Effectiveness of a Behavior Change Program on Physical Activity and Eating Habits in Patients With Hypertension: A Randomized Controlled Trial

Gerage, Aline Mendes; Benedetti, Tânia Rosane Bertoldo; Ritti‐Dias, Raphael Mendes; Santos, Ana Célia Oliveira dos; Souza, Bruna Cadengue Coêlho de; Almeida, Fabio A.

doi:10.1123/jpah.2016-0268

Cited by 30 publications

(39 citation statements)

References 32 publications

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“…One chapter of the educational material (workbook) was discussed per meeting. (13) Briefly, each workbook chapter comprised several topics related to physical activity, healthy eating habits and behavior change strategies, such as definition of physical activity and healthy eating habits concepts, assessment of behavior change stages, healthy eating and physical activity routine planning and implementation, overcoming of barriers and challenges, support gathering and progress monitoring (e.g., pedometers), stress management tips, trust building and revisiting of initial goals. Participants should attend all meetings; when failing to attend (up to 25%), content delivery should be rescheduled.…”

Section: The Behavior Change Program Vida Ativa Melhorando a Saúdementioning

confidence: 99%

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Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

Gerage

Benedetti

Cavalcante

et al. 2020

Einstein (São Paulo)

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Objective: To investigate the efficacy of a behavior change program named Vida Ativa Melhorando a Saúde on cardiovascular parameters in hypertensive patients. Methods: Ninety hypertensive patients aged over 40 years were randomly allocated to one of two groups: Vida Ativa Melhorando a Saúde or Control (n=45 respectively). Patients in the Vida Ativa Melhorando a Saúde group took part in a behavior change program aimed to encourage changes in physical activity levels and eating habits, according to the Social Cognitive Theory. The program consisted of 90-minute weekly group meetings conducted by a physical therapist and a dietitian. One chapter of the educational material (workbook) provided was discussed per meeting. Participants in the Control Group attended a single educative lecture on lifestyle changes. Brachial and central blood pressure, arterial stiffness and endothelial function parameters were measured preand post-intervention. Results: Vida Ativa Melhorando a Saúde led to reduction of brachial (131.3±15.8mmHg to 125.1±17.3mmHg; p<0.01) and central (123.6±16.3mmHg to 119.0±20.6mmHg; p=0.02) systolic and brachial diastolic (123.6±16.3mmHg to 119.0±20.6mmHg; p<0.01) blood pressure values, and improvement of post-occlusive reactive hyperemia (from 5.7±2.5mL•100mL −1 to 6.5±2.1mL•100mL −1 tissue•min −1; p=0.04). No changes in body composition, heart rate and arterial stiffness parameters were detected in both groups (p>0.05). Conclusion: Vida Ativa Melhorando a Saúde program improved blood pressure and microvascular reactivity in hypertensive patients.

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Section: The Behavior Change Program Vida Ativa Melhorando a Saúdementioning

confidence: 99%

“…(12) The effectiveness of this program in maintaining physical activity, and improving eating habits and quality of life in hypertensive patients, has been demonstrated in a previous study by the same research group. (13)…”

Section: ❚ Introductionmentioning

confidence: 99%

Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

Gerage

Benedetti

Cavalcante

et al. 2020

Einstein (São Paulo)

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“…The low availability of health care centers to the elderly was another factor affecting the reach of the EINCP, as 65.2% of them complained of this issue. The availability of the locally accessible programs with a quick and easy access for all the target individuals are one of the main strategies helping the providers to get closer to the desired outcomes (41). Then, the policy makers should design efficient programs to ensure that participants actually follow the intervention and the program would gain an optimize compliance.…”

Section: Overall Contextual Aspects Affecting the Programmentioning

confidence: 99%

Process evaluation of a national elderly nutrition care program in Iran: Perspectives of clients and providers

Kheirouri

Alizadeh

Foroumandi

et al. 2020

Preprint

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Background The rapid growth of Iran elderly population highlights the importance of more attention to nutritional needs of this age group. Process evaluation study on the nutritional part of the national Elderly-Integrated Care Program was conducted to examine degree of exposure and satisfaction of the targets with the program components, and assess the reach, delivery, fidelity, and external contexts of the program.Methods To evaluate perspectives of clients on elderly integrated nutrition care program (EINCP) implementation process, a self-administrated questionnaire was constructed, validated, and applied to 256 individuals with the age of above 60 years attending the program at 57 health care centers of Tabriz metropolitan area of East Azerbaijan province in Iran using convenience sampling method. Another valid questionnaire was also applied to investigate viewpoint of the perceptions of 76 staffs of these health care centers as the program providers around the EINCP.Results The reach rate of the clients was reported 20.0%. Delivery of the educational components to entire program providers was accomplished (100.0%); however, the delivery of some parts of the program to the clients had some main weaknesses. The fidelity of the program tools was considered inadequate from perspectives of both clients and providers. 77.5% of the clients had exposure to the program. Clients’ satisfaction rate was varied from 4.2 to 34.7% with various available services, but 42.8% of the clients had high satisfaction with overall parts of the EINCP. The program also suffered from some external contexts such as the lack of financial support of program providers.Conclusion The format of the EINCP and strategies related to recruitment of the clients should be improved in order to minimize the barriers highlighted in this study. The providers should focus on raising the compliance of clients to receive a higher reach rate. It is suggested that program planners add periodic monitoring and evaluation of the program.

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“…O VAMOS tem-se mostrado efetivo em relação aos principais desfechos (AF e AS). Ensaios controlados e randomizados mostraram 03 redução do comportamento sedentário, aumento da AF leve e incremento de 10% no tempo de AF em intensidades moderada/vigorosa (GERAGE et al, 2017), menor consumo de temperos industrializados, aumento do consumo de verduras e legumes (MEURER et al, 2019) e melhora na percepção da qualidade de vida (QV). Alguns resultados apontam que a metodologia empregada foi um facilitador para a mudança nos comportamentos (TONOSAKI et al, 2018).…”

Section: Introductionunclassified

Avaliação Da Efetividade Do “Vamos” No Contexto Do Programa Academia Da Saúde: Um Estudo Qualitativo

et al. 2020

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O objetivo deste estudo foi avaliar a efetividade do Vida Ativa Melhorando a Saúde (VAMOS) a partir da percepção dos usuários do Programa Academia da Saúde (PAS) de Belo Horizonte. Foi realizado um estudo qualitativo com participantes do GI (Grupo Intervenção) de um ensaio controlado e randomizado em dois polos do PAS. O GI participou das atividades do PAS e, adicionalmente, de um programa de mudança de comportamento (VAMOS) durante 12 semanas. A efetividade foi avaliada por meio de relatos em três grupos focais realizados com 32 participantes do GI (61 anos, ± 7,07) utilizando o roteiro baseado nas dimensões do modelo RE-AIM. A partir da análise de conteúdo foram identificados benefícios em quatro categorias: atividade física, alimentação, peso corporal e qualidade de vida. Pela percepção dos participantes, concluiu-se que o VAMOS trouxe benefícios nos marcadores do programa e que a metodologia utilizada foi efetiva para atingir os resultados.

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Effectiveness of a Behavior Change Program on Physical Activity and Eating Habits in Patients With Hypertension: A Randomized Controlled Trial

Abstract: The VAMOS program was effective in improving eating habits and quality of life in patients with hypertension.

Cited by 30 publications

References 32 publications

Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

Process evaluation of a national elderly nutrition care program in Iran: Perspectives of clients and providers

Avaliação Da Efetividade Do “Vamos” No Contexto Do Programa Academia Da Saúde: Um Estudo Qualitativo

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