Comment on article offering further critique or

Comment on article offering further critique or support to the relevance. ARTICLE: Physical activity prescription by primary care nurses using health assets: Study design of a randomized controlled trial in patients with cardiovascular risk factors. 1. The purpose of this randomized controlled trial (RCT) study was to evaluate the effect of a 12-month intervention delivered by primary care nurses to patients with two or more cardiovascular risk factors, where the purpose was to increase the likelihood that patients would engage in physical activity (PA) for 150 minutes or more a week. The purpose of the article was to describe the background or significance of the research , explain the design of the study, relay the methods, present the results, and offer a conclusion about the effectiveness of the intervention. 2. The participants in the study were 263 adult patients recruited from 20 primary healthcare centers in Mallorca, Spain. Specifically, they were patients 35-75 years old with at least two cardiovascular risk factors: age (55 for men, 65 for women), diabetes, hypertension, BMI greater than 30kg/m2, smoking, dyslipidemia, and family history of CVD. Patients were excluded from study participation if they were institutionalized, had a Barthel index below 60, had a terminal illness, dementia or cognitive impairment, presence of myocardial infarction, bypass or coronary angioplasty in the previous 3 months, had unstable coronary heart disease or untreated heart failure-patients living outside the healthcare area and current participation in a different research study. Patients were recruited between January 2015 and January 2017 and were receiving care at one of 20 primary healthcare centers. 3. The study found that the intervention was effective. Specifically, participation in the intervention was associated with a higher likelihood that participants were adhering to the recommendation of 150 minutes of physical activity per week (X2=3.951, p<.05). At the end of the study, participants in the intervention group spent more time walking that participants in the control group (t=2.260, p<.05). 4. The authors concluded that this intervention "is feasible in a nurse's primary healthcare setting, thus it could be implemented as the main tool when exercise is prescribed." In other words, the relevance to nursing practice is that this is an intervention that is possible for nurses to deliver and is also effective. As such, because cardiovascular health is a priority in primary care settings, nurses could be expected to be called upon to deliver this or a similar intervention to increase patients' physical activity participation. If nurses understand that there is clear evidence that this type of nurse-delivered intervention is successful, they may be even more inclined to participate in providing it. SCIENCE HEALTH SCIENCE NURSING NUR 4010

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