PA Moves Trial - PCP Participants

University of Pittsburgh

Status: Active, not recruiting

Conditions: Behavior; Physical Activity

Treatments: Behavioral: Offered ECHO training in year 5; Behavioral: Receive ECHO training

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05319821

STUDY22110036

R01CA268017 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 48 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Primary care providers or adjunct faculty from Primary Health Network (PHN) or UPMC clinics serving rural populations
2. Must be able to provide and understand informed consent

Exclusion criteria

1. Primary care providers or adjunct faculty NOT from PHN or UPMC clinics

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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48 participants in 2 patient groups

Active Intervention

Active Comparator group

Description:

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.

Treatment:

Behavioral: Receive ECHO training

Delayed Intervention

Active Comparator group

Description:

PCP participants will be offered the intervention in year 5.

Treatment:

Behavioral: Offered ECHO training in year 5