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Health Education Research Advance Access originally published online on October 12, 2004
Health Education Research 2005 20(3):345-356; doi:10.1093/her/cyg129
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Health Education Research Vol.20 no.3, © Oxford University Press 2004; All rights reserved

The positive effect on determinants of physical activity of a tailored, general practice-based physical activity intervention

E. M. F. Van Sluijs1, M. N. M. Van Poppel1,2,5, J. W. R. Twisk3, J. Brug4 and W. Van Mechelen1,2

1 Department of Social Medicine and Institute for Research in Extramural Medicine, 2 Body@Work, Research Center Physical Activity, Work and Health TNO-VUmc and 3 Department of Clinical Epidemiology and Biostatistics and Institute for Research in Extramural Medicine, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam and 4 Department of Public Health, Erasmus University Medical Center, Postbus 1738, 3000 DR Rotterdam, The Netherlands

5 Correspondence to: M. N. M. van Poppel; E-mail: mnm.vanpoppel{at}vumc.nl

PACE (Physician-based Assessment and Counseling for Exercise) is an individualized theory-based minimal intervention strategy aimed at the enhancement of regular physical activity. The aim of this study was to evaluate the effectiveness of a PACE intervention applied by general practitioners (GPs) on potential determinants of physical activity. A randomized controlled trial was conducted in 29 general practices with the following inclusion criteria for patients: aged between 18 and 70 years, diagnosed with hypertension, hypercholesterolemia and/or non-insulin-dependent diabetes mellitus, and not in maintenance stage for regular physical activity. The intervention consisted of two visits with the GP and two telephone booster calls by a physical activity counselor. Determinants of physical activity were assessed with questionnaires at baseline, and at 8-week (short), 6-month (medium) and 1-year (long) follow-up. A significant positive effect was observed on self-efficacy, and on the use of cognitive and behavioral processes of change, at both short- and medium-term follow-up. The intervention respondents also perceived fewer barriers for regular physical activity at short-term and used behavioral processes of change more at long-term follow-up. No intervention effect was observed for perceived benefits of physical activity. In conclusion, this GP-based PACE intervention resulted in positive changes in potential determinants of physical activity.


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T. Smeets, J. Brug, and H. de Vries
Effects of tailoring health messages on physical activity
Health Educ. Res., June 1, 2008; 23(3): 402 - 413.
[Abstract] [Full Text] [PDF]


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