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Brief Counseling and Exercise Referral Scheme: A Pragmatic Trial in Mexico

dc.rights.licensehttp://creativecommons.org/licenses/by/4.0es_MX
dc.creatorKATIA GALLEGOS CARRILLOes_MX
dc.creatorMaría del Carmen García Peñaes_MX
dc.creatorJORGE SALMERON CASTROes_MX
dc.creatorV. Nelly Salgado de Snyderes_MX
dc.creatorFelipe Lobeloes_MX
dc.date2017
dc.date.accessioned2021-12-08T19:06:46Z
dc.date.available2021-12-08T19:06:46Z
dc.identifier.urihttp://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17341
dc.descriptionIntroduction: The effectiveness of clinical-community linkages for promotion of physical activity (PA) has not been explored in low- and middle-income countries. This study assessed the effectiveness of a primary care-based, 16-week intervention rooted in behavioral theory approaches to increase compliance with aerobic PA recommendations. Study design: Pragmatic cluster randomized trial. Setting/participants: Patients had diagnosed (<5 years) hypertension, were aged 35-70 years, self-reported as physically inactive, had a stated intention to engage in PA, and attended Primary Healthcare Centers in the Social Security health system in Cuernavaca, Mexico. Of 23 Primary Healthcare Centers, four were selected based on proximity (5 km radius) to a center. Intervention: Each center was randomized to a brief PA counseling (BC, n=2) or an exercise referral (ER, n=2) intervention. The study was conducted between 2011 and 2012. Main outcome measures: Change in objectively measured PA levels (ActiGraph GT3X accelerometers) at baseline, 16, and 24 weeks. Intention-to-treat analyses were used to assess the effectiveness of the intervention overall and according to ER intervention attendance. Longitudinal multilevel mixed-effects analyses considering the interaction (time by intervention) were conducted. Each model was also adjusted by baseline value of the outcome measure, demographic and health variables, social support, PA self-efficacy, and barriers. Results: Minutes/week of objectively measured moderate to vigorous PA increased by 40 and 53 minutes in the ER and BC groups, respectively (p=0.59). Participants attending >50% of ER program sessions increased their moderate to vigorous PA by 104 minutes/week and compliance with aerobic PA recommendations by 23.8%, versus the BC group (both p<0.05). Conclusions: Both BC and ER led to modest improvements in PA levels, with no significant differences between groups. Adequate adherence with the ER program sessions led to significant improvements in compliance with aerobic PA recommendations versus BC. These results can help guide development and implementation of programs integrating standardized PA assessment, counseling, and referrals via clinical-community linkages in Mexico and other low- and middle-income countries in the region.es_MX
dc.formatAdobe PDFes_MX
dc.languageenges_MX
dc.publisherElsevier, American College of Preventive Medicine & Association for Prevention Teaching and Researches_MX
dc.relationhttps://www.ajpmonline.org/article/S0749-3797(16)30546-3/fulltext#%20es_MX
dc.relation.requiresSies_MX
dc.rightsAcceso Abiertoes_MX
dc.sourceAmerican Journal of Preventive Medicine (0749-3797) Vol. 52 (2017)es_MX
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_MX
dc.subjectCiencias médicases_MX
dc.subjectCiencias clínicases_MX
dc.subjectGeriatríaes_MX
dc.subjectPersonas mayoreses_MX
dc.subjectOlder adultses_MX
dc.subjectEjercicioes_MX
dc.subjectExercisees_MX
dc.subjectActividad físicaes_MX
dc.subjectPhysical Activityes_MX
dc.subjectMéxicoes_MX
dc.subjectMexicoes_MX
dc.titleBrief Counseling and Exercise Referral Scheme: A Pragmatic Trial in Mexicoes_MX
dc.typeArtículoes_MX
dc.audienceResearcherses_MX
dc.creator.idGACK740825MDFLRT03es_MX
dc.creator.idGAPC560716MDFRXR00es_MX
dc.creator.idSACJ561007HDFLSR06es_MX
dc.creator.idSADV550927MMSLZL07es_MX
dc.creator.idCA1237492es_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercaes_MX


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