Validação de um plano de ação pedagógica para capacitação de profissionais da atenção primária à saúde para o aconselhamento sobre atividade física e redução do comportamento sedentário

Abstract

This study aimed to validate a Pedagogical Action Plan (PAP) for training Primary Health Care (PHC) professionals in counseling on physical activity (PA) and reducing sedentary behavior. To this end, a literature review was conducted to identify the competencies, content, and methodologies used in counseling for the promotion of physical activity and health. Content analysis was conducted based on Bardin’s method, while the selection and structuring of the program content followed the principles of Meaningful Learning Theory and Cognitive Theory of Multimedia Learning, as well as the Critical-Reflective methodologies, Andragogy, and Bloom’s Taxonomy. The content was organized into a PAP divided into three modules totaling 19 lessons. To validate the PAP, 16 experts in health, education, and physical activity were consulted. They completed a questionnaire containing 14 questions adapted from the Health Education Content Validation Instrument (IVCES) with a three-point response scale (I disagree, I partially agree, I completely agree), as well as spaces for suggestions and/or justifications. Validity was tested by the percentage of inter-rater agreement. Agreement was 95% for the Objective and Structure/Presentation domains and 94% for the Relevance domain. The suggestions considered relevant were analyzed and incorporated into the final version of the PAP. The Pedagogical Action Plan proposed here demonstrated adequate content validity for training PHC professionals in counseling on physical activity and sedentary behavior and can contribute to improving the professionals’ skills and the physical activity level of PHC users. The use of the PAP in future training programs is suggested.