Evidence map›Paper›PMID 18498623›Full record

ArticleBMC public health2008

Targeting physical activity promotion in general practice: characteristics of inactive patients and willingness to change.

Gonzalo Grandes, Alvaro Sánchez, Jesús Torcal, Ricardo Ortega Sánchez-Pinilla, Kepa Lizarraga, Javier Serra, PEPAF Group

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01365026 (Feasibility and Effectiveness of Innovative Programs for Health Promotion in Primary Care), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01365026 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Feasibility and Effectiveness of Innovative Programs for Health Promotion in Primary Care: The 'Prescribe Healthy Life' Project (PVS)

TypeinterventionalSponsorBasque Health ServiceRan2016 to 2018Enrolled4,017ConditionsHealth Promotion, Health Education, Patient Education, CounselingArmsPVS: Programa de Vida Saludable
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Face-to-face interventions for promoting physical activity.The Cochrane database of systematic reviews · 2013
    Pooled it
  2. Pooled it
  3. Impact of Reducing Sitting Time in Women with Fibromyalgia and Obesity: A Randomized Controlled Trial.International journal of environmental research and public health · 2021
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Changes in Cardiorespiratory Fitness and Probability of Developing Abdominal Obesity at One and Two Years.International journal of environmental research and public health · 2023
    Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Remote and web 2.0 interventions for promoting physical activity.The Cochrane database of systematic reviews · 2013
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Gonzalo GrandesPrimary Care Research Unit of Bizkaia, Basque Health Service, Bilbao, Spain. Gonzalo.Grandes@osakidetza.net
Alvaro Sánchez
Jesús Torcal
Ricardo Ortega Sánchez-Pinilla
Kepa Lizarraga
Javier Serra
PEPAF Group
Euskadiko Parke Teknologikoa · ESBasque Government · ESOsakidetza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCounselling in routine general practice to promote physical activity (PA) is advocated, but inadequate evidence is available to support this intervention, and its sustainable implementation over time is difficult.

objectivesTo describe the characteristics of physically inactive adults visiting GPs and the factors associated with their willingness to change PA.

methodsA cross-sectional analysis of 4317 Spanish people aged 20-80 years, selected by systematic sampling among those attending 56 public primary health care practices identified as inactive by their GPs in 2003. PA (7-day PAR), PA stage of change, health-related quality of life (SF-36), cardiovascular risk factors, and social and demographic characteristics were measured. Multivariate mixed effects ordinal logistic models were adjusted to identify factors associated with motivational readiness to change.

resultsAt least 70% (95% CI: 67.6% to 72.8%) of patients assessed by GPs did not achieve minimal PA recommendations. In addition, 85% (95% CI: 83% to 86.3%) had at least an additional cardiovascular risk factor. Only 30% (95% CI: 25.8% to 33.5%) were prepared for or attempting a change. A younger age; retirement or work at home; higher education and social class levels; obesity; and hypertension were associated with a higher motivational readiness to change (p < 0.05).

conclusionThe overburden that would result from counselling such a high proportion of inactive primary care patients justifies a targeted strategy for PA promotion in family practice. Selection of a target population based on readiness to change, the combination of risk factors and socio-demographic characteristics of patients is suggested in order to prioritise promotion efforts.

Indexed as

ExerciseHealth BehaviorAdultAgedAged, 80 and overAlgorithmsCross-Sectional StudiesFamily PracticeFemaleHealth PromotionHumansLogistic ModelsMaleMiddle AgedMotivationMultivariate Analysis

Identifiers

PMID18498623
PMCPMC2412873
OpenAlexW2037100352

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.