scholarly journals Baby Steps: Using Intervention Mapping to Develop a Sustainable Perinatal Physical Activity Healthcare Intervention

2021 ◽  
Vol 18 (11) ◽  
pp. 5869
Author(s):  
Anna M. Dieberger ◽  
Mireille N. M. van Poppel ◽  
Estelle D. Watson
Keyword(s):  
Physical Activity ◽  
Behavior Change ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Intervention Mapping ◽  
Healthcare Intervention ◽  
Activity Levels ◽  
Major Barrier ◽  
Practical Applications

While the benefits of physical activity (PA) during and after pregnancy have been established, many women do not reach the recommended PA levels during this time. A major barrier found in the literature is a lack of counselling by healthcare providers (HCPs), which is partly caused by the limited knowledge on the topic. The aim of this study was to develop an intervention to improve the promotion of PA by HCPs. We used Intervention Mapping (IM), a theory-based framework to develop an intervention, called “Baby steps”, in a high-income (Austria) and a low-to-middle-income country (South Africa). We applied the following IM steps: (1) A needs assessment to determine the barriers and enablers of PA promotion by HCPs, including a scoping literature review and community needs assessments (qualitative interviews, questionnaires, and focus groups with midwives, obstetricians, and community health workers) to determine the desired outcomes of the intervention. (2) Performance and change objectives were formulated, describing the behaviors that need to change for the intervention to succeed. (3) Based on these objectives, theory-based behavior change techniques were selected, and practical applications were developed. (4) The applications were combined into two evidence-based interventions tailored to each country’s needs. Step (5) and (6) consist of an implementation and evaluation plan, respectively. The intervention is aimed at HCPs, such as midwives and community health workers, consisting of a two-day training course, including practical resources. Combining didactic and interactive education, it addresses both PA knowledge and the skills needed to transfer knowledge and facilitate behavior change. In the future, the intervention’s effect on women’s activity levels during and after pregnancy needs to be studied.

Systematic review of physical activity promotion by community health workers

2015 ◽  
Vol 81 ◽  
pp. 114-121 ◽  
Author(s):  
Evelyn Fabiana Costa ◽  
Paulo Henrique Guerra ◽  
Taynã Ishii dos Santos ◽  
Alex Antonio Florindo
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Physical Activity Promotion ◽  
Activity Promotion

scholarly journals Physicians', nurses' and community health workers' knowledge about physical activity in Brazil: A cross-sectional study

2015 ◽  
Vol 2 ◽  
pp. 467-472 ◽  
Author(s):  
Laura Burdick ◽  
Gregore I. Mielke ◽  
Diana C. Parra ◽  
Grace Gomes ◽  
Alex Florindo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Physical Activity Promotion in Primary Health Care in Brazil: A Counseling Model Applied to Community Health Workers

2014 ◽  
Vol 11 (8) ◽  
pp. 1531-1539 ◽  
Author(s):  
Alex Antonio Florindo ◽  
Evelyn Fabiana Costa ◽  
Thiago Herick Sa ◽  
Taynã Ishii dos Santos ◽  
Marília Velardi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Intervention Group ◽  
Physical Activity Promotion ◽  
Activity Promotion ◽  
Physical Activity Recommendations ◽  
Counseling Model ◽  
Activity Recommendations

Background:The aim of this study was to describe a methodology for training to provide counseling on physical activity among community health workers working within primary healthcare in Brazil.Methods:This was an intervention study conducted with 65 community health workers in the Ermelino Matarazzo district in the São Paulo, Brazil (30 in intervention group). The intervention group received a course of 12 hours (with 4 meetings of 3 hours each in 1 month) that aimed to improve their knowledge and be autonomous with regard to promoting physical activity. For data analysis, focus groups and questionnaires on knowledge and perceptions regarding physical activity were used.Results:The average attendance for the 4 meetings was 29 workers (93% of total). There was an improvement in knowledge on physical activity recommendations in comparison with the control (P = .03), and qualitative results revealed that the professionals appreciated the learned content, valued its application based on knowledge construction and felt secure about promoting physical activity. This was seen through high adherence levels and construction collective of proposal for home visits for physical activity promotion.Conclusion:The training was effective in improving knowledge and attitudes toward counseling on physical activity among community health workers.

scholarly journals Community Health Workers Promoting Physical Activity

2015 ◽  
Vol 38 (4) ◽  
pp. 309-320 ◽  
Author(s):  
Jessica Haughton ◽  
Guadalupe X. Ayala ◽  
Kari Herzog Burke ◽  
John P. Elder ◽  
Jacqueline Montañez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers

scholarly journals Brief interventions for older adults (BIO) delivered by non-specialist community health workers to reduce at-risk drinking in primary care: a study protocol for a randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043918
Author(s):  
Tassiane Cristine Santos Paula ◽  
Camila Chagas ◽  
Ana Regina Noto ◽  
Maria Lucia Oliveira Souza Formigoni ◽  
Tiago Veiga Pereira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Primary Care ◽  
At Risk ◽  
Alcohol Consumption ◽  
Usual Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Brief Interventions

IntroductionEvidence suggests that brief interventions are effective in reducing alcohol consumption among older adults. However, the effectiveness of these interventions when delivered by community health workers (non-specialists) in a primary healthcare setting is unknown. To our knowledge, this will be the first randomised trial to examine this.Methods and analysisTwo hundred and forty-two individuals considered at-risk drinkers (Alcohol Use Disorders Identification Test-Consumption, AUDIT-C score ≥4) will be recruited and randomly allocated to usual care (waiting-list) or usual care plus an intervention delivered by trained community health workers (non-specialists). Seven primary care units (PCUs) in Sao José dos Campos, Brazil. PCUs are part of the Brazilian public healthcare system (Sistema Único de Saúde).Follow-up6 months.OutcomesThe primary outcome will be the proportion of participants considered at-risk drinkers (AUDIT-C score ≥4). Secondary outcomes will include alcohol consumption in a typical week in the last 30 days (in units per week) assessed by the AUDIT, service use questionnaire, cognitive performance—assessed by The Health and Retirement Study Harmonised Cognitive Assessment, physical activity—assessed by the International Physical Activity Questionnaire, depression—assessed by the Geriatric Depression Scale and quality of life—assessed by the Control, Autonomy, Self-realisation and Pleasure-16 instrument. The analysis will be based on intention-to-treat principle.Ethics and disseminationThis study has been approved by the Ethics Committee of the Universidade Federal de São Paulo, CEP/UNIFESP Project n: 0690/2018; CAAE: 91648618.0.0000.5505. All eligible participants will provide informed consent prior to randomisation. The results of this study will be published in relevant peer-reviewed journals and in conference presentations.Trial registration numberRBR-8rcxkk.

scholarly journals Effectiveness of A Community Level Maternal Health Intervention in Improving Uptake of Postnatal Care in Migori County, Kenya

2019 ◽  
Vol 3 (1) ◽  
pp. 11-20
Author(s):  
Moses M. Gitonga ◽  
Kenneth K. Ngure ◽  
Elizabeth E. Echoka
Keyword(s):  
Maternal Health ◽  
Community Health ◽  
Health Facility ◽  
Community Health Workers ◽  
Postnatal Care ◽  
Health Workers ◽  
Health Intervention ◽  
Community Level ◽  
Major Barrier ◽  
Ex Post

Background: Provision of a continuum of care during pregnancy, delivery, and the postnatal period results in reduced maternal and neonatal morbidity and mortality. Complications and lack of skilled postnatal care has consequences for mothers and babies. We examined to what extent a community level integrated maternal health intervention contributed to improvements in uptake of skilled care after delivery by pregnant women.  Methods: An Ex post quasi-experimental design was applied. Among 590 reproductive-aged women, we assessed the effectiveness of a community level integrated maternal health intervention and predictors of uptake of postnatal care. Descriptive, bivariate and multivariate analyses were conducted.   Results: About three fifths (64%) of the women reported having sought postnatal care services at the health facility within six (6) weeks. Women in the intervention arm were 3.3 times more likely to take up postnatal care at a health facility (AOR= 3.31[95% CI 1.245 to 8.804] p=0.016). Women referred to the health facility for postnatal care by Community Health Workers (CHWs) were 2.72 times more likely to take up the services (AOR= 2.72[95% CI 1.05 to 7.07] p=0.039) than those not referred by CHWs. Distance to health facility (61%) was the major barrier, while some mothers did not feel the need for postnatal care (11%).  Conclusion and Implications for Translation: Routine health education by trained providers at community level health facilities, coupled with enhanced CHWs' involvement can improve uptake of postnatal care. Ignorance and accessibility challenges are some barriers to the uptake of postnatal care. Key words: • Community • Maternal • Health • Intervention • Postnatal-Care • Kenya • MAISHA • Community Health Volunteers (CHVs) • Community Health Workers (CHWs)   Copyright © 2019 Gitonga et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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