Communication Intervention Physical Activity

University of Rochester

Status

Completed

Conditions

Physical Activity

Treatments

Other: 5 A communication intervention

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT01419093

5K07CA126985 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Full 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.]

Enrollment

325 patients

Sex

All

Ages

30 to 50 years old

Volunteers

No Healthy Volunteers

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

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