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Open Access A Brief Intervention to Increase Physical Activity in Sedentary Working Women

Une intervention ponctuelle en vue d'accroître l'activité physique chez les travailleuses sédentaires

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Abstract:

The purpose of this study was to determine whether a brief, tailored counselling intervention is effective for increasing physical activity in sedentary women when delivered in the workplace.This prospective randomized trial used a brief intervention based on the Transtheoretical Model.The intervention group received health screening, a brief intervention, and, 2 weeks later, a booster telephone call from a nurse practitioner.The intervention was tailored to each woman's reported exercise behaviour.The 134 women randomized to the intervention were compared with 153 women in a control group who received health counselling not tailored to their exercise behaviour and no telephone call. Six weeks later, the intervention group, when compared to baseline, had significantly improved their physical activity, increasing their amount of weekend physical activity as well as minutes walked for exercise, on errands, total walking, and total daily blocks walked.When compared to controls, they showed significantly greater gains.This test of a brief, tailored strategy provides a critical contribution to the search for efficient, effective ways for nurses to deliver workplace health promotion interventions.

French
Les interventions ponctuelles et ciblées en matière de counseling, lorsqu'elles sont faites sur les lieux de travail, sont-elles un moyen efficace d'encourager l'activité physique chez les femmes sédentaires? C'est ce qu'on a tenté de déterminer dans cette étude aléatoire et prospective, en recourant à une intervention ponctuelle fondée sur le modèle transthéorique. Dans un premier temps, les sujets ont fait l'objet d'un examen de santé et d'une intervention, suivis, deux semaines plus tard, d'un rappel de l'infirmière praticienne par téléphone. Chaque intervention avait été conçue en fonction des habitudes rapportées par chacune des participantes. Dans un deuxième temps, on a comparé les 134 femmes de l'échantillon aléatoire aux 153 femmes du groupe témoin; ces dernières avaient reçu des conseils sans égard à leur comportement individuel en matière d'exercice et n'avaient pas été rappelées. Six semaines plus tard, on a constaté une augmentation significative de l'activité physique chez les participantes du premier groupe; le temps consacré aux exercices physiques pendant le week-end et le temps dédié à la marche (dans le but de faire de l'exercice ou des courses), de même que la distance parcourue, avaient augmenté. Les gains étaient significatifs par rapport au groupe témoin. Ces conclusions démontrant les mérites d'une stratégie ponctuelle et ciblée constituent un apport essentiel à la recherche de méthodes efficaces de promotion de la santé en milieu de travail.

Keywords: BRIEF INTERVENTION; MODEL; NURSING-MANAGED CENTRE; PHYSICAL ACTIVITY; TAILORING; TRANSTHEORETICAL

Document Type: Research Article

Publication date: 2004-03-01

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