Fatores de aderência e barreiras para a implementação do Programa Saúde Ativa Uberaba

Abstract

The National Health Promotion Policy (PNPS) is an important milestone in the physical activity (PA) agenda in Brazil. The regular practice of PA contributes to health promotion, building healthy habits for the population. Thus, PA promotion programs carried out in Primary Health Care (PHC) provide humanized care practices, based on local needs and comprehensive care. The present study has the following objectives: 1) to present the logical model and carry out an experience report of the “Saúde Ativa Uberaba” program; 2) to discuss the barriers to implement the counseling intervention; 3) to verify the factors associated with the adherence of the participants in the physical exercise intervention. The results are presented by 2 articles. It is concluded that the “Saúde Ativa Uberaba” is an important program for health promotion through the practice of PA, because it generates positive results and is effective in its intervention proposals. The implementation barriers of the counseling intervention are related to the adherence of the target population of the program and to the involvement of the UBS team. The adherence in the physical exercise program was associated with the level of leisure PA and sedentary behavior. Studies that discuss the aspects of programs carried out in PHC, their characteristics and problems, are necessary for the efficiently consolidation of programs, reaching the general public that performs services in PHC. It is recommended that the adherence study be carried out with longer duration and consider other important factors such as motivation, physical activity preferences, self-efficacy, perception of results, as well as sociodemographic factors such as income and schooling.