RE-AIM evaluation of a community-wide physical activity intervention based on the Japanese guideline in adults: the Fujisawa +10 project
ISPAH ePoster Library. Saito Y. Oct 16, 2018; 225113
Yoshinobu Saito
Yoshinobu Saito
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Abstract Introduction This study aimed to evaluate the public health impact of a community-wide intervention (CWI) based on the Japanese physical activity (PA) guideline (Active Guide). Methods This study was a non-randomized controlled trial. Four districts from Fujisawa city, Kanagawa, Japan were allocated into the intervention group (IG) and nine into the control group (CG). The 2013–2015 CWI, comprising of information, education, and delivery of community support, was used to promote PA in adults; its public health impact was evaluated using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework obtained from implementation record files and questionnaires. The primary outcome was a change in PA engagement.Results Adoption: This study was adopted by the administration and all intervention districts (100%). Implementation: There were 20 collaborating organizations. The population coverage rates of Active Guide distribution and educational activities were 5.3% and 3.5%, respectively. Exercise workshops (community support) were conducted 11 times for the IG. Reach: IG participants were more aware of the CWI (33.8%) than were CG participants (25.2%) two years post-implementation (odds ratio=1.44 [95% confidence interval (CI): 1.06–1.95]). Effectiveness: Median PA durations did not differ between the two groups after adjusting for potential confounders (adjusted inter-group difference=-0.02 minutes/day [95% CI: -0.11–0.10]). However, participants’ PA guideline knowledge significantly differed (adjusted inter-group difference=0.82% [95% CI: 0.33–1.31]). Maintenance: These findings are reflected in Fujisawa city’s health measures, and PA is being continuously promoted throughout the city.Conclusion Important information for intervention content, amount, and maintenance is necessary for continuous PA promotion. External funding details This study was partly supported by JSPS KAKENHI Grant Numbers JP17K01795, JP17H06151, and Keio Gijuku Academic Development Funds.
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