Using the RE-AIM Framework to Evaluate a Public Health Physical Activity Intervention Delivered in Primary Care.
PHE ePoster Library. Hotham S. Sep 13, 2016; 137956; 175
Dr. Sarah Hotham
Dr. Sarah Hotham
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Abstract
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Abstract BackgroundPhysical activity (PA) interventions are routinely used in Public Health, however few studies have evaluated both individual outcomes and operational processes. To address this gap, the RE-AIM framework (Glasgow et al., 2012) was utilised to evaluate delivery of Let's Get Moving (LGM), an NHS behaviour change intervention employing Motivational Interviewing (MI) techniques and a person-centred approach to promoting levels of physical activity.MethodsKent County Council Public Health (KCC) commissioned the LGM model in two host GP practices. Patient records were screened to identify adults with a BMI >28, on diabetes registers, or receiving prescription treatment for hypertension, to receive a Brief Intervention (BI) via telephone (N=2249). Patients identified as physically inactive (n=248) were subsequently invited to participate in a 12-week, one-to-one MI intervention delivered by a trained practitioner. Measures of PA (IPAQ), confidence and importance were taken at baseline, 3, 6, & 12 months. Interviews were conducted with GPs, Practice Managers and practitioner to explore implementation & adaptation of the intervention in Primary Care.ResultsAt 12 weeks, walking and moderate activity increased (p<.001), alongside improvements in confidence & importance (both p<.001). Interviews highlighted key considerations for integration in to Primary Care- for example, allocating appropriate resources, suitable scheduling of concurrent appointments, and IT systems able to easily identify the target group.ConclusionsPreliminary results suggest a significant increase in physical activity levels. Longer-term impacts will be reported by September 2016. Interviews with professionals highlighted important learnings to consider when implementing a PA intervention in Primary Care. External funding details KCC
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