Isolated and simultaneous perceived barriers to physical activity counseling
DOI:
https://doi.org/10.12820/rbafs.24e0098Palabras clave:
Health personnel, Counseling, Motor activity, Primary health careResumen
The aim of this study was to determine the prevalence of perceived barriers and their isolated and simultaneous association with the practice of counseling for physical activity by primary health care workers. This is a cross-sectional study with 591 health workers, who work in the Family Health Teams. Counseling for physical activity was defined as the accomplishment of such a practice for more than six months. The barriers investigated were lack of time, lack of knowledge, lack of professionals to guide, lack of available instructional material, lack of environmental resources and lack of financial resources of the user. Binary logistic regression was used to evaluate the possible relationships between perceived barriers and the practice of counseling for physical activity. Non-counselors reported a lack of time (68.8%), knowledge (68.5%) and orientation (63.2%) compared to their peer counselors (p ≤ 0.001). Professionals with three or more barriers were more likely not to advise (OR = 3.91; 95%CI: 2.10 - 7.29) when compared to those who reported no concurrent barriers. These results indicate that the simultaneity of perceived barriers is negatively associated to the practice of counseling for physical activity of health workers.
Descargas
Citas
Loch MR, Knuth AG, Silva ICM, Guerra PH. As práticas corporais/atividade física nos 30 anos do Sistema Único de Saúde. Cien Saude Colet. 2018;23(2):3469.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Atenção Básica, Brasília: MS; 2012.
Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, et al. Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without cardiovascular risk factors: US Preventive Services Task Force recommendation statement. Jama. 2017;318(2):167-74.
Florindo AA, Andrade DR. Organizadores. Experiências de promoção da atividade física na estratégia de saúde da família. Florianópolis: Sociedade Brasileira de Atividade Física e Saúde; 2015.
Gomes MA, Duarte MFS. Efetividade de uma intervenção de atividade física em adultos atendidos pela estratégia saúde da família: Programa Ação e Saúde Floripa-BRASIL. Rev Bras Ativ Fis Saúde. 2008;13(1):44-56.
Jacobson DM, Strohecker L, Compton MT, Katz DL. Physical activity counseling in the adult primary care setting: position statement of the American College of Preventive Medicine. Am J Prev Med. 2005;29(2):158-62.
LeFevre ML. Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2014;16(1): 587-93.
National Institute for Health and Care Excellence (NICE) Physical activity: brief advice for adults in primary care. Nice: 2013.
Brasil. Ministério da Saúde. Política nacional de promoção da saúde (PNPS): revisão da Portaria MS/GM no 687, de 30 de março de 2006. Brasília: 2015.
Siqueira FV, Nahas MV, Facchini LA, Silveira DS, Piccini RX, Tomasi E, et al. Counseling for physical activity as a health education strategy. Cad Saude Publica. 2009; 2(5):203–13.
Florindo AA, Mielke GI, Gomes GAO, Ramos LR, Bracco MM, Parra DC, et al. Physical activity counseling in primary health care in Brazil: a national study on prevalence and associated factors. BMC Public Health. 2013;13(1):794.
Souza Neto JN, Florindo AA, Costa FF. Associated factors with physical activity counseling among Brazilian Family Health Strategy workers. Cien Saude Colet. No prelo 2019.
Hebert ET, Caughy MO, Shuval K. Primary care providers’ perceptions of physical activity counselling in a clinical setting: a systematic review. Br J Sports Med. 2012; 4(6):625–31.
Tulloch H, Fortier M, Hogg W. Physical activity counseling in primary care: who has and who should be counseling? Patient Educ Couns. 2006;64(1-3):6-20.
Souza Neto JM. Prevalência e fatores associados à prática do aconselhamento para a atividade física em profissionais de saúde. [dissertação]. João Pessoa, Paraíba: Universidade Federal da Paraíba; 2018.
Douglas F, Torrance N, Van Teijlingen E, Meloni S, Kerr A. Primary care staff's views and experiences related to routinely advising patients about physical activity. A questionnaire survey. BMC Public Health. 2006;6(1):138.
Bize R, Cornuz J, Martin B. Opinions and attitudes of a sample of Swiss physicians about physical activity promotion in a primary care setting. Schweiz Z Med Traumatol. 2007;55(3):97-100.
Graham R, Dugdill L, Cable N. Health professionals' perspectives in exercise referral: implications for the referral process. Ergonomics. 2005;48(11-14):1411-22.
Petrella RJ, Lattanzio CN, Overend TJ. Physical Activity Counseling and Prescription Among Canadian Primary Care Physicians. Arch Intern Med. 2007;16(7):1774-81.
Morosini MVGC, Fonseca AF, Lima LDd. Política Nacional de Atenção Básica 2017: retrocessos e riscos para o Sistema Único de Saúde. Rev Saúde em Debate. 2018;42(1):11-24.
Dacey ML, Kennedy MA, Polak R, Phillips EM. Physical activity counseling in medical school education: a systematic review. Med Educ Online. 2014;19(1):24325.
Wattanapisit A, Tuangratananon T, Thanamee S. Physical activity counseling in primary care and family medicine residency training: a systematic review. BMC Med Educ. 2018;18(1):159.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Diretrizes do NASF: Núcleo de Apoio a Saúde da Família. Brasília: 2010.
Huijg JM, Gebhardt WA, Verheijden MW, Van der Zouwe N, Vries J.D, Middelkoop BJC, Crone M.R . Factors influencing primary health care professionals’ physical activity promotion behaviors: a systematic review. Int J Behav Med. 2014;22(1):32-50.
Brasil. Ministério da Saúde (MS). Portaria nº 719, de 7 de abril de 2011. Institui o Programa Academia da Saúde no âmbito do Sistema Único de Saúde. Diário Oficial da União 2011; abr 8.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2019 João Miguel de Souza Neto, Paulo Henrique Guerra, Emily Alves Rufino, Filipe Ferreira da Costa
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Al enviar un manuscrito a la Revista Brasileira de Atividade Física & Saúde, los autores mantienen la titularidad de los derechos de autor sobre el artículo y autorizan a la Revista Brasileira de Atividade Física & Saúde a publicar este manuscrito bajo la Licencia Creative Commons Atribución 4.0 e identificarla como el vehículo de su publicación original.