8fad27f1efb0193fd8b16a796feb2395 pmc_34639836.pdf b8eae1a8158faf8b301ee52f7a8e2b3ba2b2617e pmc_34639836.pdf ae4a51ff83328f90416797196abe63f9f47a4ef52ca1187ce4381dc1e6e6db90 pmc_34639836.pdf Title: Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity Subject: 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. Keywords: physical activity; multiple health behavior change intervention; primary care Author: 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 Bolíbar, José-Ángel Maderuelo and Joan Llobera Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Sat Oct 9 02:31:42 2021 CEST ModDate: Sat Oct 9 02:36:50 2021 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 16 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 785108 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- IYDCBB+VnURWPalladioL Type 1 Custom yes yes no 10 0 FLRLBX+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 DSGWYO+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 LWRWBQ+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 JDUPKS+CMSY10 Type 1 Builtin yes yes no 28 0 QZKPTP+VnURWPalladioL-Bold Type 1 Custom yes yes no 32 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 40 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 43 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 65 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 69 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 73 0 URYLRZ+URWPalladioL-BoldItal Type 1 Custom yes yes no 108 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-02 03:39:03 CEST RepresentationInformation: pmc_34639836.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2023-03-31 12:05:52 CEST Size: 785108 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 322 FreeObjects: 3 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Design Destination: subsection.2.1 Item: Title: Setting Destination: subsection.2.2 Children: Item: Title: PHC Centers Destination: subsubsection.2.2.1 Item: Title: Participants Destination: subsubsection.2.2.2 Item: Title: Assignment of PHC Centers to Different Interventions Destination: subsubsection.2.2.3 Item: Title: Intervention Group Destination: subsubsection.2.2.4 Item: Title: Usual Care Group Destination: subsubsection.2.2.5 Item: Title: Outcomes Destination: subsection.2.3 Children: Item: Title: Primary Outcome Destination: subsubsection.2.3.1 Item: Title: Secondary Outcomes Destination: subsubsection.2.3.2 Item: Title: Sample Size Destination: subsection.2.4 Item: Title: Statistical Analysis Destination: subsection.2.5 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity Author: 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 Bolíbar, José-Ángel Maderuelo and Joan Llobera Subject: 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. 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