Effectiveness of a printed educational booklet to increase physical activity among older adults
DOI:
https://doi.org/10.62827/fb.v26i3.1067Keywords:
Health Education; Educational and Promotional Materials; Healthy Aging.Abstract
Introduction: Despite the potential of printed educational materials as health promotion strategies, evidence regarding their effectiveness among older adults in the Brazilian context remains limited. Objective: This study evaluated the effectiveness of a printed educational booklet in increasing physical activity among older adults. Methods: A quasi-experimental study with a mixed-methods approach was conducted with 76 older adults participating in physical activity groups at three Primary Health Care Units in Londrina, Paraná, Brazil. The intervention involved the distribution of a validated booklet containing guidance on active lifestyles and a home-based exercise program, accompanied by explanations provided by trained professionals. Participants were given four weeks to autonomously engage in the program, with semi-supervised support during weekly group meetings. Data collection included daily logs and a self-report instrument on adherence and perceived barriers. Quantitative data were analyzed using descriptive statistics, Chi-square, and Fisher’s Exact tests. Focus group discussions were examined through content analysis. Results: The booklet was read by 90% (n = 68) of participants, with a high level of comprehension (97%). The retention rate was 53% (n = 40), and full adherence was observed in 32% (n = 24) of participants. Among adherent individuals, 60% (n = 14) performed the exercises at least twice per week. Conclusion: Although full adherence rates were moderate, the findings suggest that the intervention holds promise for enhancing engagement in physical activity among older adults.
References
Wang H, Huang WY, Zhao Y. Efficacy of Exercise on Muscle Function and Physical Performance in Older Adults with Sarcopenia: An Updated Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Jul 5;19(13):8212. doi:10.3390/ijerph19138212. PMID:35805870; PMCID:PMC9266336.
Zhao Y, Li Y, Wang L, Song Z, Di T, Dong X, Song X, Han X, Zhao Y, Wang B, Cui H, Chen H, Li S. Physical Activity and Cognition in Sedentary Older Adults: A Systematic Review and Meta Analysis. J Alzheimers Dis. 2022;87(3):957 68. doi:10.3233/JAD-220073. PMID:35431253; PMCID:PMC9198743.
Oliveira JS, Pinheiro MB, Fairhall N, Walsh S, Chesterfield Franks T, Kwok W, Bauman A, Sherrington C. Evidence on Physical Activity and the Prevention of Frailty and Sarcopenia Among Older People: A Systematic Review to Inform the World Health Organization Physical Activity Guidelines. J Phys Act Health. 2020 Aug 11;17(12):1247-58. doi:10.1123/jpah.2020-0323. PMID:32781432.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Departamento de Análise Epidemiológica e Vigilância de Doenças Não Transmissíveis. Vigitel Brasil 2006 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de prática de atividade física nas capitais dos 26 estados brasileiros e no Distrito Federal entre 2006 e 2023: prática de atividade física [recurso eletrônico]. Brasília: Ministério da Saúde; 2024. 68 p.
Guerra PH, Sposito LAC, da Costa FF, Fermino RC, Papini CB, Rech CR. Effectiveness of the 5A Counseling Model Based Interventions on Physical Activity Indicators in Adults: A Systematic Review. Behav Sci (Basel). 2023 Jun 6;13(6):476. doi:10.3390/bs13060476. PMID:37366729; PMCID:PMC10295221.
Goodman C, Lambert K. Scoping review of the preferences of older adults for patient education materials. Patient Educ Couns. 2023 Mar;108:107591. doi:10.1016/j.pec.2022.107591. Epub 2022 Dec 22. PMID:36584555.
Guo L, He H, Wang C. Are school based behavioural interventions an effective strategy for improving physical activity and sedentary behaviour in children and adolescents? A meta-analysis. Front Pediatr. 2025;13:1532035. doi:10.3389/fped.2025.1532035.
Kwan RYC, Salihu D, Lee PH, et al. O efeito de intervenções de e-saúde que promovem a atividade física em idosos: uma revisão sistemática e meta análise. Eur Rev Aging Phys Act. 2020;17:7. doi:10.1186/s11556-020-00239-5.
Guerra PH, Soares HF, Mafra AB, Czarnobai I, Cruz GA, Weber WV, et al. Educational interventions for physical activity among Brazilian adults: systematic review. Rev Saude Publica. 2021 Dec 17;55:110. doi:10.11606/s1518 8787.2021055003236. PMID:34932699; PMCID:PMC8664058.
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O mini-exame do estado mental em uma população geral: impacto da escolaridade. Arq Neuropsiquiatr. 1994;52(1):1-7.
Pisters MF, Veenhof C, Schellevis FG, Twisk JW, Dekker J, De Bakker DH. Exercise adherence improving long term patient outcome in patients with osteoarthritis of the hip and/or knee. Arthritis Care Res. 2010 Aug;62(8):1087-94.
Picorelli AMA, Pereira LSM, Pereira DS, Felício D, Sherrington C. Adesão de idosas a um programa de exercícios domiciliares pós-treinamento ambulatorial. Fisioter Pesqui. 2015;22(3):291-308.
Pasquali L. Psicometria: teoria e aplicações. Brasília: UnB/INEP; 1997.
Brandão GS, Sampaio AAC, Damas Andrade L, et al. Home physical exercise improves functional mobility and quality of life in the elderly: A CONSORT prospective, randomised controlled clinical trial. Int J Clin Pract. 2021 Aug;75(8):e14347. doi:10.1111/ijcp.14347. PMID:33977587.
Dijkstra F, van der Sluis G, Jager Wittenaar H, et al. Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review. Int J Behav Nutr Phys Act. 2022 Jul 30;19(1):99. doi:10.1186/s12966-022-01330-z. PMID:35908056; PMCID:PMC9338465.
Santos IKD, Cobucci RN, Medeiros JA, et al. Home Based Indoor Physical Activity Programs for Community Dwelling Older Adults: A Systematic Review. Sports Health. 2024 May-Jun;16(3):377-82. doi:10.1177/19417381231175665. PMID:37329120; PMCID:PMC11025514.
André N, Agbangla NF. Are Barriers the Same Whether I Want to Start or Maintain Exercise? A Narrative Review on Healthy Older Adults. Int J Environ Res Public Health. 2020 Aug 27;17(17):6247. doi:10.3390/ijerph17176247. PMID:32867337; PMCID:PMC7504162.
Socoloski TS, Rech CR, Correa JA Jr, Lopes RM, Hino AA, Guerra PH. Barreiras para a prática de atividade física em idosos: revisão de escopo de estudos brasileiros. Rev Bras Ativ Fís Saúde. 2021;26:1-8.
Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia de Atividade Física para a População Brasileira [Internet]. Brasília: Ministério da Saúde; 2021 [citado 2025 Jun 19]. 54 p. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/guia_atividade_fisica_populacao_brasileira.pdf. doi:10.12820/rbafs.26e0211.
Scarabottolo CC, Cyrino ES, Nakamura PM, et al. Relationship of different domains of physical activity practice with health related quality of life among community dwelling older people: a crossectional study. BMJ Open. 2019 Jun 27;9(6):e027751. doi:10.1136/bmjopen-2018-027751. PMID:31253620; PMCID:PMC6609057.
Chesser AK, Keene Woods N, Smothers K, Rogers N. Health Literacy and Older Adults: A Systematic Review. Gerontol Geriatr Med. 2016 Mar 15;2:2333721416630492. doi:10.1177/2333721416630492. PMID:28138488;
Romero SS, Scortegagna HM, Doring M. Nível de letramento funcional em saúde e comportamento em saúde de idosos. Texto Contexto Enferm. 2018;27(4):e5230017. Doi:10.1590/0104-07072018005230017.
Jiang X, Wang L, Leng Y, et al. O nível de alfabetização em saúde eletrônica entre idosos: uma revisão sistemática e meta-análise. Arch Public Health. 2024;82:204. doi:10.1186/s13690-024-01428-9.
Secretaria de Estado da Saúde do Paraná. Exercícios domiciliares: cartilha educativa. Curitiba; 2020. Disponível em: https://www.saude.pr.gov.br/sites/default/arquivos_restritos/files/documento/2020-04/exercicios_domiciliares.pdf. Acesso em: 30 jun 2025.
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