Abstract
Exercise is related to many individual health outcomes but impact evaluations of exercise programmes are seldom conducted. The purpose of the study is to evaluate the feasibility of an exercise prescription intervention in primary health-care settings (CAMINEM Programme) located in two socially disadvantaged neighbourhoods. The CAMINEM was a pragmatic-driven intervention with opportunistic recruitment. It followed the 5As framework for health promotion and also the exercise training principles. Feasibility was evaluated using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Patients with non-communicable chronic diseases participated in a 12-month home-based moderate-intensity exercise program, counselled by exercise physiologists. Participants were grouped according to their physical activity behaviour at baseline and 6-month adherence. CAMINEM reached 1.49% (n = 229) of the eligible population (N = 15374) and included a final sample of 178. Health outcomes for adhered participants followed positive patterns. Non-adhered participants visited their practitioner more compared to adhered participants. Thirty-three practitioners (40%) referred patients. Nurses referred four times more than physicians (81% and 19% respectively). The delivery of exercise prescriptions proved to be easy to complete and record by participants as well as easy to monitor and adjust by the exercise physiologists. One out of four participants adhered during the 12-month intervention. This intervention has been feasible in primary care in Catalonia, Spain, to safely prescribe home-based exercise for several conditions.
Highlights
Physical inactivity was identified as the fourth leading risk factor for global mortality [1] and trend data showed limited improvement between 2001 and 2016 [2] and between 2007 and 2017 [3]
For the feasibility study we evaluated the five dimensions of the RE-AIM framework [17]
Note that 19 participants were still adhering to the intervention by the time this feasibility study ended; that is, they did not complete the minimum of 6-month adherence but did not drop out either
Summary
Physical inactivity was identified as the fourth leading risk factor for global mortality [1] and trend data showed limited improvement between 2001 and 2016 [2] and between 2007 and 2017 [3]. 10% relative reduction in the prevalence of physical inactivity by 2050, as one of the global targets for the prevention and treatment of non-communicable diseases [4]. They suggested that some differences in physical activity levels within and between countries can be explained by inequities in opportunities to be physically active, as was identified by Bauman et al [5].
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