Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity

Sara Contreras-Martos, Alfonso Leiva, Álvaro Sanchez, Emma Motrico, Juan Bellón, Susana Aldecoa Landesa, Rosa Magallón-Botaya, Marc Casajuana-Closas, Edurne Zabaleta-del-Olmo, Bonaventura Bolíbar, José-Ángel Maderuelo and Joan Llobera
Additional contact information
Sara Contreras-Martos: Primary Care Research Unit Majorca, C/Escola Graduada 3, 07002 Palma, Spain
Alfonso Leiva: Primary Care Research Unit Majorca, C/Escola Graduada 3, 07002 Palma, Spain
Álvaro Sanchez: Primary Care Research Unit of Bizkaia, Basque Health Service (BHS), Luis Power 18, 48014 Bilbao, Spain
Emma Motrico: Department of Psychology, Universidad Loyola Andalucia, Avda. de las Universidades s/n, 41704 Sevilla, Spain
Juan Bellón: Biomedical Research Institute of Málaga (IBIMA), 29010 Málaga, Spain
Susana Aldecoa Landesa: I-Saúde Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Avda Rosalía Castro 21, 36201 Vigo, Spain
Rosa Magallón-Botaya: Biomedical Research Institute of Aragón (IISA), Avda. San Juan Bosco 13, 50009 Zaragoza, Spain
Marc Casajuana-Closas: Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
Edurne Zabaleta-del-Olmo: Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
Bonaventura Bolíbar: Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
José-Ángel Maderuelo: Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca (IBSAL), Paseo de San Vicente, 58-182, 37007 Salamanca, Spain
Joan Llobera: Primary Care Research Unit Majorca, C/Escola Graduada 3, 07002 Palma, Spain

IJERPH, 2021, vol. 18, issue 19, 1-16

Abstract: The World Health Organization (WHO) estimated that physical inactivity (PI) is responsible for 20 to 30% of all non-communicable diseases. We aimed to analyze the effectiveness of a multiple health behavior change (MHBC) intervention to increase physical activity (PA) in patients 45 to 75 years old who had at least 2 of 3 unhealthy behaviors (tobacco use, reduced fruit and vegetable consumption, and insufficient PA). The MHBC intervention is based on the Transtheoretical Model and the conceptual framework of the “5 A’s” and includes an individually tailored intervention, group sessions, and the use of community resources. We included 3062 participants, 1481 in the intervention group and 1581 in the control group. After 12 months, there were no differences in PA intensity measured by metabolic_equivalent_of_task_minutes/week (adjusted mean difference: 284.093, 95% CI: ?298.24, 866.42) nor in the proportion of participants who increased PA levels to moderate or high (OR: 1.02, 95% CI: 0.85, 1.23; p = 0.822), and no differences in blood pressure, weight loss, or waist circumference. We found an increased proportion of patients in the intervention group who followed the WHO recommendations for PA (OR: 1.29; 95% CI: 1.04, 1.60; p = 0.02). We concluded that the intervention did not lead to a significant increase in PA.

Keywords: physical activity; multiple health behavior change intervention; primary care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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