The development of community health behavior counseling system for active lifestyle

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The morbidity of chronic diseases such as diabetes and coronary heart disease is gradually increasing in Japan. Although exercise, physical activity and sport have been strongly recommended to people to prevent from chronic diseases, the number of population who regularly exercise is not increasing. The purpose of this study was to develop and evaluate the innovative program in applying behavior change theories and models and in supplying various types of delivery channel for intervention to enhance physical activity in daily lives. The final object in this study was to establish the community-assisted system with instrument to measure physical activity using health counselling in collaborating with local health agencies. The development of instrument and self-report physical activity measure was achieved during the study period to measure numbers of times and minutes of moderate physical activity per day over the intensity of 4 Met. Also, self-help material, mailed educational booklet and internet program were made as the delivery channels for these interventions. The stage-matched program using Transtheoretical Model with various types of delivery channels showed significant effects on mental health as well as physical activity. These comprehensive intervention system can also refer to worksite situation.