. Five central themes described salient strategies to promote and maintain PA: sensed benefits, motivation, and self-efficacy were central to success, while a reduction in barriers was essential before maintaining PA. The last theme, a life-changing awareness indicated that PA had become a shared value. An explanatory model describing interrelationships is presented. Conclusions: This study suggests key strategies to include in PA interventions with older women. An unexpected finding was that PA became a shared value, an action promoted by the Culture of Health initiative to improve population health and well-being.

Physical Health Promotion through Modern Technologies

2016 ◽  
pp. 329-346 ◽  
Author(s):  
Sandul Yasobant
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Health Behaviors ◽  
Physical Health ◽  
Interactive Video ◽  
Future Research ◽  
Positive Health ◽  
Physical Activity Interventions ◽  
Future Research Directions

Health promotion and the maintenance of the quality of life are realized recently. Advancement in technologies offer new possibilities for both the promotion of positive health behaviors that were unimaginable even a decade ago. Though promoting physical activity has been proven an important component of health promotion by many researchers, still a lot of efforts on how to improve physical activity being provided by group of researchers. Technology such as pedometers, accelerometers, and heart rate monitors have been used to promote physical activity for years. Newer technologies such as global positioning system (GPS), geographic information systems (GIS), interactive video games, and persuasive technology, Internet-based physical activity interventions have been used recently to promote and change exercise behavior. This chapter seeks to provide a complete insight of technologies used to changing health behaviors especially physical health promotion and will take a forward to analyses all the issues while using these technologies and future research directions.

scholarly journals Vancouver and the 2010 Olympic Games: Physical Activity for All?

2014 ◽  
Vol 11 (8) ◽  
pp. 1556-1564 ◽  
Author(s):  
Inge Derom ◽  
Donna Lee
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Low Income ◽  
Olympic Games ◽  
Policy Instruments ◽  
Problem Definition ◽  
Critical Policy Analysis ◽  
Promotion Policy ◽  
Target Populations ◽  
The City

Background:The City of Vancouver, British Columbia strategically designed and implemented a municipal health promotion policy—the Vancouver Active Communities policy—to leverage the 2010 Olympic Games. The goal of the policy was to increase physical activity participation among Vancouver residents by 2010.Methods:In this paper, we conduct a critical policy analysis of health promotion policy documents that were available on the City of Vancouver’s website.Results:We elaborate on the background to the policy and more specifically we examine its content: the problem definition, policy goals, and policy instruments.Discussion:Our analysis showed inconsistency within the policy, particularly because the implemented policy instruments were not designed to address needs of the identified target populations in need of health promotion efforts, which were used to legitimize the approval of funding for the policy. Inconsistency across municipal policies, especially in terms of promoting physical activity among low-income residents, was also problematic.Conclusions:If other municipalities seek to leverage health promotion funding related to hosting sport mega-events, the programs and services should be designed to benefit the target populations used to justify the funding. Furthermore, municipalities should clearly indicate how funding will be maintained beyond the life expectancy of the mega-event.

scholarly journals A Process Evaluation of A UK Classroom-Based Physical Activity Intervention—‘Busy Brain Breaks’

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 63
Author(s):  
Alice Cline ◽  
Gareth Knox ◽  
Luciana De Martin Silva ◽  
Stephen Draper
Keyword(s):  
Physical Activity ◽  
Process Evaluation ◽  
Physical Activity Intervention ◽  
Evaluation Study ◽  
Teaching Staff ◽  
Structured Interviews ◽  
Physical Activity Interventions ◽  
Brain Breaks ◽  
Children’S Behaviour ◽  
Fundamental Movement Patterns

The gap between development of effective physical activity interventions and the wide-scale adoption of these interventions in real-world settings has been reported since the early 2000s. Evaluations have been criticised for failing to report details of context, implementation, adoption and maintenance. ‘Busy Brain Breaks’ was an intervention designed to improve fundamental movement patterns whilst increasing physical activity within the classroom. This evaluation study used a mixed-methods approach including questionnaires, observations, semi-structured interviews and quantification of class-level dose. Findings suggest that giving teachers flexibility and autonomy over the way in which they implement physical activity interventions may increase the likelihood of adoption. Time was frequently perceived as a significant barrier to the intervention, giving the teachers flexibility to implement the intervention when they thought most suitable allowed teaching staff to retain their autonomy and make the intervention work with their schedule. Children’s behaviour appeared to be both a facilitator and barrier to implementing physical activity interventions within the classroom. Whilst misbehaviour can pose as a barrier, children’s enjoyment acts as a key facilitator to implementation for teaching practitioners. Teachers interviewed (n = 17) observed that movement ability had developed as a result of the intervention and recognised co-ordination, balance and stability as areas that had noticeably improved. Conducting an in-depth process evaluation has allowed for greater insight and understanding as to how, and to what extent, the intervention was implemented within the school-based setting.

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