Resumen

GRANADA-ECHEVERRI, Patricia. The impact of a social mobilisation model on promoting physical activity amongst people affiliated to the Colombian Social Health Security System . Rev. salud pública [online]. 2008, vol.10, n.3, pp.361-373. ISSN 0124-0064.

Objective Developing a model of social mobilisation for promoting physical activity as a fundamental health strategy. Methods Three social health security system groups were considered: people affiliated to the contributive regime, health professionals involved with an EPS and public functionaries. People's levels of physical activity, knowledge, beliefs and attitudes and cultural and environmental barriers were determined; health professionals' recommendations and public policy were also taken into account. An intervention model was then constructed on the foregoing information. Results The database revealed that most affiliates considered themselves to be active but not in a suitable way; they recognised the benefits of engaging in regular physical activity but they barely considered the possibility of practising it. The main barriers were a lack of self-discipline, lack of time and the need for resting during their free time. A high percentage of health professionals did not recommend it to their patients; most public functionaries stated that physical activity was included in their cities' development strategies. The model's impact was evaluated; it was seen that greater recognition of physical activity was produced in the three groups after applying the model. The concept of recommended time and frequency for physical activity became modified and a greater change in attitudes was produced. However, cultural barriers remained. Health professionals presented changes related to their perception of their state of health and they tended to increase their recommendation for physical activity during medical visits. Discussion The social mobilisation model proved the efficiency of promoting physical activity for preventing non-transmissible chronic diseases.

Palabras clave : Physical activity; public health; health promotion.

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