Programa “VAMOS” (Vida Ativa Melhorando a Saúde): da concepção aos primeiros resultados.

Abstract

-Despite increased governmental efforts towards promoting healthy and active lifestyles among Brazilians, physical inactivity is a serious concern in the population. Therefore, we developed a new approach to community interventions for the promotion of physical activity called "Project VAMOS: Active Living, Enhancing Health". In this article we review information about the conception of the program, as well as name, brand, and logo development. We discuss issues related to translation and cultural adaptation, evaluation strategies, and we review lessons learned from the pilot phase of the project that involved older adults and public health centers (CS) in Florianopolis. One hundred older adults registered in six CS participated in the pilot study. They were randomly assigned into three different groups: "VAMOS" (n=33), traditional physical activity classes (n=35), and a control group (n=32). "VAMOS" is an educational program based on behavioral change principles that consists of 12 meetings. Based on an American evidence-based program ("Active Living Every Day"), "VAMOS" was translated and culturally adapted to the Brazilian context. A number of adjustments were made to the original American version of the program prior to conducting the pilot study. For example, the content of the lessons and homework were revised, we shortened the length of the lessons, as well as lowered the complexity of some of the materials. The results of the pilot study suggest that there was broad acceptance of the "VAMOS"program by the older adult participants. Also, interviews with administrative staff and health professionals working for the CS indicated a possibility and interest to continue to offer "VAMOS" as part of their regular programming for the community. In summary, "VAMOS" has great potential to be used with the Brazilian population. Adjustments are necessary for its utilization with other age groups and across different regions in Brazil. Key words: Behavioral change; Older adult; Physical activity program; Public health centers. fisica "tradicional" (n=35) Resumo -Apesar do aumento nos incentivos públicos voltados à promoção de um estilo de vida ativo entre os brasileiros, o perfil de inatividade física da população � preocupante� �este senti� � preocupante� �este senti� preocupante� �este senti� do, desenvolvemos uma nova estrat�gia de intervenção na comunidade por meio do programa "VAMOS: Vida Ativa Melhorando a Saúde"� �este artigo, serão discutidos informações referentes à concepção, à criação do nome, ao logotipo, à tradução, às adaptações culturais, às estrat�gias de avaliação do programa e aos primeiros resultados obtidos no estudo piloto conduzido entre idosos em Centros de Saúde (CS) de Florianópolis� Participaram do estudo 100 idosos cadastrados em seis CS� Os idosos foram direcionados aleatoriamente a participarem de um dos três grupos do estudo: "VAMOS" (n=33), atividade

Effects of Physical Activity Governmental Programs on Health Status in Independent Older Adults: A Systematic Review

“…However, after checking the full texts of these studies, 39 of them were excluded since twelve were not PA governmental programs (Aoki et al, 2015;Brach, Nieder, Nieder, & Mechling, 2009;Burton, Lewin, Clemson, & Boldy, 2013;Etkin, Prohaska, Harris, Latham, & Jette, 2006;Filiatrault et al, 2008;Nguyen et al, 2007;Gawler et al, 2016;Liang et al, 2017;Matsudo et al, "Effects of Physical Activity Governmental Programs on Health Status in Independent Older Adults: A Systematic Review" by Valdés-Badilla P et al Journal of Aging andPhysical Activity © 2018 Human Kinetics, Inc. 2003;Quehenberger, Cichocki, & Krajic, 2014;Robitaille et al, 2012;Zgibor et al, 2016), five included participants younger than 60 years old in their samples (Ablah et al, 2015;Cameron, Chahine, Selig, & Newton, 2008;Hetherington et al, 2015;Martinson et al, 2010;Wilcox, Dowda, Wegley, & Ory, 2009), nine did not respond to the object of study of the present review (Babazono, Kuwabara, Hagiihara, Nagano, & Ishihara, 2011;Cheadle, Egger, LoGerfo, Walwick, & Schwartz, 2010a;Dangour et al, 2007;Filiatrault et al, 2007;Goodman, Davies, Tai, Dinan, & Iliffe, 2007;Griffin et al, 2010;Hayashi, Kondo, Suzuki, Yamada, & Matsumoto, 2014;Kanamori et al, 2012;Stewart et al, 2006), six just collected results from only one assessment (post-evaluation) of the participants (Benedetti, Schwingel, Gomez, & Chodzko-Zajko, 2012;Cheadle, Egger, LoGerfo, Schwartz, & Harris, 2010b;da Fonte et al, 2016;Figueira et al, 2009;Valdés-Badilla et al, 2017;…”

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.…”

“…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 .…”

Perspectivas da educação física para a população idosa

“…Conforme é descrito em diversos estudos prévios, os programas quando constituídos por acolhimento, avaliação da aptidão física, da condição funcional, seguido de orientação, prescrição do exercício e acompanhamento supervisionado dos participantes atingem efeitos sobre a saúde e o bem-estar desses indivíduos. 3,31,32,33 Compreendendo que existe uma relação muito próxima entre o envelhecimento e o acometimento e desenvolvimento de doenças geriátricas, tornase evidente a necessidade de existir supervisão na prática de exercício físico ao idoso. 34 Diversos estudos demonstram que a falta de supervisão impacta na baixa adesão e permanência.…”