Effectiveness of the 5A Counseling Model-Based Interventions on Physical Activity Indicators in Adults: A Systematic Review
, Letícia Aparecida Calderão Sposito 2, Filipe Ferreira da Costa 3, Rogério César Fermino 4, Camila Bosquiero Papini 5 and Cassiano Ricardo Rech 6Round 1
Reviewer 1 Report (Previous Reviewer 1)
N/A
Author Response
N/A. We thank you for your attention and effort towards our review
Reviewer 2 Report (Previous Reviewer 2)
three points are still not answered from 1st round commented in the attached manuscript. rest work is good.
article searching from when to when
reason forexclusion still not mentioned.
why are only women considered?
few others changes highlighted in manuscript.
Comments for author File: 
Comments.pdf
Author Response
three points are still not answered from 1st round commented in the attached manuscript. rest work is good.
Article searching from when to when
Answer: it was adjusted (L: 87–88)
Reason for exclusion still not mentioned.
Answer: A justification was inserted (L: 102–105); we did not organize the reasons for excluding titles and abstracts. the full texts had a more detailed description of the reasons for exclusions.
Why are only women considered?
Answer: this is information that our group usually presents in reviews. We assume that the determinants of physical activity differ between men and women and, therefore, it is important to know the majority public in the synthesis. In regard of gender, we made some reflections in the Discussion section (L: 236–242), supported by two important references on the subject [33–34].
Few others changes highlighted in manuscript.
Answer: We thank you for your attention and effort towards our review. All of them were accepted and adjusted in the new version.
Reviewer 3 Report (Previous Reviewer 3)
Dear Author
This study is a valuable review of the effectiveness of instruction using the 5A model, and we believe it is of high value in this field.
On the other hand, there are some points that need to be corrected, which are described below.
Major points
l The conclusion of the study is long and unclear. I think what should be described in this study is the need for a study that improves the following problem.
L166-169
“In the domains "Adjustment of confounding variables" and "Selection of participants", the greatest weaknesses were due to the lack of adjustment for the variables that showed differences between groups at baseline [22], lack of reporting of the information evaluated [24] and by populations with specific clinical conditions [24,25], respectively.”
Please describe these problems in a simple way. Also, since this text includes a discussion, only the results should be included.
Minor points
l L64: 5a→5A
l Table1 BMI ㎏/m2→㎏/m2
Author Response
Major points
l The conclusion of the study is long and unclear. I think what should be described in this study is the need for a study that improves the following problem.
Answer: Thanks for the guidance and the conclusion has been rewritten (L: 248–252).
L166-169: “In the domains "Adjustment of confounding variables" and "Selection of participants", the greatest weaknesses were due to the lack of adjustment for the variables that showed differences between groups at baseline [22], lack of reporting of the information evaluated [24] and by populations with specific clinical conditions [24,25], respectively.”
Please describe these problems in a simple way. Also, since this text includes a discussion, only the results should be included.
Answer: The period in the Results section has been rewritten (L: 166–171). Also, we made some reflections in the Discussion section (L: 236–242), in the light of the elements that you indicated to us.
Minor points
l L64: 5a→5A
Answer: it was adjusted
l Table1 – BMI – ㎏/m2→㎏/m2
Answer: it was adjusted
This manuscript is a resubmission of an earlier submission. The following is a list of the peer review reports and author responses from that submission.
Round 1
Reviewer 1 Report
If the conclusion state that counseling based on the 5A model did not reflect significant findings in relation to physical activity indicators and considering that behavior change for many people is neither a simple nor a quick process, how long should the follow-up periods of the 5A model be conducted, based on the behavioural changes model?
The 5A model is not elaborated in the material and methods.
Reviewer 2 Report
Comments are attached in the corrected manuscript version attached herewith.
Comments for author File: Comments.pdf
Reviewer 3 Report
Dear Author
This study is a valuable review of the validity of the 5A model for physical activity levels.
On the other hand, there are a few points that need to be revised, see below.
Major points
l The review would be more valuable if it described the impact and effectiveness of the 5A model on physical activity and the problems that have been identified at the present study.
l In the methods, there is little description of statistics and it is unclear what analysis methods and software were used. This point needs to be adequately described.
l This review selected for this study use face-to-face and online instruction, and the differences between these instructional methods should be noted in the discussion.
