{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T13:16:30Z","timestamp":1762607790171,"version":"build-2065373602"},"reference-count":37,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T00:00:00Z","timestamp":1580169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: This paper aims to discuss how physical activity (PA) brief assessment, brief counseling, and self-monitoring tools were designed and implemented in the Portuguese National Health Service (NHS), and to report on their current use by health professionals and citizens. Methods: Three digital tools to facilitate PA promotion in primary health care (PHC) were developed: 1) a PA brief assessment tool was incorporated in the electronic health record platform \u201cSCl\u00ednico Cuidados de Sa\u00fade Prim\u00e1rios\u201c; 2) a brief counseling tool was developed in the software \u201cPEM\u2014Prescri\u00e7\u00e3o Eletr\u00f3nica M\u00e9dica\u201d (electronic medical prescription); and 3) a \u201cPhysical Activity Card\u201d was incorporated in an official NHS smartphone app called \u201cMySNS Carteira\u201d. Results: From September 2017 to June 2019, 119,386 Portuguese patients had their PA assessed in PHC. Between December 2017 and June 2019, a total of 7957 patients received brief intervention for PA by a medical doctor. Regarding the app \u201cMySNS Carteira\u201d, 93,320 users activated the \u201cPhysical Activity Card\u201d, between February 2018 and December 2018. Conclusions: These tools represent key actions to promote PA among Portuguese citizens using PHC as a priority setting. Further initiatives will follow, including proper assessment of their clinical impact and training programs for health care professionals on PA promotion.<\/jats:p>","DOI":"10.3390\/ijerph17030815","type":"journal-article","created":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T09:37:09Z","timestamp":1580204229000},"page":"815","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3806-438X","authenticated-orcid":false,"given":"Romeu","family":"Mendes","sequence":"first","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, 4050-600 Porto, Portugal"},{"name":"Administra\u00e7\u00e3o Regional de Sa\u00fade do Norte, 4000-477 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4734-0283","authenticated-orcid":false,"given":"Marlene","family":"Nunes Silva","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Oeiras, Portugal"},{"name":"Faculdade de Educa\u00e7\u00e3o F\u00edsica e Desporto, ULHT, 1749-024 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9464-7064","authenticated-orcid":false,"given":"Catarina","family":"Santos Silva","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Oeiras, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9850-7771","authenticated-orcid":false,"given":"Adilson","family":"Marques","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Oeiras, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2293-7190","authenticated-orcid":false,"given":"Cristina","family":"Godinho","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Instituto Universit\u00e1rio de Lisboa (ISCTE-IUL), CIS-IUL, 1649-026 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6070-4964","authenticated-orcid":false,"given":"Rita","family":"Tom\u00e1s","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Portugal Football School, Federa\u00e7\u00e3o Portuguesa de Futebol, 1495-433 Oeiras, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1728-0673","authenticated-orcid":false,"given":"Marcos","family":"Agostinho","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Administra\u00e7\u00e3o Regional de Sa\u00fade de Lisboa e Vale do Tejo, 1700-179 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0764-571X","authenticated-orcid":false,"given":"Sara","family":"Madeira","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"ISAMB, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7739-8887","authenticated-orcid":false,"given":"Alexandre","family":"Rebelo-Marques","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Faculdade de Medicina, Universidade de Coimbra, 3000-370 Coimbra, Portugal"}]},{"given":"Henrique","family":"Martins","sequence":"additional","affiliation":[{"name":"SPMS\u2014Servi\u00e7os Partilhados do Minist\u00e9rio da Sa\u00fade, 1050-099 Lisboa, Portugal"}]},{"given":"Pedro J.","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"},{"name":"Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Oeiras, Portugal"}]},{"given":"Diogo","family":"Cruz","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Atividade F\u00edsica, Dire\u00e7\u00e3o-Geral da Sa\u00fade, 1049-005 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2020,1,28]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2018). 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