Physical Inactivity and Sedentary Behavior: Screening and Intervention in Ambulatory Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 160
- 试验地点
- 2
- 主要终点
- Evaluate the 6-month effectiveness of an individualized intervention by a physiotherapist, on physical activity and sedentary behavior in adult patients without chronic diseases
研究概览
简要总结
Physical inactivity and sedentary behaviors are among the leading modifiable risk factors for chronic diseases. In France, despite the national Sport Health strategy, awareness campaigns physical inactivity and sedentary behavior worsened between 2005 and 2015. Primary healthcare professionals, including general practitioners and physiotherapists already involved in tertiary prevention, can act for primary and secondary prevention.
详细描述
In this study, we hypothesize that an innovative care pathway based on opportunistic screening by general practitioners to assess levels of physical activity and sedentary behavior, and an individualized intervention by a physiotherapist effectively supports behavioral changes towards increased physical activity and reduced sedentary behavior at 6 months in inactive adults without chronic conditions.
This multicenter study, employing an innovative stepped-wedge cluster methodology, will enable healthcare professionals from all included multidisciplinary health centers to enhance their skills in supporting health behavior changes.
For all patients, participation in the study should lead to an increased awareness of the risks associated with physical inactivity and sedentary behaviors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
盲法说明
As a result, all centers will include patients both before (control period) and after the implementation of the intervention (experimental period). The timing of the intervention implementation (training period) for each center will be randomized among 4 training periods distributed throughout the study, with two centers per training period
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients
- •Not benefiting from Long-Term Illness coverage
- •Followed in primary outpatient care by one of the participating centers
- •Patients identified as "inactive" by the ONAPS-PAQ questionnaire during an appointment with a general practitioner in the partner Multi-Professional Health Centers, whether sedentary or not
- •Patient having signed informed consent to participate in the study
- •Patients who understand and speak French
- •Persons affiliated with a social security scheme or beneficiaries of a similar scheme
- •Patients classified as "inactive" (< 600 MET.min/week) after 7-day actimetry analysis
排除标准
- •Patient receiving follow-up for another reason with physiotherapists participating in the protocol
- •Persons referred to in articles L1121-5 to L1121-8 of the Public Health Code
- •Patient participating in another interventional research study with an exclusion period still ongoing at pre-inclusion
结局指标
主要结局
Evaluate the 6-month effectiveness of an individualized intervention by a physiotherapist, on physical activity and sedentary behavior in adult patients without chronic diseases
时间窗: 6 months
1. Proportion of patients changing to a higher physical activity category, measured by actimetry, between inclusion and M6, defined as: from inactive to moderately active or very active 2. Proportion of patients changing to a lower sedentary behavior category, measured by actimetry, between inclusion and M6, defined as: from high sedentary behavior to moderate sedentary behavior or non-sedentary and from moderate sedentary behavior to non-sedentary
次要结局
- Describe the perceived level of vitality and energy initially (M0), at 6 months, and at 12 months.(12 monts)
- Describe the evolution of patients' physical activity and sedentary behavior levels at 6 months (for behavior change) and 12 months (for behavior maintenance).(12 months)
- Explore the relationship between patient characteristics and changes (at 6 months) and maintenance (at 12 months) of physical activityand sedentary behavior levels.(12 months)
- Quantify the evolution of patients' physical activity and sedentary behavior levels at 6 months (for behavior change) and 12 months (for behavior maintenance).(12 months)
- Describe the quality of motivation initially (Month 0), at 6 months, and at 12 months.(12 monts)
- Describe the satisfaction of basic psychological needs at 6 months, and at 12 months.(12 monts)
- Describe the self-efficacy perceived competence scale for engaging in a personalized physical activity program at 6 months and at 12 months.(12 monts)
- Describe the self-esteem initially (M0), at 6 months, and at 12 months.(12 monts)
- Describe at M6 and M12 the strategies, barriers, and facilitators to patients' behavior change.(12 months)
- Study the relationship between ONAPS-PAQ results and 7-day actimetry in this population category (inactive and/or sedentary).(12 months)
- Identify perceived barriers and facilitators to implementation in primary care at 12 months among different stakeholders (general practitioners, physiotherapists, patients).(12 months)