Adoption of an Intervention to Promote Physical Activity and Healthy Eating in Brazilian Health Care Settings

Abstract

We analyzed the adoption of the community intervention “VAMOS Program” in Primary Health Care (PHC). We carried out a community-based study using mixed-methods in Primary Care Units in Florianopolis, Brazil. We assessed adoption through the RE-AIM framework and conducted interviews and focus groups with 33 health professionals and 26 users participating in the intervention. The Primary Care Units adoption rate was 25%, and the adoption rate among professionals was 80%. We identified three themes related to adoption and we found that organizational factors are challenges that health professionals face when they implement collective actions in PHC but were not inherent factors in adopting VAMOS. We conclude that VAMOS Program has the potential to be offered as a new health promotion tool in PHC.