Costa Evelyn Fabiana, Andrade Douglas Roque, Garcia Leandro Martin Totaro, Ribeiro Evelyn Helena Corgosinho, Santos Taynã Ishi dos, Florindo Alex Antonio
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.
Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2015 Oct;31(10):2185-98. doi: 10.1590/0102-311X00106014.
This study analyzed the effectiveness of physical activity promotion by community health workers (CHW) during home visits. This was a non-randomized controlled trial that lasted six months, with one group of CHW that received training to promote physical activity during home visits among users of the Brazilian Unified National Health System (SUS) and a control group. Physical activity and stages of behavior change were evaluated in 176 adults (n = 90 in the intervention group and n = 86 in the control group) assisted by the CHW. Associations, prevalence ratios, and generalized estimate equations were conducted to verify differences between groups. No evidence of differences in physical activity and stages of behavior change were observed between the two groups. CHW from the intervention group conducted more home visits promoting physical activity among elders, those with low schooling, unemployed, and those with chronic diseases. It is important to reassess the work and priorities of CHW to expand physical activity promotion under the SUS.
本研究分析了社区卫生工作者(CHW)在家庭访视期间促进身体活动的有效性。这是一项为期六个月的非随机对照试验,一组CHW接受了在巴西统一国家卫生系统(SUS)使用者家庭访视期间促进身体活动的培训,另一组为对照组。在CHW协助下,对176名成年人(干预组n = 90,对照组n = 86)的身体活动和行为改变阶段进行了评估。采用关联分析、患病率比和广义估计方程来验证两组之间的差异。两组之间未观察到身体活动和行为改变阶段存在差异的证据。干预组的CHW对老年人、受教育程度低者、失业者和慢性病患者进行了更多促进身体活动的家庭访视。重新评估CHW的工作和重点对于在SUS下扩大身体活动促进工作很重要。