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Computerized Health Education to Promote Physical Activity

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ClinicalTrials.gov Identifier: NCT00242658
Recruitment Status : Completed
First Posted : October 20, 2005
Results First Posted : June 6, 2011
Last Update Posted : November 12, 2012
Sponsor:
Collaborators:
National Heart, Lung, and Blood Institute (NHLBI)
Thomas Jefferson University
Information provided by (Responsible Party):
Christopher Sciamanna, MD, MPH, Milton S. Hershey Medical Center

Brief Summary:
This study will test the efficacy of providing primary care physicians and their patients with computer-tailored information, based on patients' responses to survey questions. The health education messages are designed to encourage patients to become physically active and to encourage physicians to counsel their patients about exercise.

Condition or disease Intervention/treatment Phase
Hypertension Behavioral: Tailored Physical Activity Intervention Phase 1

Detailed Description:
The main objective of this study is to determine, via a 6-month randomized controlled study, the efficacy of providing tailored physical activity computer reports to patients and physicians. The primary outcome is minutes of physical activity measured by the 7-Day Physical Activity Recall interview at 6 months. The intervention group completed physical activity surveys at baseline, 1, 3, and 6 months. Based on their responses, participants received four feedback reports at each time point. The reports aimed to motivate participants to increase physical activity, personalized to participants' needs; they also included an activity prescription. The control group received identical procedures, except that they received general reports on preventive screening based on their responses to preventive screening questions.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 394 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Official Title: Computerized Physical Activity Promotion in Primary Care
Study Start Date : May 2005
Actual Primary Completion Date : December 2007
Actual Study Completion Date : March 2008

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: Tailored Physical Activity Intervention Group
Four feedback reports aimed to increase physical activity.
Behavioral: Tailored Physical Activity Intervention
Tailored physical activity computer reports will be provided to patients and physicians.
Other Name: Exercise Intervention
No Intervention: No Tailored Physical Activity Intervention Group
General reports on preventive screening based on responses to preventive screening questions.



Primary Outcome Measures :
  1. 7-Day Physical Activity Recall (7-Day PAR) [ Time Frame: 6 months ]
    Minutes of physical activity measured by the 7-Day Physical Activity Recall (7-Day PAR), which is an interviewer-administered self-report physical activity measure of minutes spent in moderate and vigorous intensity leisure and non-leisure activities over the preceding 7 days. It was administered to study participants at baseline and 6 months.


Secondary Outcome Measures :
  1. Change in Behavioral Processes of Change Between Baseline and 6 Months [ Time Frame: Baseline and 6 months ]
    Behavioral processes were assessed by asking participants to rate their responses to 24 statements on a Likert scale (1 = never to 5 = repeatedly) to statements such as, "I tell myself I am able to be physically active if I want to. To create the overall measure, individual items are averaged. Higher numbers represent greater use of behavioral processes of change, so that the overall scale retains a maximum of 5.0 and minimum value of 1.0. The scale values are not numerical, they represent scores on the scale, where 5=repeatedly and 1=never.



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Ages Eligible for Study:   21 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Ability to speak and read English
  • Current patient of a physician participating in this study (if selecting a new physician, may deliberately select one that is involved in the study, in order to participate)
  • Ability to complete all written surveys
  • Accessible for follow-up telephone surveys
  • Ability to undergo exercise testing

Exclusion Criteria:

  • Currently participating in another research study
  • Planning to move out of the Philadelphia area
  • Unable to walk without pain
  • Pregnant or planning to become pregnant in the year following study entry
  • Excessive drinking
  • Coronary heart disease
  • Congestive heart failure
  • Peripheral vascular disease
  • Cerebrovascular disease
  • Chronic obstructive pulmonary disease
  • Arrhythmia
  • Recurrent seizures
  • Dizziness
  • Balance problems
  • Psychoses

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00242658


Locations
United States, Pennsylvania
Jefferson Family Medicine Associates
Philadelphia, Pennsylvania, United States, 19107
Jefferson Medical College, Department of Health Policy
Philadelphia, Pennsylvania, United States, 19107
Sponsors and Collaborators
Milton S. Hershey Medical Center
National Heart, Lung, and Blood Institute (NHLBI)
Thomas Jefferson University
Investigators
Study Chair: Christopher N. Sciamanna, MD, MPH Jefferson Medical College, Department of Health Policy

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Christopher Sciamanna, MD, MPH, Professor of Medicine and Public Health Sciences, Milton S. Hershey Medical Center
ClinicalTrials.gov Identifier: NCT00242658     History of Changes
Obsolete Identifiers: NCT00201032
Other Study ID Numbers: 269
7R01HL067005-03 ( U.S. NIH Grant/Contract )
02F.214 CHIP
First Posted: October 20, 2005    Key Record Dates
Results First Posted: June 6, 2011
Last Update Posted: November 12, 2012
Last Verified: November 2012

Keywords provided by Christopher Sciamanna, MD, MPH, Milton S. Hershey Medical Center:
Physical Activity
Wellness Programs
Health Promotion
Blood Pressure, High