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Article

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

by
Romeu Mendes
1,2,3,*,
Marlene Nunes Silva
1,4,5,
Catarina Santos Silva
1,4,
Adilson Marques
1,4,
Cristina Godinho
1,6,
Rita Tomás
1,7,
Marcos Agostinho
1,8,
Sara Madeira
1,9,
Alexandre Rebelo-Marques
1,10,
Henrique Martins
11,
Pedro J. Teixeira
1,4 and
Diogo Cruz
1
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
 
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*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(3), 815; https://doi.org/10.3390/ijerph17030815
Submission received: 14 December 2019 / Revised: 20 January 2020 / Accepted: 24 January 2020 / Published: 28 January 2020
(This article belongs to the Special Issue Physical Activity and Healthy Lifestyle)
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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: physical activity; exercise; primary health care; brief assessment; brief counseling; monitoring physical activity; exercise; primary health care; brief assessment; brief counseling; monitoring

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MDPI and ACS Style

Mendes, R.; Nunes Silva, M.; Santos Silva, C.; Marques, A.; Godinho, C.; Tomás, R.; Agostinho, M.; Madeira, S.; Rebelo-Marques, A.; Martins, H.; et al. Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research. Int. J. Environ. Res. Public Health 2020, 17, 815. https://doi.org/10.3390/ijerph17030815

AMA Style

Mendes R, Nunes Silva M, Santos Silva C, Marques A, Godinho C, Tomás R, Agostinho M, Madeira S, Rebelo-Marques A, Martins H, et al. Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research. International Journal of Environmental Research and Public Health. 2020; 17(3):815. https://doi.org/10.3390/ijerph17030815

Chicago/Turabian Style

Mendes, Romeu, Marlene Nunes Silva, Catarina Santos Silva, Adilson Marques, Cristina Godinho, Rita Tomás, Marcos Agostinho, Sara Madeira, Alexandre Rebelo-Marques, Henrique Martins, and et al. 2020. "Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research" International Journal of Environmental Research and Public Health 17, no. 3: 815. https://doi.org/10.3390/ijerph17030815

APA Style

Mendes, R., Nunes Silva, M., Santos Silva, C., Marques, A., Godinho, C., Tomás, R., Agostinho, M., Madeira, S., Rebelo-Marques, A., Martins, H., Teixeira, P. J., & Cruz, D. (2020). Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research. International Journal of Environmental Research and Public Health, 17(3), 815. https://doi.org/10.3390/ijerph17030815

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