Implementing and Evaluating the Integration of Physical Activity Into a Major Health System and Connecting Patients to Physical Activity Programs.

NCT06073041 | Completed

• 1 other identifier: 1R56HL157218-01A1
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Multiple case study trial examining the adoption, implementation, and reach of eligible patients visiting participating Prisma Health primary care clinics and receiving a referral to a 12-week evidence-informed physical activity (PA) program hosted at local community PA facilities.

Conditions

Chronic Disease; Exercise; Physical Activity

Keywords

Physical activity; Evidence-based; Exercise; RE-AIM; Implementation; Adoption; Referral pathway

Outcome Measures

Primary Outcomes (1)

• Adoption of EIMG at eligible primary care clinics

  Rate of EIMG adoption at eligible primary care clinics

  Months 0-1

Secondary Outcomes (8)

• Factors in decision to adopt/not adopt EIMG

  Months 1-2

• Referral of eligible patients to EIMG in adopting clinics (phase 1)

  Months 1-4

• Referral of eligible patients to EIMG in adopting clinics (phase 2)

  Months 5-8

• Feedback on EIMG referrals and onboarding strategies from clinic staff

  Months 9-12

• Patient physical activity levels (minutes of moderate-to-vigorous activity/week)

  Conducted at months 0, 1.5, 3, 9, 15

Study Arms (2)

Adopter

EXPERIMENTAL

Clinics that decide to adopt the EIMG Program

Other: Invitation to adopt; Behavioral: Onboarding strategies

Non Adopter

OTHER

Clinics that decide not to adopt the EIMG Program

Other: Invitation to adopt

Interventions

Invitation to adopt OTHER

All eligible Prisma Health clinics will be invited to adopt EIMG.

Adopter; Non Adopter

Onboarding strategies BEHAVIORAL

Providers at adopting clinics will first be sent an instructional video as a part of a low touch initial onboarding (phase 1). After 4 months, clinics will then receive an in-depth standardized onboard training (phase 2).

Adopter

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Prisma Health primary care clinic (i.e., family or internal medicine) located in the Upstate of South Carolina
• At least two attending providers

You may not qualify if:

• Clinics greater than 15 miles from a participating community physical activity facility
• Have received EIMG onboarding or activation in the past
• Prisma Health employed
• Actively seeing patients at an activated EIMG clinic by the beginning of the phase in which they will be enrolled in the study (providers)
• Staff member at an activated EIMG clinic by the beginning of the phase in which they will be enrolled in the study (managers/clinic staff)
• Less than 18 years old
• Have received an EIMG referral from their primary care provider beginning September 5, 2023
• Less than 18 years old

Sponsors & Collaborators

• University of South Carolina: lead
• National Heart, Lung, and Blood Institute (NHLBI): collaborator
• Temple University: collaborator
• University of Utah: collaborator
• University of Nebraska: collaborator
• Durham University: collaborator

Study Sites (1)

Prisma Health

Greenville, South Carolina, 29605, United States

Location

Related Publications (1)

• Stoutenberg M, Estabrooks PA, Brooks JM, Jindal M, Wichman C, Rosemeyer J, Schumacher LM, McNulty LK, Ewing A, Eskuri S, Bennett F, Trilk JL. Implementing and evaluating the comprehensive integration of physical activity into a major health system: study design and protocol. BMJ Open. 2025 Jan 6;15(1):e091556. doi: 10.1136/bmjopen-2024-091556.

  PMID: 39762113 DERIVED

MeSH Terms

Conditions

Chronic Disease; Motor Activity

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Jennifer L Trilk, PhD

  University of South Carolina

  PRINCIPAL INVESTIGATOR

• Mark Stoutenberg, PhD

  Durham University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: All eligible clinics were invited to adopt the EIMG model (primary aim). Those that adopted the EIMG model received a sequential intervention involving onboarding and implementation (secondary aim).

Study Record Dates

• First Submitted: September 18, 2023
• First Posted: October 10, 2023
• Study Start: August 3, 2023
• Primary Completion: September 5, 2023
• Study Completion: November 26, 2024
• Last Updated: December 24, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: All data will be made available at the completion of the project, no later than the time of publication. The duration of preservation and sharing of the data will be in perpetuity.
• Access Criteria: All data (online survey data, interview data, program participant data, and EHR data) will be de-identified and stored in data sharing repository, such as the Open Science Framework (OSF) or the Biologic Specimen and Data Repository Information Coordinating Center (BIOLINCC) managed by NHLBI. We will use unique persistent identifiers to improve data findability. The data sharing repository will provide metadata and assign our dataset a digital object identifier for ease of access.

Locations

US (1)