PA Moves Trial- PCP Participants
Study Details
Study Description
Brief Summary
The purpose of this voluntary research study is to determine the impact of an ECHO intervention on the likelihood that rural primary care providers (PCP) will refer their physically inactive patients to be more active.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
People living in rural areas are diagnosed and die from cancer at higher rates than people living in cities. Physical activity has been shown to decrease the risk and occurrence of a variety of cancers, including bladder, breast, colon, endometrial, gastric, kidney, and prostate cancers. Being inactive can cause over 10% of breast and colon cancer cases.
Compared to people living in cities, people living in rural areas tend to be less physically active. They're also more likely to be overweight/obese or have diabetes. Adults who are overweight, obese, or diabetic often have changes in the way their bodies deal with insulin, glucose metabolism, and inflammation. Physical activity is thought to reduce the risk of cancer by improving these issues over time.
PCPs and their staff can identify a patient's need for more physical activity, but may not have the time or resources to give advice or assistance. We have set up a telephone-based physical activity coaching program, called the MoveLine, to give inactive patients advice and assistance in becoming more physically active.
The purpose of this study is to determine if an ECHO intervention will impact the likelihood that PCPs will refer patients to the MoveLine for physical activity coaching.
Approximately 32-48 providers will take part in this research study.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Active Intervention PCP participants in the practice cohort or the intervention group will receive the ECHO46 intervention via real-time, interactive videoconferencing through Zoom sessions held once weekly for 4 weeks (4 sessions total) at regularly scheduled times convenient to providers. Session topics will focus on training PCP participants to assess, advise, and refer patients to be more physically active, as well as provide evidence-based strategies they can use to supplement and sustain their communication efforts. |
Behavioral: Receive ECHO training
Active Intervention
|
| Active Comparator: Delayed Intervention PCP participants will be offered the intervention in year 5. |
Behavioral: Offered ECHO training in year 5
Delayed Intervention
|
Outcome Measures
Primary Outcome Measures
- Likelihood of patient referral [Through study completion, an average of 5 years]
Percentage of participating primary care providers referring their patients to a community-level, telephone-based physical activity counseling service assessed through the EMR of their participating patients
Secondary Outcome Measures
- PAQ-M [Baseline intervention group vs. Baseline delayed intervention group]
The 11-question Morgenstern Physical Activity Questionnaire (PAQ-M) is a self-report of physical activity resulting from recreational activities, exercises, home or work activities, and chores.
- Estimated average metabolic equivalents expended daily [1 week at baseline]
Daily metabolic equivalents collected using an accelerometer from Actigraph
- Estimated metabolic equivalents expended weekly [1 week at baseline]
Weekly metabolic equivalents collected using an accelerometer from Actigraph, expressed in hours/week
- Time in Sleep [1 week at baseline]
Weekly time in sleep collected using an accelerometer from Actigraph
- Sedentary Time [1 week at baseline]
Weekly sedentary time collected using an accelerometer from Actigraph
- Low physical activity [1 week at baseline]
Weekly low physical activity collected using an accelerometer from Actigraph
- Moderate physical activity [1 week at baseline]
Weekly moderate physical activity collected using an accelerometer from Actigraph
- Vigorous physical activity [1 week at baseline]
Weekly vigorous physical activity collected using an accelerometer from Actigraph
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Primary care providers or adjunct faculty from Primary Health Network (PHN) and Penn State Health Family and Community Medicine (FCM) rural clinics
-
Must be able to provide and understand informed consent
Exclusion Criteria:
- Primary care providers or adjunct faculty NOT from PHN or FCM rural clinics
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Milton S. Hershey Medical Center
Investigators
- Principal Investigator: Kathryn Schmitz, PhD, Penn State College of Medicine, Hershey
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- STUDY00019602