Exercise Promotion in Primary Care

NCT03429088 | Completed

• 1 other identifier: KPSC IRB#10106
• Study Type: interventional
• Target: 67
• Locations: 0 countries
• Sites: N/A

Brief Summary

The investigators conducted a pilot study to determine if telephone counseling, in a health care setting that routinely assesses physical activity of its members, is a feasible approach to improve physical activity among patients with diabetes and prediabetes. The investigators built on an existing innovation at Kaiser Permanente, in which physical activity is assessed at every outpatient visit. The primary aims were to (1) pilot study elements, including database identification of patients; recruitment, training and engagement of health care providers; patient recruitment; data collection procedures; and a 24-week intervention, and (2) to assess feasibility and obtain feedback from key stakeholders on the approach.

Conditions

Physical Activity; PreDiabetes; Diabetes

Outcome Measures

Primary Outcomes (1)

• Feasibility of identifying and recruiting sufficient number of participants into a telephone-based physical activity intervention.

  Participants who met eligibility criteria and who were scheduled for an outpatient visit with their primary care provider were invited to participate in the study. Feasibility was assessed by the investigators' ability to recruit 60 participants into the pilot trial.

  The intervention lasted 24 weeks.

Secondary Outcomes (3)

• Moderate to Vigorous Physical Activity

  Assessments were made a baseline and approximately 24 weeks after baseline assessments.

• Motivation for Physical Activity

  Participants completed the survey at baseline and approximately 24 weeks after baseline assessments.

• Physical Activity Self-Regulation

  Participants completed the survey at baseline and approximately 24 weeks after baseline.

Study Arms (2)

Telephone counseling

EXPERIMENTAL

Participants were provided with approximately 7 telephone-based motivational interviewing over a 24-week period to increase their physical activity.

Behavioral: Motivational interviewing telephone counseling

Usual care

NO INTERVENTION

Participants in the usual care arm received a packet of places near their home in which they could engage in physical activity if they chose.

Interventions

Motivational interviewing telephone counseling BEHAVIORAL

Telephone counseling

Eligibility Criteria

• Age: 18 Years - 74 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• prediabetes or diabetes not prescribed insulin
• less than 30 min of physical activity per week
• cleared to increase physical activity by primary care provider

You may not qualify if:

• health condition that may limit unsupervised physical activity
• height and weight that were combined and resulted in a BMI \> 40 kg/m2
• disabling rheumatoid or osteoarthritis
• ongoing treatment for cancer
• unstable coronary heart disease

Sponsors & Collaborators

• Kaiser Permanente: lead

Related Publications (1)

• Young DR, Nguyen MK, Yamamoto A, Pomichowski M, Cornejo M, Paz S, Coleman KJ, Sallis RE, Fortmann SP. Telephone-based motivational interviewing versus usual care in primary care to increase physical activity: a randomized pilot study. Pilot Feasibility Stud. 2019 Jan 15;5:6. doi: 10.1186/s40814-019-0390-0. eCollection 2019.

  PMID: 30675373 DERIVED

MeSH Terms

Conditions

Motor Activity; Prediabetic State; Diabetes Mellitus

Condition Hierarchy (Ancestors)

Behavior; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Scientist III

Study Record Dates

• First Submitted: January 31, 2018
• First Posted: February 12, 2018
• Study Start: June 1, 2015
• Primary Completion: July 1, 2017
• Study Completion: July 1, 2017
• Last Updated: September 1, 2021

Record last verified: 2018-02

Data Sharing

• IPD Sharing: Will not share