Policy intervention: the experience of agita São Paulo in using “mobile management” of the ecological model to promote physical activity

Artigo publicado na RBCM em 2005. Escrito por Victor Matsudo, José Guedes, Sandra Matsudo, Douglas Andrade, Timoteo Araujo, Luis Oliveira, Erinaldo Andrade e Marcos Ribeiro

In searching for strategies to combat increasing sedentary status of the world’s population, several models have been developed. Among those is the Ecological Model proposed by Sallis and Owen in 1997. This modelconsiders intrapersonal, social environment, and natural and constructed physical environmental factors. Intrapersonal factors comprise: demographic; biological; affective; and behavioural aspects. Social environment components include: social climate; supportive behaviours; culture; policies governing incentives; and resources for physical activity. Weather and geography are among the natural physical environment factors, while among the constructed physical environment componentes we have: information; urbanisation; architecture; transport; and entertainment and recreation infrastructure. Each of these componentes have been selected as the intervention focus of many programmes, however, to manage different factors of the model at the same time is quite unusual. Thus, the aim of this article is to present how the Agita Sao Paulo Programme has been trying to managing all of these components in a synchronised way, ising a mobile approach. In this model, when one component is targetted, a system imbalance occurs. During the 7 year experience of the Agita São Paulo Programme, strategic partnerships have been developed (currently comprising more than 300 institutions), and ‘mobile management’ has been implemented to work towards overcoming this imbalance. This model suggests that substantial changes in societal behaviour will not occur unless a comprehensive intervention simultaneously engages different components of the ecological model. For this style of management, the use of strategic partnerships is of utmost importance, since institutions with focus on and experience in one of the determined factors of the model increases the intervention’s chance of success.




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