Logical model of a behavior change program for community intervention – Active Life Improving Health – VAMOS

Abstract

The present study aimed to present a Logic Model (LM) of the “Vida Ativa Melhorando a Saúde” (VAMOS – Active Life Improving Health) program for its application in community interventions in adults and old age in Brazil. The VAMOS program purpose is to motivate people to have a healthier lifestyle. It is divided in 12 group meetings usually held weekly, varying from three to five months of duration. VAMOS is guided by specific booklets and conducted by health professionals with prior certification. The LM consists of activities (advertising, meetings, community outreach), products (financial resources, promotion, increase in attendance) and short, medium and long term objectives (adoption of the program, knowledge and empowerment of participants). Participants of the VAMOS program maintained their physical activity levels for longer when compared with traditional and control groups. VAMOS is under expansion in Brazil, supporting behavior changes in order to reach a healthier lifestyle.

Length of stay in a behavior change program in Primary Health Care: “VAMOS” Program

“…For this reason, it is important to study the survival rate of individuals participating in interventions, as their effectiveness could be associated with the decrease in health expenses. When investments in public health are taken into consideration, the VAMOS Program shows a lower cost, compared to programs known as traditional (which depend on specific guidance from a PE professional to offer physical activities lasting 60 minutes, two to three times a week) 13,14,15 . Considering the public health context, if five out of every ten individuals remain in the program, there will be a total of 50% who have a significant potential to change their behavior towards PA and diet and to reduce health service expenses.…”

“…The methodology used was health education aimed at the specific theme for which the educational material was made available for free (12 booklets plus one appendix) corresponding to the subject approached weekly. The contents included strategies for behavioral change in PA and eating 15 . In each of the UBSs, all participants held a meeting on the same day and at the same time and they were invited by the health team through flyers and posters distributed in the UBSs, in the community and in home visits.…”

“…In this sense, a program developed according to PHC configurations and based on behavioral change techniques known as "Vida Ativa Melhorando a Saúde" (VAMOS -Active Life Improving Health) is a pioneer in Brazil, as it aims to motivate adults and elderly individuals to adopt new behavior towards PA and eating 14,15 . The VAMOS Program is based on socio-cognitive theory constructs and strategies 16 , which have been used as the foundation for the majority of behavior change programs 12 .…”

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

“…Nessa perspectiva, novas propostas de intervenções têm sido testadas, dentre elas o Vida Ativa Melhorando a Saúde (VAMOS) que é um programa de mudança de comportamento, embasado na teoria sociocognitiva (BANDURA, 1986). Seu objetivo é motivar as pessoas a adotarem um estilo de vida ativo e saudável com relação à AF e a alimentação (BENEDETTI et al, 2017;BENEDETTI et al, 2012). Um diferencial do programa é a utilização do modelo RE-AIM, desenvolvido para avaliar e planejar o impacto de programas na saúde pública por meio de cinco dimensões: alcance, adoção, efetividade, implementação e manutenção (GLASGOW; VOGT; BOLES, 1999).…”

Validação do treinamento on-line para multiplicadores do programa vida ativa melhorando a saúde (VAMOS)

“…O ineditismo do trabalho ocorre pela necessidade de capacitar profissionais da área da saúde como multiplicadores com competências e habilidades para aplicar programas de mudança de comportamento na atividade física e alimentação saudável, ainda escassos no país 8,9 .…”