The physical activity counselling (PAC) randomized controlled trial: rationale, methods, and interventions.
Primary care is a promising venue to build patient motivation and confidence to increase physical activity ( PA ) . Physician PA counselling has demonstrated some success ; however , maintenance of behaviour change appears to require more intensive interventions . In reality , most physicians do not have the necessary training nor the time for this type of counselling . The purpose of this paper is to outline the rationale , methods , and interventions for the ongoing physical activity counselling ( PAC ) r and omized controlled trial ( RCT ) , which aims to assess the impact of integrating a PA counsellor into a primary care practice . This RCT has 2 arms : ( i ) brief PA counselling ( 2 - 4 min ) from a health care provider and ( ii ) brief PA counselling+intensive PA counselling from a PA counsellor ( 3 months ) . The impact of this intervention is being evaluated using the comprehensive RE- AIM framework . One hundred twenty insufficiently active adult patients , aged 18 to 69 y and recruited during regular primary care visits have been r and omized . Dependent measures include psychological mediators , PA participation , quality of life , and physical and metabolic outcomes . The PAC project represents an innovative , theoretically-based approach to promoting PA in primary care , focusing on psychological mediators of change . We anticipate that key lessons from this study will be useful for shaping future public health interventions , theories , and research
Over 1.5 years of using EVS in a large hospital system , improvements occurred in relative weight loss among overweight patients and reduction in glycosylated hemoglobin among diabetic patients .
Few studies have examined a brief physical activity tool as a vital sign measure .
Initial investigations suggest the promise of these simple and quick assessment tools , and research is needed to test the effects of their use on chronic disease outcomes
INTRODUCTION Physical activity ( PA ) is strongly endorsed for managing chronic conditions , and a vital sign tool ( indicator of general physical condition ) could alert providers of inadequate PA to prompt counseling or referral .
This systematic review examined the use , definitions , psychometric properties , and outcomes of brief PA instruments as vital sign measures , with attention primarily to studies focused on arthritis .