PA Moves Trial - PCP Participants

Physical Activity Clinical Trial

Official title:

Increasing Physical Activity in Rural Pennsylvanians: PCP Participants

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT05319821
• Other study ID #: STUDY22110036
• Secondary ID: R01CA268017
• Status: Enrolling by invitation
• Phase: N/A
• Start date: September 21, 2022
• Est. completion date: February 2028

Study information

• Verified date: April 2024
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 48
• Est. completion date: February 2028
• Est. primary completion date: January 2028
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

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

Related Conditions & MeSH terms

• Behavior
• Physical Activity

Intervention

Behavioral:
• Receive ECHO training
Active Intervention
• Offered ECHO training in year 5
Delayed Intervention

Locations

Country	Name	City	State
United States	Milton S. Hershey Medical Center	Hershey	Pennsylvania
United States	UPMC	Pittsburgh	Pennsylvania

Sponsors (2)

Lead Sponsor	Collaborator
University of Pittsburgh	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Likelihood of patient referral	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	Through study completion, an average of 5 years
Secondary	PAQ-M	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.	Baseline intervention group vs. Baseline delayed intervention group
Secondary	Estimated average metabolic equivalents expended daily	Daily metabolic equivalents collected using an accelerometer from Actigraph	1 week at baseline
Secondary	Estimated metabolic equivalents expended weekly	Weekly metabolic equivalents collected using an accelerometer from Actigraph, expressed in hours/week	1 week at baseline
Secondary	Time in Sleep	Weekly time in sleep collected using an accelerometer from Actigraph	1 week at baseline
Secondary	Sedentary Time	Weekly sedentary time collected using an accelerometer from Actigraph	1 week at baseline
Secondary	Low physical activity	Weekly low physical activity collected using an accelerometer from Actigraph	1 week at baseline
Secondary	Moderate physical activity	Weekly moderate physical activity collected using an accelerometer from Actigraph	1 week at baseline
Secondary	Vigorous physical activity	Weekly vigorous physical activity collected using an accelerometer from Actigraph	1 week at baseline