Factors associated with adherence to physical activity groups in primary health care
Keywords:
Motor Activity, Primary Health Care, Family Health StrategyAbstract
This study aimed to verify the users’ adherence to physical activity groups conducted by physical therapists at primary health care (PHC) and their related factors. This is a cross-sectional quantitative study. A semi-structured questionnaire and an adapted adherence questionnaire were applied, which investigate general factors, motivators, and obstacles that can affect adherence. The sample was divided into three groups according to adherence: 1-30% of frequency in 6 months as low adherence; 31 to 70% as medium adherence; and above 71% as high adherence. The groups were compared by Kruskal-Wallis and ANOVA tests, and the association was evaluated by multinomial logistic regression. Regarding adherence results, 46.8% of the sample had low, 42.2% medium, and 11% high adherence among the 154 participants, with a mean age of 58.98±11.54 years for general factors, barriers and motivators were different (p<0.05) between groups, and lower reporting of general non-adherence factors reduced the chance of medium adherence to groups. The longer participation time in the groups increased the chance of average and high adherence across the sample. We conclude that the knowledge of the factors that positively affect adherence, such as time of participation, willingness, and interest, facilitate the development of strategies by PHC professionals for its maintenance. The results showed that there are factors that affect the adherence of groups in PHC.
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References
Wu Z, McGoogan JM. Characteristics of and important
lessons from the coronavirus disease 2019 (Covid-19)
outbreak in China: summary of a report of 72314 cases
from the Chinese Center for Disease Control and Prevention.
JAMA. 2020;323(13):1239-42. doi: 10.1001/jama.2020.2648
Cameron S, Ball I, Cepinskas G, Choong K, Doherty TJ,
Ellis CG, et al. Early mobilization in the critical care unit:
a review of adult and pediatric literature. J Crit Care.
;30(4):664-72. doi: 10.1016/j.jcrc.2015.03.032
Hodgson CL, Stiller K, Needham DL, Tipping CJ,
Harrold M, Baldwin CE, et al. Expert consensus
and recommendations on safety criteria for active
mobilization of mechanically ventilated critically ill adults.
Crit Care. 2014;18:658. doi: 10.1186/s13054-014-0658-youtcome in patients with osteoarthritis of the hip and/or knee.
Arthritis Care Res. 2010;62(8):1087-94. doi: 10.1002/acr.20182
Henry KD, Rosemond C, Eckert LB. Effect of number of home
exercises on compliance and performance in adults over 65
years of age. Phys Ther. 1999;79(3):270-7. doi: 10078770/
pt.793270
Yang D, Liu B, Sun Y, Snetselaar LG, Wallace RB, Bao W. Trends in
Adherence to the Physical Activity Guidelines for Americans for
Aerobic Activity and Time Spent on Sedentary Behavior Among
US Adults, 2007 to 2016. JAMA Netw Open. 2019;2(7):1-11. doi:
1001/jamanetworkopen.2019.7597
Medina-Mirapeix F, Escolar-Reina P, Gascón-Cánovas JJ,
Montilla-Herrador J, Collins SM. Personal characteristics
influencing patients adherence to home exercise during chronic
pain: a qualitative study. J Rehabil Med. 2009;41(5):347-52.
doi: 10.2340/16501977-0338
Picorelli AMA, Pereira DS, Felício DC, Gomes DA, Dias RC,
Pereira LSM. Adesão de idosas a um programa de exercícios
domiciliares pós-treinamento ambulatorial. Fisioter Pesqui.
;22(3):291-308. doi: 10.590/1809-2950/13997522032015
Monteiro, MC. Adesão de idosos a programa de atividade física
em unidade de atenção primária à saúde [master’s thesis].
Botucatu: Universidade Estadual Paulista; 2014.
Ribeiro JAB, Cavalli AS, Cavalli MO, Pogorzelski LV, Prestes
MR, Ricardo LIC. Adesão de idosos a programas de atividade
física: motivação e significância. Rev Bras Cienc Esporte.
;34(4):969-84. doi: 10.1590/S0101-32892012000400012
Benedetti TR, Mazo GZ, Borges LJ. Condições de saúde e nível
de atividade física em idosos participantes e não participantes
de grupos de convivência de Florianópolis. Cien Saude Colet.
;17(8):2087-93. doi: 10.1590/S1413-81232012000800019
Mazo GZ, Meuer ST, Benedetti TRB. Motivação de idosos para
a adesão a um programa de exercícios físicos. Psicol Am Lat
[Internet]. 2009 [cited 2020 Nov 3];18:15-9. Available from:
https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=
S1870350X20090002000
Mazo GZ, Cardoso FL, Aguiar DD. Programa de hidroginástica
para idosos: motivação, auto-estima e auto-imagem. Rev Bras
Cineantropom Desempenho Hum. 2006;8(2):67-72.
Alves RF, Silva PR, Ernesto MV, Lima AGB, Souza FM. Gênero
e saúde: O cuidar do homem em debate. Psicol Teor Prat
[Internet]. 2011 [cited 2020 Nov 3];13(3):52-166. Available from:
http://pepsic.bvsalud.org/pdf/ptp/v13n3/v13n3a12.pdf
Sant’Ana CA, Justino BL, Zarpellon MG, Bertoldo BT, Kuhnen
AP. Fatores influentes na desistência de idosos em um
programa de exercício físico. Movimento. 2008;14(1):225-39.
doi: 10.22456/1982-8918.2303
Andreotti M, Okuma S. Perfil sócio-demográfico e de adesão
inicial de idosos ingressantes em um programa de educação
física. Rev Paul Educ Fis [Internet]. 2003 [cited 2020
Nov 3];17(2):142-53 Available from: http://citrus.uspnet.usp.br/
uploads/arquivo/v17%20n2%20artigo6.pdf
Saba FKF. Aderência: à prática do exercício físico em academias.
São Paulo: Manole; 2001.
Carvalho MP, Luckow ELT, Peres W, Lima GG, Siqueira FCV.
O envelhecimento e seus fatores de risco associados. RBCEH.
;8(2);265-71. doi: 10.5335/rbceh.2012.1296
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Copyright (c) 2020 Anderson Martins Silva, Daniele Sirineu Pereira, Maria Geracina de Souza, Darlene Graciele Carvalho, Isabella Tirado Freire Lopes, Silvia Lanziotti Azevedo da Silva
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