Clinical trial NCT05319821: PA Moves Trial - PCP Participants
Official title: Increasing Physical Activity in Rural Pennsylvanians: PCP Participants
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Behavior
Physical Activity
Lead sponsor: University of Pittsburgh
Sponsor class: OTHER
Collaborators: name: National Cancer Institute (NCI)
First posted: 2022-04-08
Enrollment: 48
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Likelihood of patient referral
timeFrame: Through study completion, an average of 5 years
Secondary outcomes:
measure: PAQ-M
timeFrame: Baseline intervention group vs. Baseline delayed intervention group
measure: Estimated average metabolic equivalents expended daily
timeFrame: 1 week at baseline
measure: Estimated metabolic equivalents expended weekly
timeFrame: 1 week at baseline
measure: Time in Sleep
timeFrame: 1 week at baseline
measure: Sedentary Time
timeFrame: 1 week at baseline
measure: Low physical activity
timeFrame: 1 week at baseline
measure: Moderate physical activity
timeFrame: 1 week at baseline
measure: Vigorous physical activity
timeFrame: 1 week at baseline
Other outcomes:
Locations:
city: Hershey
country: United States
facility: Milton S. Hershey Medical Center
state: Pennsylvania
city: Pittsburgh
country: United States
facility: UPMC
state: Pennsylvania
Study officials:
affiliation: University of Pittsburgh
name: Kathryn Schmitz, PhD
role: PRINCIPAL_INVESTIGATOR
References: