Behavior, Physical Activity
Conditions
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.
Interventions
BEHAVIORALReceive ECHO training
Active Intervention
BEHAVIORALOffered ECHO training in year 5
Delayed Intervention
Sponsors
University of Pittsburgh
National Cancer Institute (NCI)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Likelihood of patient referral | Through study completion, an average of 5 years | Percentage of participating primary care providers referring their patients to a community-level, telephone-based physical activity counseling service assessed through the EMR of their participating patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PAQ-M | Baseline intervention group vs. Baseline delayed intervention group | 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. |
| Estimated average metabolic equivalents expended daily | 1 week at baseline | Daily metabolic equivalents collected using an accelerometer from Actigraph |
| Estimated metabolic equivalents expended weekly | 1 week at baseline | Weekly metabolic equivalents collected using an accelerometer from Actigraph, expressed in hours/week |
| Time in Sleep | 1 week at baseline | Weekly time in sleep collected using an accelerometer from Actigraph |
| Sedentary Time | 1 week at baseline | Weekly sedentary time collected using an accelerometer from Actigraph |
| Low physical activity | 1 week at baseline | Weekly low physical activity collected using an accelerometer from Actigraph |
| Moderate physical activity | 1 week at baseline | Weekly moderate physical activity collected using an accelerometer from Actigraph |
| Vigorous physical activity | 1 week at baseline | Weekly vigorous physical activity collected using an accelerometer from Actigraph |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKathryn Schmitz, PhD
University of Pittsburgh
Outcome results
None listed