Diabetes Mellitus, Type 2, Overweight or Obesity, Physical Inactivity
Conditions
Brief summary
The purpose of this study is to address physical inactivity in rural populations in Pennsylvania.
Detailed description
People living in rural areas are diagnosed and die from cancer at higher rate 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. Primary care providers 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 referring inactive patients to the MoveLine will help them to be more physically active over time. Approximately 880 people will take part in this research in rural areas of Pennsylvania.
Interventions
BEHAVIORALPhysical Activity
Physical activity will be encouraged up to an amount of 150 minutes per week.
BEHAVIORALDelayed intervention
Physical activity will be encouraged at the end of the trial.
Sponsors
University of Pittsburgh
National Cancer Institute (NCI)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged 18 - 75 at the time of enrollment * Either overweight/obese (Body Mass Index (BMI) ≥ 25) or diabetic (hemoglobin A1c ≥ 5.7%) * Physically inactive (defined as \< 90 min/week of self-reported structured physical activity) * Able to speak, read, and understand the English language * Resides in a rural area of Pennsylvania with a Rural Urban Continuum Code (RUCC) 4 - 9 or Rural-Urban Commuting Area (RUCA) code 4 - 10 * Must be able to provide and understand informed consent * Primary care patient of one of the participating providers * Self-report ability to walk ¼ mile * Access to a telephone
Exclusion criteria
* Cardiac
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity Questionnaire | 12 months vs. baseline | The 11-question Morgenstern Physical Activity Questionnaire (PAQ-M) is a self-report of physical activity resulting from recreational activities, exercises, home or work activities, and chores. |
| Objective accelerometry | 12 months vs. baseline | An accelerometer will be worn for one week to track physical activity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity Questionnaire | 24 months vs. baseline; 24 months vs. 12 months | The 11-question Morgenstern Physical Activity Questionnaire (PAQ-M) is a self-report of physical activity resulting from recreational activities, exercises, home or work activities, and chores. |
| Objective accelerometry | 24 months vs. baseline; 24 months vs. 12 months | An accelerometer will be worn for one week to track physical activity. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKathryn Schmitz, PhD
University of Pittsburgh
Outcome results
None listed