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Representing the VAMOS program groups, 16 cases were considered. For this analysis, the outcome variable was the long-term effect observed after the intervention. The mechanisms were analyzed on the basis of identified and calibrated conditions. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> Seven conditions were identified. The lower impact of COVID-19 was necessary for long-term effect. Four mechanisms that led to the long-term effect of VAMOS were identified, where the one with greater consistency and coverage had less <jats:italic>external incentive<\/jats:italic>, <jats:italic>impact of COVID-19<\/jats:italic>, and <jats:italic>content execution<\/jats:italic>, accompanied by greater <jats:italic>relative priority, primary health care professionals\u2019 self-efficacy<\/jats:italic>, <jats:italic>process execution<\/jats:italic>, and <jats:italic>maintenance intention<\/jats:italic>. A tracing process identified the conditions that least varied for the long-term effect were <jats:italic>relative priority<\/jats:italic> and <jats:italic>execution of the content.<\/jats:italic> <jats:italic><jats:bold>Conclusions<\/jats:bold>:<\/jats:italic> Considering several organizational aspects, the greatest variation between the mechanisms for intervention long-term effect were linked to the program management and the implementation process.<\/jats:p>","DOI":"10.1123\/jpah.2024-0614","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T13:27:28Z","timestamp":1743600448000},"page":"653-663","source":"Crossref","is-referenced-by-count":0,"title":["Contextual and Organizational Pathways to the Long-Term Effect of Behavior Change Among Participants in a Health Promotion Program in Primary Health Care in Brazil"],"prefix":"10.1123","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5672-6869","authenticated-orcid":true,"given":"Marina","family":"Christofoletti","sequence":"first","affiliation":[{"name":"Department of Sports, Federal University of Santa Catarina, Florianopolis, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5947-2617","authenticated-orcid":true,"given":"Leandro","family":"Garcia","sequence":"additional","affiliation":[{"name":"Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen\u2019s University Belfast, Belfast, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2035-5082","authenticated-orcid":true,"given":"Tania Bertoldo","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Department of Sports, Federal University of Santa Catarina, Florianopolis, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"year":"2006","series-title":"Pol\u00edtica Nacional de Promo\u00e7\u00e3o da Sa\u00fade: Portaria n\u00b0 687 MS\/GM, de 30 de mar\u00e7o de 2006. 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