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Int J Environ Res Public Health. 2020 Jan 28;17(3). pii: E815. doi: 10.3390/ijerph17030815.

Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research.

Author information

1
Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, 1049-005 Lisboa, Portugal.
2
EPIUnit-Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal.
3
Administração Regional de Saúde do Norte, 4000-477 Porto, Portugal.
4
Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Oeiras, Portugal.
5
Faculdade de Educação Física e Desporto, ULHT, 1749-024 Lisboa, Portugal.
6
Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, 1649-026 Lisboa, Portugal.
7
Portugal Football School, Federação Portuguesa de Futebol, 1495-433 Oeiras, Portugal.
8
Administração Regional de Saúde de Lisboa e Vale do Tejo, 1700-179 Lisboa, Portugal.
9
ISAMB, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal.
10
Faculdade de Medicina, Universidade de Coimbra, 3000-370 Coimbra, Portugal.
11
SPMS-Serviços Partilhados do Ministério da Saúde, 1050-099 Lisboa, Portugal.

Abstract

BACKGROUND:

This paper aims to discuss how physical activity (PA) brief assessment, brief counseling, and self-monitoring tools were designed and implemented in the Portuguese National Health Service (NHS), and to report on their current use by health professionals and citizens.

METHODS:

Three digital tools to facilitate PA promotion in primary health care (PHC) were developed: 1) a PA brief assessment tool was incorporated in the electronic health record platform "SClínico Cuidados de Saúde Primários"; 2) a brief counseling tool was developed in the software "PEM-Prescrição Eletrónica Médica" (electronic medical prescription); and 3) a "Physical Activity Card" was incorporated in an official NHS smartphone app called "MySNS Carteira".

RESULTS:

From September 2017 to June 2019, 119,386 Portuguese patients had their PA assessed in PHC. Between December 2017 and June 2019, a total of 7957 patients received brief intervention for PA by a medical doctor. Regarding the app "MySNS Carteira", 93,320 users activated the "Physical Activity Card", between February 2018 and December 2018.

CONCLUSIONS:

These tools represent key actions to promote PA among Portuguese citizens using PHC as a priority setting. Further initiatives will follow, including proper assessment of their clinical impact and training programs for health care professionals on PA promotion.

KEYWORDS:

brief assessment; brief counseling; exercise; monitoring; physical activity; primary health care

PMID:
32012974
DOI:
10.3390/ijerph17030815
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