Feasibility of an Electronic Health Tool to Promote Physical Activity in Primary Care: Pilot Cluster Randomized Controlled Trial

Journal of Medical Internet Research
Payal AgarwalNoah Ivers

Abstract

Physical inactivity is associated with increased health risks. Primary care providers (PCPs) are well positioned to support increased physical activity (PA) levels through screening and provision of PA prescriptions. However, PCP counseling on PA is not common. This study aimed to assess the feasibility of implementing an electronic health (eHealth) tool to support PA counseling by PCPs and estimate intervention effectiveness on patients' PA levels. A pragmatic pilot study was conducted using a stepped wedge cluster randomized trial design. The study was conducted at a single primary care clinic, with 4 pre-existing PCP teams. Adult patients who had a periodic health review (PHR) scheduled during the study period were invited to participate. The eHealth tool involved an electronic survey sent to participants before their PHR via an email or a tablet; data were used to automatically produce tailored resources and a PA prescription in the electronic medical record of participants in the intervention arm. Participants assigned to the control arm received usual care from their PCP. Feasibility was assessed by the proportion of completed surveys and patient-reported acceptability and fidelity measures. The primary effectiveness outc...Continue Reading

References

Dec 1, 1987·Research in Nursing & Health·K R SechristN J Pender
Sep 15, 2000·American Journal of Preventive Medicine·T R PodlK C Stange
Sep 25, 2001·American Journal of Preventive Medicine·R E GlasgowR C Brownson
Aug 8, 2002·Medicine and Science in Sports and Exercise·Charles E MatthewsDavid R Bassett
May 3, 2003·American Journal of Preventive Medicine·Robert J PetrellaDonald H Paterson
Aug 6, 2003·Medicine and Science in Sports and Exercise·Cora L CraigPekka Oja
Dec 16, 2003·American Journal of Health Behavior·Matthew W Kreuter, Ricardo J Wray
Oct 19, 2004·American Journal of Preventive Medicine·Elizabeth G EakinEmma Larsen
Jul 12, 2005·American Journal of Preventive Medicine·Dawn Marie JacobsonDavid L Katz
Jul 11, 2006·Contemporary Clinical Trials·Michael A Hussey, James P Hughes
Sep 11, 2007·Preventive Medicine·Seth M NoarRick S Zimmerman
Dec 12, 2007·Archives of Internal Medicine·Michael F LeitzmannArthur Schatzkin
Feb 29, 2008·Archives of Disease in Childhood·J J ReillyJ Y Paton
Apr 1, 2008·Journal of General Internal Medicine·Rachel HessWishwa Kapoor
Oct 25, 2008·Patient Education and Counseling·Mia Liza A LustriaRobert L Glueckauf
Nov 8, 2008·The International Journal of Behavioral Nutrition and Physical Activity·Stéphanie A PrinceMark Tremblay
Jan 8, 2010·BMC Medical Research Methodology·Lehana ThabaneCharles H Goldsmith
Jun 16, 2010·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Sonia LippkeBenjamin Schüz
Jun 19, 2010·Preventive Medicine·Paul KrebsJoseph S Rossi
Jul 16, 2010·International Journal of Epidemiology·James WoodcockIan Roberts
Feb 18, 2011·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Mark S TremblayMary Duggan
Nov 1, 2011·International Journal of Epidemiology·Guenther SamitzMarcel Zwahlen
May 2, 2012·The International Journal of Behavioral Nutrition and Physical Activity·Cally A DaviesW Kerry Mummery
Jun 20, 2012·British Journal of Sports Medicine·Emily T HébertKerem Shuval
Jul 7, 2012·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Karen BroekhuizenJohannes Brug
May 15, 2013·BMJ : British Medical Journal·Anne KennedyUNKNOWN Salford National Institute for Health Research Gastrointestinal programme Grant Research Group
Sep 4, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Christine L PaulFrans Henskens
Sep 21, 2013·The Journal of Bone and Joint Surgery. American Volume·Kevin J BozicJames I Huddleston
Mar 8, 2014·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Ralph MaddisonMidi Tsai
Sep 30, 2014·Preventive Medicine·Alvaro SanchezGonzalo Grandes
Jan 23, 2015·BMJ : British Medical Journal·Phillip B SparlingNeville Owen
Feb 11, 2015·BMJ : British Medical Journal·K HemmingR J Lilford
May 24, 2015·Journal of Medical Internet Research·Mariko CareyRob Sanson-Fisher
Sep 8, 2015·Journal of Clinical Epidemiology·Karla Hemming, Monica Taljaard
Nov 12, 2015·Journal of Medical Internet Research·Gemma Flores MateoXavier Montaña-Carreras
Jun 17, 2016·BMC Public Health·Stephanie SkenderCornelia M Ulrich
Dec 15, 2016·Pilot and Feasibility Studies·Sandra M EldridgeUNKNOWN PAFS consensus group
Mar 8, 2017·BMJ : British Medical Journal·Hilary PinnockUNKNOWN StaRI Group

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Citations

Nov 24, 2020·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Rebecca E ClarkLora Giangregorio

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Clinical Trials Mentioned

NCT03181295

Software Mentioned

SF
IPAQ

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