Increasing Physical Activity in Rural Pennsylvanians: The PA Moves Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 640
- 试验地点
- 2
- 主要终点
- Objective accelerometry
研究概览
简要总结
The purpose of this study is to address physical inactivity in rural populations in Pennsylvania.
详细描述
People living in rural areas are diagnosed and die from cancer at higher rate 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.
Primary care providers 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 referring inactive patients to the MoveLine will help them to be more physically active over time. Approximately 880 people will take part in this research in rural areas of Pennsylvania.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18 - 75 at the time of enrollment
- •Either overweight/obese (Body Mass Index (BMI) ≥ 25) or diabetic (hemoglobin A1c ≥ 5.7%)
- •Physically inactive (defined as < 90 min/week of self-reported structured physical activity)
- •Able to speak, read, and understand the English language
- •Resides in a rural area of Pennsylvania with a Rural Urban Continuum Code (RUCC) 4 - 9 or Rural-Urban Commuting Area (RUCA) code 4 - 10
- •Must be able to provide and understand informed consent
- •Primary care patient of one of the participating providers
- •Self-report ability to walk ¼ mile
- •Access to a telephone
排除标准
- •Cardiac exclusion criteria: Class II, III, or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system, history of acute coronary syndromes, uncertain or uncontrolled arrhythmia, uncontrolled hypertension, syncope, acute myocarditis, acute pericarditis, acute endocarditis, acute pulmonary embolus or pulmonary infarction, thrombosis of lower extremities, suspected dissecting aneurysm, pulmonary edema, respiratory failure, or acute non-cardiopulmonary disorder that may affect exercise performance or be aggravated by exercise
- •Mental impairment leading to inability to cooperate, provide informed consent, or follow study instructions
- •Evidence in the electronic medical record of an absolute contraindication for physical activity
- •Severe or advanced orthopedic conditions
- •Use of assistive devices for ambulation
- •Resides outside of a rural area of Pennsylvania (i.e., one that is not RUCC code 4 - 9 OR RUCA code 4 - 10)
- •Pregnant women
研究组 & 干预措施
Physical Activity intervention
Five physical activity coaching calls with MoveLine and weekly physical activity. Objective tracking of activity with an accelerometer will occur at baseline, after 12 months, and after 24 months.
干预措施: Physical Activity (Behavioral)
Delayed intervention
Objective tracking of activity with an accelerometer will occur at baseline, after 12 months, and after 24 months.
干预措施: Delayed intervention (Behavioral)
结局指标
主要结局
Objective accelerometry
时间窗: 12 months vs. baseline
An accelerometer will be worn for one week to track physical activity.
Physical Activity Questionnaire
时间窗: 12 months vs. baseline
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.
次要结局
- Physical Activity Questionnaire(24 months vs. baseline; 24 months vs. 12 months)
- Objective accelerometry(24 months vs. baseline; 24 months vs. 12 months)
研究者
Kathryn Schmitz
Professor
University of Pittsburgh