Communication Intervention Physical Activity

Not Applicable

Completed

• Conditions: Physical Activity
• Interventions: Other: 5 A communication intervention

• Registration Number: NCT01419093
• Lead Sponsor: University of Rochester

Brief Summary

The project is a two-arm randomized clinical trial to pilot the feasibility of a communication training intervention for primary care clinicians, linked to a community program referral, on use of the 5As to promote physical activity in underserved patients.

Detailed Description

This study will focus on training clinicians to communicate effectively using the 5As and patient-centered communication skills (Aim 1). When implemented fully, the intervention will also include referral to a community fitness program. Clinicians will be randomly assigned to two groups (1 and 2). Group 1 will participate in the training intervention first; group 2 will act as a wait-list control for Group 1. The primary outcome, the effectiveness of the intervention on clinician use of the 5As during routine office visits, will be measured by examining 371 audio-recorded patient visits prior to, immediately, after, and 6 months after the clinician is trained. Secondary outcomes include whether the communication training intervention improved patients' perceived competence to adopt physical activity (Aim 2)and whether clinicians believe that the communication intervention addressed pertinent barriers to promoting exercise (Aim 3). Exploratory outcomes (Aim 4) will \[assess potential mediators of the intervention's effect, examine the effect of the intervention on actual physical activity levels in a subset of participants, and create a taxonomy of communication markers for each of the 5As.\]

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2008-09
• Study First Submitted: 2011-08-10
• Study First Submitted QC: 2011-08-16
• Study First Posted: 2011-08-17
• Primary Completion: 2013-12
• Study Completion: 2013-12
• Status Verified: 2015-09
• Last Update Submitted: 2015-09-16
• Last Update Posted: 2015-09-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 325

Inclusion Criteria

• Current patients at Westside Health Services
• Be scheduled for a routine, follow-up or health maintenance office visit
• Be practicing clinicians (physicians, physician asst. or nurse practitioner

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Exclusion Criteria

• Have life-threatening acute medical problem which precludes participation
• Unable to read and understand English
• Already achieving recommended level of physical activity
• Planning to move or relocate (clinicians) to another practice in the study period
• Serving as study investigators, consultants, or advisors

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
5A Communication	5 A communication intervention	Behavioral: 5 A intervention for physical activity

Primary Outcome Measures

Name	Time	Method
Number of A's used per visit per discussion of physical activity	5 years	The mean 5A Score of patients from clinicians who complete the communicatin interventon will be higher thant the mean 5A Score of patients from physicisns that have not been trained. Analytic plan: Unadjusted analysis will use two-sample t-tests to compare means. Adjusted analyses will use linear mixed effects models as described in the Statistical Analysis section.

Secondary Outcome Measures

Name	Time	Method
Patient-centered Communication Constructs	5 years	Patient survey; fifteen items.Assesses patient perceptions of providers' being autonomy supportive versus controlling. Measures participants' feelings of competence at carrying out a treament regimen. Scored by trained coder listening to audiorecorded visits. Clinicians survey; 20 items such as whether the clinician would recmmend the intervention to other clinicians.

Trial Locations

Locations (1)

Westside Health Services; 🇺🇸 Rochester, New York, United States