Title
The positive effect on determinants of physical activity of a tailored, general practice-based physical activity intervention
Author
TNO Kwaliteit van Leven
van Sluijs, E.M.F.
van Poppel, M.N.M.
Twisk, J.W.R.
Brug, J.
van Mechelen, W.
Publication year
2005
Abstract
PACE (Physician-based Assessment and Counseling for Exercise) is an individualized theory-based minimal intervention strategy aimed at the enhancement of regular physical activity. The aim of this study was to evaluate the effectiveness of a PACE intervention applied by general practitioners (GPs) on potential determinants of physical activity. A randomized controlled trial was conducted in 29 general practices with the following inclusion criteria for patients: aged between 18 and 70 years, diagnosed with hypertension, hypercholesterolemia and/or non-insulin-dependent diabetes mellitus, and not in maintenance stage for regular physical activity. The intervention consisted of two visits with the GP and two telephone booster calls by a physical activity counselor. Determinants of physical activity were assessed with questionnaires at baseline, and at 8-week (short), 6-month (medium) and 1-year (long) follow-up. A significant positive effect was observed on self-efficacy, and on the use of cognitive and behavioral processes of change, at both short- and medium-term follow-up. The intervention respondents also perceived fewer barriers for regular physical activity at short-term and used behavioral processes of change more at long-term follow-up. No intervention effect was observed for perceived benefits of physical activity. In conclusion, this GP-based PACE intervention resulted in positive changes in potential determinants of physical activity. © Oxford University Press 2004; All rights reserved.
Subject
attitude
behavior control
clinical trial
cognition
controlled clinical trial
controlled study
evaluation
follow up
general practitioner
health program
major clinical study
non insulin dependent diabetes mellitus
physical activity
randomized controlled trial
self concept
technique
Adolescent
Adult
Aged
Chi-Square Distribution
Counseling
Diabetes Mellitus, Type 2
Exercise
Female
Humans
Hypercholesterolemia
Hypertension
Male
Middle Aged
Netherlands
Outcome Assessment (Health Care)
Patient Education
Primary Health Care
Program Evaluation
Questionnaires
Regression Analysis
Risk Assessment
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http://resolver.tudelft.nl/uuid:7db3b13e-d2ab-4b89-b76d-298108a14208
DOI
https://doi.org/10.1093/her/cyg129
TNO identifier
280174
ISSN
0268-1153
Source
Health Education Research, 20 (20), 345-356
Document type
article