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A Communication Intervention for Physical Activity in Underserved Communities

30 Years
50 Years
Open (Enrolling)
Physical Activity

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Trial Information

A Communication Intervention for Physical Activity in Underserved Communities

This study will focus on training clinicians to communicate effectively using the 5As and
patient-centered communication skills (Aim 1). When implemented fully, the intervention
will also include referral to a community fitness program. Clinicians will be randomly
assigned to two groups (1 and 2). Group 1 will participate in the training intervention
first; group 2 will act as a wait-list control for Group 1. The primary outcome, the
effectiveness of the intervention on clinician use of the 5As during routine office visits,
will be measured by examining 371 audio-recorded patient visits prior to, immediately,
after, and 6 months after the clinician is trained. Secondary outcomes include whether the
communication training intervention improved patients' perceived competence to adopt
physical activity (Aim 2)and whether clinicians believe that the communication intervention
addressed pertinent barriers to promoting exercise (Aim 3). Exploratory outcomes (Aim 4)
will [assess potential mediators of the intervention's effect, examine the effect of the
intervention on actual physical activity levels in a subset of participants, and create a
taxonomy of communication markers for each of the 5As.]

Inclusion Criteria:

- Current patients at Westside Health Services

- Be scheduled for a routine, follow-up or health maintenance office visit

- Be practicing clinicians (physicians, physician asst. or nurse practitioner

Exclusion Criteria:

- Have life-threatening acute medical problem which precludes participation

- Unable to read and understand English

- Already achieving recommended level of physical activity

- Planning to move or relocate (clinicians) to another practice in the study period

- Serving as study investigators, consultants, or advisors

Type of Study:


Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Prevention

Outcome Measure:

Number of A's used per visit per discussion of physical activity

Outcome Description:

The mean 5A Score of patients from clinicians who complete the communicatin interventon will be higher thant the mean 5A Score of patients from physicisns that have not been trained. Analytic plan: Unadjusted analysis will use two-sample t-tests to compare means. Adjusted analyses will use linear mixed effects models as described in the Statistical Analysis section.

Outcome Time Frame:

5 years

Safety Issue:


Principal Investigator

Jennifer Carroll, MD, MPH

Investigator Role:

Principal Investigator

Investigator Affiliation:

University of Rochester


United States: Institutional Review Board

Study ID:




Start Date:

September 2008

Completion Date:

August 2013

Related Keywords:

  • Physical Activity
  • Physical Activity
  • Exercise



Westside Health ServicesRochester, New York  14608