Wolker Manta Sofia, Fabrício Sandreschi Paula, Christofoletti Dos Santos Marina, Maria Konrad Lisandra, Miranda Tassitano Rafael, Rosane Bertoldo Benedetti Tânia
Federal University of Santa Catarina, Brazil.
Universidade Federal Rural de Pernambuco, Brazil.
Prev Med Rep. 2022 Jun 27;28:101875. doi: 10.1016/j.pmedr.2022.101875. eCollection 2022 Aug.
Barriers and facilitators influence the implementation of physical activity (PA) in Primary Health Care (PHC). This study aimed to analyze the scientific evidence on barriers and facilitators perceived by stakeholders on the implementation of PA in PHC.The search databases consisted of Web of Science, Medline, Scopus, and Lilacs. Two independent researchers reviewed the eligibility criteria and extracted and coded the information according to the Theoretical Domains Framework (TDF). The Consolidated Criteria for Reporting Qualitative Research was used to report the quality of the included studies. We analyzed 8.471 studies but included only 16. The studies identified 54 different reports on barriers and 48 on facilitators. Reports were often identified in the "environmental context and resources" domain, with 27 reports on barriers and 27 on facilitators. We found 25 reports of barriers and 16 of facilitators in the TDF domains that demonstrate professional profile characteristics. The low expectations in the professional profile for the implementation can influence the context and the organizational climate to identify more barriers than facilitators.
障碍因素和促进因素会影响初级卫生保健（PHC）中身体活动（PA）的实施。本研究旨在分析利益相关者在初级卫生保健中实施身体活动时所感知到的障碍因素和促进因素的科学证据。检索数据库包括科学引文索引、医学期刊数据库、Scopus和拉丁美洲及加勒比地区健康科学文献数据库。两名独立研究人员审查了纳入标准，并根据理论领域框架（TDF）提取和编码信息。采用定性研究报告的统一标准来报告纳入研究的质量。我们分析了8471项研究，但仅纳入了16项。这些研究确定了54份关于障碍因素的不同报告和48份关于促进因素的报告。报告经常出现在“环境背景和资源”领域，其中关于障碍因素的报告有27份，关于促进因素的报告有27份。我们在展示专业形象特征的TDF领域中发现了25份障碍因素报告和16份促进因素报告。对实施过程中专业形象的低期望可能会影响环境和组织氛围，从而识别出更多的障碍因素而非促进因素。
