Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Effectiveness of the 5A Counseling Model-Based Interventions on Physical Activity Indicators in Adults: A Systematic Review

Version 1 : Received: 8 May 2023 / Approved: 9 May 2023 / Online: 9 May 2023 (14:53:26 CEST)

A peer-reviewed article of this Preprint also exists.

Guerra, P.H.; Sposito, L.A.C.; da Costa, F.F.; Fermino, R.C.; Papini, C.B.; Rech, C.R. Effectiveness of the 5A Counseling Model-Based Interventions on Physical Activity Indicators in Adults: A Systematic Review. Behav. Sci. 2023, 13, 476. Guerra, P.H.; Sposito, L.A.C.; da Costa, F.F.; Fermino, R.C.; Papini, C.B.; Rech, C.R. Effectiveness of the 5A Counseling Model-Based Interventions on Physical Activity Indicators in Adults: A Systematic Review. Behav. Sci. 2023, 13, 476.

Abstract

Background: To identify and appraise the impacts and effectiveness of counseling interventions based on the 5A model on indicators of physical activity in adults. Methods: In May, 2022, a systematic review was carried out. Searches were performed in Embase, Lilacs, Pubmed, Scielo, Scopus, Sportdiscus and Web of Science. To avoid potential losses searches also were made in Google Scholar and in reference lists. Assessment of studies, data extraction and synthesis took place independently by two researchers. Results: Four studies composed the synthesis, which involved people with an average age between 40 and 55 years, being women in the majority of the samples. It was observed that counseling was carried out in conjunction with other strategies, such as drawing up an action plan, sending text messages and offering educational material. Only one study showed a statistically significant difference between the intervention and control groups in the “daily number of steps” indicator. Conclusions: counseling based on the 5A model did not reflect significant findings in relation to physical activity. Considering that behavior change for many people is neither a simple nor a quick process and that the 5A model is promising for other behavioral indicators, we indicate the need to carry out new intervention studies, with an expanded focus in relation to themes related to physical activity (e.g., types, dos-es, risks, benefits, identification of barriers and assessment) and, in parallel, the offer of practices in the Primary Health Care setting.

Keywords

physical activity; counseling; primary health care

Subject

Public Health and Healthcare, Primary Health Care

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