Increasing Physical Activity in Rural Pennsylvanians: PCP Participants
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 48
- 试验地点
- 2
- 主要终点
- Likelihood of patient referral
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary care providers or adjunct faculty from Primary Health Network (PHN) or UPMC clinics serving rural populations
- •Must be able to provide and understand informed consent
排除标准
- •1. Primary care providers or adjunct faculty NOT from PHN or UPMC clinics
研究组 & 干预措施
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.
干预措施: Receive ECHO training (Behavioral)
Delayed Intervention
PCP participants will be offered the intervention in year 5.
干预措施: Offered ECHO training in year 5 (Behavioral)
结局指标
主要结局
Likelihood of patient referral
时间窗: 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
次要结局
- Time in Sleep(1 week at baseline)
- Low physical activity(1 week at baseline)
- Estimated average metabolic equivalents expended daily(1 week at baseline)
- Moderate physical activity(1 week at baseline)
- Sedentary Time(1 week at baseline)
- Vigorous physical activity(1 week at baseline)
- PAQ-M(Baseline intervention group vs. Baseline delayed intervention group)
- Estimated metabolic equivalents expended weekly(1 week at baseline)
研究者
Kathryn Schmitz
Professor
University of Pittsburgh