Exercise Promotion in Primary Care (EPPC)

Kaiser Permanente

Status: Completed

Conditions: Diabetes; Physical Activity; PreDiabetes

Treatments: Behavioral: Motivational interviewing telephone counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT03429088

KPSC IRB#10106

Details and patient eligibility

About

The investigators conducted a pilot study to determine if telephone counseling, in a health care setting that routinely assesses physical activity of its members, is a feasible approach to improve physical activity among patients with diabetes and prediabetes. The investigators built on an existing innovation at Kaiser Permanente, in which physical activity is assessed at every outpatient visit. The primary aims were to (1) pilot study elements, including database identification of patients; recruitment, training and engagement of health care providers; patient recruitment; data collection procedures; and a 24-week intervention, and (2) to assess feasibility and obtain feedback from key stakeholders on the approach.

Enrollment: 67 patients

Sex: All

Ages: 18 to 74 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• prediabetes or diabetes not prescribed insulin
• less than 30 min of physical activity per week
• cleared to increase physical activity by primary care provider

Exclusion criteria

• health condition that may limit unsupervised physical activity
• height and weight that were combined and resulted in a BMI > 40 kg/m2
• disabling rheumatoid or osteoarthritis
• ongoing treatment for cancer
• unstable coronary heart disease

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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67 participants in 2 patient groups

Telephone counseling

Experimental group

Description:

Participants were provided with approximately 7 telephone-based motivational interviewing over a 24-week period to increase their physical activity.

Treatment:

Behavioral: Motivational interviewing telephone counseling

Usual care

No Intervention group

Description:

Participants in the usual care arm received a packet of places near their home in which they could engage in physical activity if they chose.