The PAC Project: Integrating a Physical Activity Counsellor in the Primary Health Care Team

NCT00222560 | Completed Phase 2

• 1 other identifier: G03-05441
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The Physical Activity Counselling (PAC) randomized controlled trial had as overall goal the establishment of a collaborative interdisciplinary primary care team to encourage physical activity. The main intervention was to integrate a physical activity counsellor to the primary care team so that the most appropriate care was given by the most appropriate provider. Much research has shown and many experts agree that patients need significant help to make and especially maintain physical activity behavior changes. Maintenance of these changes is essential for optimal health benefits. It was predicted that patients receiving both brief (2-4 minute) physical activity counselling from their family physician and intensive (3 month) physical activity counselling from an integrated physical activity counsellor (intensive counselling group) would report greater improvements in task motivation and task self-efficacy to engage in physical activity at the end of the intervention than those receiving only brief counselling (brief counselling group). The same was expected for both self-reported and objective physical activity. This RCT involved testing a theory-based counselling intervention, determining why the intervention was effective or ineffective by measuring key psychological mediating variables, using an objective measure to track changes in physical activity, and assessing physical and metabolic outcomes. This project represents an innovative theoretically based multi-level multi-intervention approach to promoting physical activity in primary care and is of great public health importance.

Conditions

Physical Inactivity

Keywords

physical activity counselling; physical activity behavior change intervention; prevention; collaborative health care; physical inactivity; motivation; fitness; randomized controlled trial

Outcome Measures

Primary Outcomes (2)

• task motivation to engage in physical activity (0-100% motivated to engage in physical activity from 1-7 days a week in the next 6 weeks)

  baseline, 6 weeks, 13 weeks, 19 weeks, 25 weeks

• task self-efficacy to engage in physical activity (0-100% confident to engage in physical activity from 1-7 days a week in the next 6 weeks), measured every 6 weeks up to 25 weeks for maintenance

  baseline, 6 weeks, 13 weeks, 19 weeks, 25 weeks

Secondary Outcomes (4)

• Physical activity (subjective: in units with the Godin Leisure-Time Exercise Questionnaire)

  baseline, 6 weeks, 13 weeks, 19 weeks, 25 weeks

• physical activity (objective: in activity counts by the Actical accelerometer)

  baseline, 13 weeks, 25 weeks

• Quality of life

  baseline, 13 weeks, 25 weeks

• Physical and metabolic outcomes (33% sample)

  baseline, 13 weeks, 25 weeks

Interventions

Intensive physical activity counselling by an integrated physical activity counsellor BEHAVIORAL

Eligibility Criteria

• Age: 18 Years - 69 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged 18 to 69 years
• \<150 minutes of physical activity/week
• no uncontrolled medical conditions

You may not qualify if:

• pregnancy (funder's request),
• planned absence \>3 weeks during the first 3 months of the study,
• living with another patient in the study,
• uncontrolled medical condition,
• did not receive a physical activity prescription from their provider during the brief physical activity counselling,
• received brief counselling more than once during the trial period and
• uninterested in receiving intensive physical activity counselling

Sponsors & Collaborators

• University of Ottawa: lead
• Hopital Montfort: collaborator

Study Sites (1)

Montfort Hospital

Ottawa, Ontario, K1K 0T1, Canada

Location

Related Publications (2)

• Fortier M, Tulloch H, Hogg W. A good fit: integrating physical activity counselors into family practice. Can Fam Physician. 2006 Aug;52(8):942-4, 947-9. No abstract available.

  PMID: 17273491 BACKGROUND

• Tulloch H, Fortier M, Hogg W. Physical activity counseling in primary care: who has and who should be counseling? Patient Educ Couns. 2006 Dec;64(1-3):6-20. doi: 10.1016/j.pec.2005.10.010. Epub 2006 Feb 10.

  PMID: 16472959 BACKGROUND

MeSH Terms

Conditions

Sedentary Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Michelle Fortier, PhD

  University of Ottawa, Faculty of Health Sciences

  PRINCIPAL INVESTIGATOR

• William Hogg, MD

  Department of Family Medicine, University of Ottawa and the C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 16, 2005
• First Posted: September 22, 2005
• Study Start: May 1, 2005
• Study Completion: June 1, 2006
• Last Updated: April 30, 2007

Record last verified: 2007-04

Locations

CA (1)