The positive effect on determinants of physical activity of a tailored, general practice-based physical activity intervention

被引:46
作者
Van Sluijs, EMF
Van Poppel, MNM
Twisk, JWR
Brug, J
Van Mechelen, W
机构
[1] Vrije Univ Amsterdam, Ctr Med, Dept Social Med, NL-1081 BT Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, Ctr Med, Inst Res Extramural Med, NL-1081 BT Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Ctr Med, Res Ctr Phys Activ Work & Hlth TNO VUme, NL-1081 BT Amsterdam, Netherlands
[4] Vrije Univ Amsterdam, Ctr Med, Dept Clin Epidemiol & Biostat, NL-1081 BT Amsterdam, Netherlands
[5] Vrije Univ Amsterdam, Ctr Med, Inst Res Extramural Med, NL-1081 BT Amsterdam, Netherlands
[6] Erasmus Univ, Ctr Med, Dept Publ Hlth, NL-3000 DR Rotterdam, Netherlands
基金
美国国家科学基金会;
关键词
D O I
10.1093/her/cyg129
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
PACE (Physician-based Assessment and Counseling for Exercise) is an individualized theory-based minimal intervention strategy aimed at the enhancement of regular physical activity. The aim of this study was to evaluate the effectiveness of a PACE intervention applied by general practitioners (GPs) on potential determinants of physical activity. A randomized controlled trial was conducted in 29 general practices with the following inclusion criteria for patients: aged between 18 and 70 years, diagnosed with hypertension, hypercholesterolemia and/or non-insulin-dependent diabetes mellitus, and not in maintenance stage for regular physical activity. The intervention consisted of two visits with the GP and two telephone booster calls by a physical activity counselor. Determinants of physical activity were assessed with questionnaires at baseline, and at 8-week (short), 6-month (medium) and 1-year (long) follow-up. A significant positive effect was observed on self-efficacy, and on the use of cognitive and behavioral processes of change, at both short- and medium-term follow-up. The intervention respondents also perceived fewer barriers for regular physical activity at short- term and used behavioral processes of change more at long-term follow-up. No intervention effect was observed for perceived benefits of physical activity. In conclusion, this GP-based PACE intervention resulted in positive changes in potential determinants of physical activity.
引用
收藏
页码:345 / 356
页数:12
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