Physical activity prescription by primary care nurses using health assets: Study design of a randomized controlled trial in patients with cardiovascular risk factors

Riera-Sampol, Aina; Tauler, Pedro; Bennasar‐Veny, Miquel; Leiva, Alfonso; Artigues-Vives, Guillem; Pedro‐Gómez, Joan De; Pericàs, Jordi; Moreno, Carlos; Arbos, Maite; Aguiló, Antoni

doi:10.1111/jan.13318

Cited by 8 publications

(6 citation statements)

References 52 publications

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“…In this model, PA screening and advice in primary health care settings was based on stage of change, in which unprepared adults at the precontemplative or contemplative stage receive the motivational approach, inactive adults in the preparation stage receive specific advice with follow-up and information on accessible resources and activities for PA, and those in the active or maintenance stage receive reinforcement to prevent relapse. Moreover, motivational interview, the trans-theoretical stages of changes and individualised prescription of PE in routine primary care settings have been proposed as interventions in protocols of trials for patients with cardiovascular risk factors [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study

López-Román

Tornel-Miñarro²,

Delsors-Merida-Nicolich³

et al. 2020

European Journal of General Practice

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Background Physical inactivity implies a significant individual and society health burden. Objectives To assess the feasibility of implementing a preventive physical exercise (PE) programme for the general population and to analyse changes in fitness-related variables and quality of life. Methods Pre-post comparison study in which general practitioners and nurses recommended PE to participants with sedentary behaviour and hypertension or dyslipidaemia attending in primary care for primary prevention of ischaemic cardiovascular disease. Eligible participants were referred to a PE programme (10 weeks, three days a week, a total of 30 sessions of one-hour duration). Data was collected for five years (2013–2017). Outcome measures were body weight, body mass index (BMI), physical condition (aerobic fitness, muscle strength, flexibility, balance), and quality of life (SF-36). Results The PE programme was offered to 6,140 eligible subjects; 5,077 (82.7%) accepted to participate and received a recommendation; 3,656 (69.6% women) started the programme and 2,962 subjects (80.9% women) finished the programme. After 10 weeks, there were significant improvements (mean difference, 95% CI) in aerobic fitness (2.55 ml/min/kg, 2.32–2.79), muscle strength (0.62 m, 0.57 to 0.67), flexibility (2.34 cm, 2.06 to 2.63) and balance (−0.46 falls, −0.60 to −0.33) as well as significant decreases in body weight (−0.41 kg, −0.64 to −0.17) and BMI (−0.27 kg/m 2 , −0.34 to −0.20). Conclusion Implementation of a government-supported PE programme for the general population recruited in the primary care setting and recommended by healthcare professionals is feasible, and was associated with health benefits, mainly improvements in physical fitness.

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Section: Discussionmentioning

confidence: 99%

Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study

López-Román

Tornel-Miñarro²,

Delsors-Merida-Nicolich³

et al. 2020

European Journal of General Practice

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“…As for Item 18— Number of elements of the section that stimulate walking , it provided a numeric answer option with a list of elements such as sports centers, gyms, swimming pools, supermarkets, bars, restaurants, etc. After the validation, we decided that this item had to stay in the questionnaire, but only after reviewing the wording and modifying the answers to a Likert scale since, according to Riera-Sampol [ 61 ], this contributes to the process of health assets mapping from health centers.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Urban Walkability Perception Questionnaire (UWPQ) in the Balearic Islands

Artigues

Mateo

Ramos

et al. 2020

IJERPH

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Within the context of promoting the “healthy routes” program, the aim of this study was to validate the urban walkability perception questionnaire (UWPQ) in the Balearic Islands to determine the characteristics of the urban environment that promote walking among the population. The UWPQ measures pedestrian facilities, infrastructures of the environment, perception of safety and a participant’s general opinion. This process was performed in 12 routes predefined by a community participation program and set around the primary health centers. Degree of correlation between the items was calculated. The final internal consistency was 0.8 in all blocks according to the Cronbach's alpha test (p < 0.01). Goodman and Kruskal–gamma correlation coefficient (γ) between the item measuring the general opinion and the rest of the items was significant. The items from the perception of safety and pedestrian facilities blocks were the ones that most affected the final assessment. Those regarding the pedestrianonly pavements, clearly marked pavements, noise, traffic density and parks condition obtained the lowest coefficients. To conclude, the results showed that the UWPQ is a suitable instrument to assess the degree of adequacy of the urban environment for walking. It could contribute to create healthy environments as well as to improve public policies.

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“…Data were collected as part of a research protocol with International Standard Randomized Controlled Trial Number (ISRCTN): ISRCTN76069254 [ 54 ]. The objective of this trial was to analyze the efficacy of a 12-month multifactorial intervention by primary care nurses in increasing adherence to physical activity prescription in patients with two or more cardiovascular risk factors and with cardiovascular risk (determined using the Framingham-REGICOR equation, of up to 15%).…”

Section: Methodsmentioning

confidence: 99%

Analysis of the psychometric properties of the Sense of Coherence scale (SOC-13) in patients with cardiovascular risk factors: a study of the method effects associated with negatively worded items

Domínguez-Salas

Andrés-Villas

Riera-Sampol

et al. 2022

Health Qual Life Outcomes

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Purpose The objectives of this study were to analyze the psychometric properties of the Sense of Coherence scale (SOC-13), determine the role of the method effect in the performance of the instrument, and identify the relationship with health perception, quality of life, and sleep quality in patients at cardiovascular risk. Methods The final sample consisted of 293 patients at cardiovascular risk, with a mean age of 61.9 years (SD = 8.8), 49.8% of whom were women. The SOC-13, the Patient Health Questionnaire (PHQ-9), and the Medical Outcomes Study-Sleep Scale (MOS-Sleep) were administered. In addition, the participant's self-perceived health and quality of life were also evaluated. All analyses were carried out with SPSS 26.0 and EQS 6.1 statistical software. Results The results showed adequate reliability for the SOC-13, with a Cronbach's alpha of .789. The fit of the structures was not adequate in any of the cases (.26 to .62 for one factor, .26 to.73 for three factors, .20 to .54 for one second-order factor, and .25, .42, and .54 for three first-order factors). The three structure models showed an improved fit when adding a latent factor resulting from the method effect (.6 to .85 for one factor, .11 to.90 for three factors, and .11 to .96 for one second-order factor). Moreover, positive correlations were found with health perception, perceived quality of life, and perceived sleep quality. Conclusion The SOC-13 is a suitable instrument for patients with cardiovascular risk in Spain, and it is also an indicator of health perception, quality of life, and perceived quality of sleep. Control of the method effect improves the fit of the instrument’s structure. As a future direction, it is recommended to conduct new studies in this and other samples and using different versions of the SOC. Trial registration International Standard Randomized Controlled Trial Number: ISRCTN76069254, 08/04/2015 retrospectively registered.

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Physical activity prescription by primary care nurses using health assets: Study design of a randomized controlled trial in patients with cardiovascular risk factors

Abstract: International Standard Randomized Controlled Trial Number (ISRCTN): ISRCTN76069254. Protocol version 1.1, 6 July 2015.

Cited by 8 publications

References 52 publications

Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study

Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study

Validation of the Urban Walkability Perception Questionnaire (UWPQ) in the Balearic Islands

Analysis of the psychometric properties of the Sense of Coherence scale (SOC-13) in patients with cardiovascular risk factors: a study of the method effects associated with negatively worded items

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