EFFECTIVENESS OF COMMUNITY PHYSICAL ACTIVITY INTERVENTION: evaluation study protocol with mixed method

Authors

DOI:

https://doi.org/10.17058/rips.v8i2.19212

Keywords:

Physical activity, Primary health care, Arterial hypertension

Abstract

Introduction: community physical activity programs are increasingly being disseminated as a strategy to improve the population's quality of life. Among the main benefits are the prevention and control of chronic diseases, reduction of body weight, reduction in the dosage of medications for continuous use, increased autonomy and improved general well-being. Objective: to present the research protocol for evaluating the effectiveness of the Academia da Saúde Program in the city of Rio de Janeiro. Method: the design adopted is to evaluate effectiveness, using a mixed method, whose purpose is to maximize understanding of the effect of the intervention. To guide the evaluation process, the theoretical-logical model was developed. During Phase I, we opted for a case-control study involving users and non-users of the physical activity program. The impact of the intervention will be estimated using the average treatment effect. In Phase II, semi-structured interviews will be carried out to analyze users' perceptions of the intervention and, subsequently, thematic analysis will be conducted. The interface point will occur at the end of the study with the integration of quantitative and qualitative approaches in search of synergy in the interpretation of both paradigms. Results: the proposal for formulating the analysis model was strategic to map actors, activities, products and expected results related to the policy. The following dimensions of analysis were identified: institutional, management and promotion of healthy living in the territory. Conclusion: it is expected that the evidence produced by this research can contribute to strengthening the program in order to expand and reinvigorate the contours of public policies to encourage health-promoting practices.

Downloads

Download data is not yet available.

Author Biographies

  • Catia Cristina Martins de Oliveira, Oswaldo Cruz Foundation

    PhD em Ciências da Saúde; Fiocruz – Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.

  • Anna Carolina Pinho da Silva, Fundação Oswaldo Cruz e Centro Universitário Serra dos Órgãos / Graduanda em Medicina
    Biomedical and visiting researcher at Fundação Oswaldo Cruz
  • Ana, Universidade Federal da Bahia / Doutora em Epidemiologia
    PhD in Epidemiology, Researcher at the Pan American Health Organization (PAHO)

References

Yusuf S, Joseph P, Rangarajan S, Islam S, Mente A, Hystad P, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. Lancet 2020; 395(10226):795-808. DOI: https://doi.org/10.1136/bjsports-2020-102955.

Marques-Vidal P. Comparison of lifestyle changes and pharmacological treatment on cardiovascular risk factors. Heart 2020; 106(11):852-862. DOI: https://doi.org/10.1136/heartjnl-2019-316252

Sisti LG, Dajko M, Campanella P, Shkurti E, Ricciardi W, de Waure C. The effect of multifactorial lifestyle interventions on cardiovascular risk factors: a systematic review and meta-analysis of trials conducted in the general population and high risk groups. Prev Med 2018; 109:82-97. DOI: https://doi.org/10.1016/j.ypmed.2017.12.027

Gasana, J., O’Keeffe, T., Withers, T. M. et al. A systematic review and meta-analysis of the long-term effects of physical activity interventions on objectively measured outcomes. BMC Public Health 2023, 23, 1697. DOI: https://doi.org/10.1186/s12889-023-16541-7

Pop TL, Namazova-Baranova L, Mestrovic J, Nigri L, Vural M, Sacco M, et al. The Role of Healthy Lifestyle Promotion, Counseling, and Follow-up in Noncommunicable Diseases Prevention J Pediatr 2020; 217:221-223.e1. DOI: https://doi.org/10.1016/j.jpeds.2019.10.061

Fidelis, LT., Patrizzi, LJ., Walsh, IAP. Influência da prática de exercícios físicos sobre a flexibilidade, força muscular manual e mobilidade funcional em idosos. Rev. bras. geriatr. gerontol, 2013; 16(1):109–116. https://doi.org/10.1590/S1809-98232013000100011

Chater AM, Schulz J, Jones A, Burke A, Carr S, Kukucska D, Troop N, Trivedi D, Howlett N. Outcome evaluation of Active Herts: A community-based physical activity programme for inactive adults at risk of cardiovascular disease and/or low mental wellbeing. Front Public Health 2022; (10):903109. DOI: https://doi.org/10.3389/fpubh.2022.903109

Malta DC, Morais Neto OL, Silva MMA, Rocha D, Castro AM, Reis AAC, Akerman M. Política Nacional de Promoção da Saúde (PNPS):capítulos de uma caminhada ainda em construção. Cien saúde coletiva 2016; 21(6):1683-1694. DOI: https://doi.org/10.1590/1413-81232015216.07572016

Brasil. Ministério da Saúde. Secretaria de Vigilância. Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. Vigitel Brazil 2021: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2021. ISBN 978-85-334-2765-5

Handley MA, Lyles CR, McCulloch C, Cattamanchi A. Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Annu Rev Public Health 2018; 39(1):5-25. DOI: https://doi.org/10.1016/j.psychres.2019.06.027

Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf 2021 Feb; 30(2):106-115. DOI: https://doi.org/10.1136/bmjqs-2018-009048.

Padilha MA, Oliveira CM de, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate 2015; 39(105):375–386. DOI: https://doi.org/10.1590/0103-110420151050002006

Cazarin G, Figueiró AC, Dias S, Hartz Z. Análise da contribuição de intervenções de promoção da saúde: o caso do Programa Academia da Cidade Recife, Pernambuco. Physis 2022; 32(3):e320303. DOI: https://doi.org/10.1590/S0103-73312022320303

Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020 Dec; 54(24): 1451-1462. DOI: https://doi.org/10.1136/bjsports-2020-102955.

NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants. Lancet 2016; 387(10026):1377-1396. DOI: https://doi.org/10.1016/S0140-6736(16)30054-X.

Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa AD de M, Machado CA, Poli-de-Figueiredo CE, Forjaz CL de M, Amodeo C, Mion Júnior D, Nobre F, Pio-Abreu A, Pierin AMG, Nilson EAF, Cesarino EJ, Marques F, Baptista FS, Silva GV da, Almeida MQ de, Klein MRST, Koch VHK. Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arq Bras de Cardiol 2021; 116(3): 516-658. DOI: https://doi.org/10.36660/abc.20201238

Damschroder LJ, Lowery JC. Evaluation of a large-scale weight management program using the consolidated framework for implementation research (CFIR). Implement Sci 2013; 8:51. DOI: https://doi.org/10.1186/1748-5908-8-51

Ferreira AJF, Pescarini J, Sanchez M, et al. Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol. BMJ Open 2021; 11:e041722. DOI: https://doi.org/10.1136/bmjopen-2020-041722

Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika 1983; 79:516–524. DOI: https://doi.org/10.2307/2335942

Jakobsen, J.C.; Gluud, C.; Wetterslev, J.; Winkel, P.; Jakobsen, J.C.; Gluud, C.; Wetterslev, J.; Winkel, P. When and how should multiple imputation be used for handling missing data in randomised clinical trials—A practical guide with flowcharts. BMC Med Res Methodol. 2017; 17:162. DOI: https://doi.org/10.1186/s12874-017-0442-1

Busetto L, Wick W, Gumbinger C. How to use and assess qualitative research methods. Neurol Res Pract 2020 May 27; 2:14. DOI: https://doi.org/10.1186/s42466-020-00059-z

Pilcher, N., Cortazzi, M. 'Qualitative' and 'quantitative' methods and approaches across subject fields: implications for research values, assumptions, and practices. Quality & Quantity: International Journal of Methodology, 2024, Springer, 58(3). DOI: https://doi.org/10.1007/s11135-023-01734-4

Álvarez-Bueno C, Cavero-Redondo I, Martínez-Andrés M, Arias-Palencia N, Ramos-Blanes R, Salcedo-Aguilar F. Effectiveness of multifactorial interventions in primary health care settings for primary prevention of cardiovascular disease: A systematic review of systematic reviews. Prev Med 2015; 76 Suppl:S68-S75. DOI: https://doi.org/10.1016/j.ypmed.2014.11.028

Latifi M, Estebsari F, Abbasi M, Nejad MS. Gender and Physical Activity: What We Can Learn from The Ottawa Charter for Health Promotion? J Lifestyle Med 2023 Aug 31; 13(2):119-122. DOI: https://doi.org/10.15280/jlm.2023.13.2.119

Published

2025-07-03

Issue

Section

ARTIGO ORIGINAL

How to Cite

EFFECTIVENESS OF COMMUNITY PHYSICAL ACTIVITY INTERVENTION: evaluation study protocol with mixed method. (2025). Revista Interdisciplinar De Promoção Da Saúde, 8(2), 1-12. https://doi.org/10.17058/rips.v8i2.19212