Beckvid-Henriksson Gabriella, Nguyen Thu Hoai, Kilhed Julia, Nordström Agnes, Svensson Sofie, Tran Thi Thanh Huong, Van Der Ploeg Ingeborg, Sundberg Carl Johan
Department of Physiology & Pharmacology, Karolinska Institutet, Stockholm 17177, Sweden.
Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge 14183, Sweden.
J Sport Health Sci. 2018 Jan;7(1):42-49. doi: 10.1016/j.jshs.2017.11.004. Epub 2017 Nov 29.
Regular physical activity (PA) has documented effects in prevention and treatment of many non-communicable diseases (NCDs). Physical inactivity is recognized as the fourth leading risk factor for premature death, worldwide. Despite these facts, physical inactivity is increasing, not only in high-income, but also in middle- and low-income countries. To address this negative trend, evidence-based methods to increase PA are needed. The purpose of this paper is to describe the implementation and assessment of 4 strategies designed to increase PA in Vietnam.
Four strategies were used: i) introduction and evaluation of an education and training program on the Swedish method of Physical Activity on Prescription (PAP) among health care professionals, ii) translation of the PAP evidence-based handbook, (called FYSS in Swedish) into Vietnamese, iii) launch of a mass-media campaign to promote PA, and iv) advocacy to support development of PA guidelines in Vietnam.
The evaluation indicated that the participating health care professionals had a positive attitude to PAP. However, they also reported uncertainty in prescribing PA. FYSS was translated and disseminated successfully to health care professionals. A mass-media campaign identified the beneficial effects of PA to health care professionals, journalists, policy makers, and the public. Last, the process of developing national guidelines on PA was initiated.
This project led to enhanced awareness and appreciation of PA in the prevention and treatment of NCDs among health care professionals as well as initiation of national PA guidelines. Important lessons also were learned in the presentation of PAP, which will be considered when designing similar projects in the future.
有文献记载，经常进行体育活动（PA）对许多非传染性疾病（NCD）的预防和治疗具有作用。身体活动不足被公认为全球过早死亡的第四大主要风险因素。尽管如此，身体活动不足的情况不仅在高收入国家，而且在中低收入国家都在增加。为应对这一负面趋势，需要采用基于证据的方法来增加体育活动。本文旨在描述在越南实施和评估的四项旨在增加体育活动的策略。
采用了四项策略：i）在医疗保健专业人员中引入并评估关于瑞典体育活动处方（PAP）方法的教育培训项目；ii）将基于证据的PAP手册（瑞典语称为FYSS）翻译成越南语；iii）开展大众媒体宣传活动以推广体育活动；iv）进行倡导以支持越南制定体育活动指南。
评估表明，参与的医疗保健专业人员对PAP持积极态度。然而，他们也报告在开具体育活动处方方面存在不确定性。FYSS已成功翻译成越南语并分发给医疗保健专业人员。大众媒体宣传活动向医疗保健专业人员、记者、政策制定者和公众宣传了体育活动的有益影响。最后，启动了制定国家体育活动指南的进程。
该项目提高了医疗保健专业人员对体育活动在非传染性疾病预防和治疗中的认识和重视，并启动了国家体育活动指南的制定。在介绍PAP方面也吸取了重要经验教训，未来在设计类似项目时将予以考虑。
