National Institute of Physical Education of Catalonia (INEFC), Lleida Campus, E-25192 Catalonia, Spain.
Grup de Recerca de Moviment Humà, University of Lleida (UdL), E-25192 Catalonia, Spain.
Int J Environ Res Public Health. 2021 Mar 19;18(6):3192. doi: 10.3390/ijerph18063192.
Exercise is related to many individual health outcomes but impact evaluations of exercise programmes are seldom conducted. The purpose of the study is to evaluate the feasibility of an exercise prescription intervention in primary health-care settings (CAMINEM Programme) located in two socially disadvantaged neighbourhoods. The CAMINEM was a pragmatic-driven intervention with opportunistic recruitment. It followed the 5As framework for health promotion and also the exercise training principles. Feasibility was evaluated using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Patients with non-communicable chronic diseases participated in a 12-month home-based moderate-intensity exercise program, counselled by exercise physiologists. Participants were grouped according to their physical activity behaviour at baseline and 6-month adherence. CAMINEM reached 1.49% ( = 229) of the eligible population ( = 15374) and included a final sample of 178. Health outcomes for adhered participants followed positive patterns. Non-adhered participants visited their practitioner more compared to adhered participants. Thirty-three practitioners (40%) referred patients. Nurses referred four times more than physicians (81% and 19% respectively). The delivery of exercise prescriptions proved to be easy to complete and record by participants as well as easy to monitor and adjust by the exercise physiologists. One out of four participants adhered during the 12-month intervention. This intervention has been feasible in primary care in Catalonia, Spain, to safely prescribe home-based exercise for several conditions.
运动与许多个体健康结果有关，但很少对运动项目的影响进行评估。本研究旨在评估在两个社会弱势社区的基层医疗环境中实施运动处方干预的可行性（CAMINEM 计划）。CAMINEM 是一项基于实用主义的干预措施，采用机会性招募。它遵循了促进健康的 5A 框架，也遵循了运动训练原则。使用 RE-AIM 框架（覆盖范围、有效性、采用、实施和维持）评估可行性。患有非传染性慢性病的患者参加了为期 12 个月的家庭中等强度运动计划，由运动生理学家进行咨询。参与者根据其基线和 6 个月的依从性的身体活动行为进行分组。CAMINEM 覆盖了 1.49%（=229）的合格人群（=15374），最终样本为 178。依从性参与者的健康结果呈现出积极的模式。与依从性参与者相比，不依从性参与者更多地就诊于医生。有 33 名医生（40%）转介了患者。护士的转介次数是医生的四倍（分别为 81%和 19%）。运动处方的提供被证明对参与者来说很容易完成和记录，对运动生理学家来说也很容易监测和调整。四分之一的参与者在 12 个月的干预期间保持了依从性。这项干预措施在西班牙加泰罗尼亚的基层医疗中是可行的，可以安全地为多种疾病开具家庭运动处方。
