Exercise for Sedentary Lifestyle
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to integrate exercise into healthcare by connecting inactive patients with community exercise programs. It focuses on helping clinics identify and refer patients who could benefit from increased physical activity, particularly to prevent or manage chronic conditions like obesity, high blood pressure, or diabetes. Known as Clinic Implementation Facilitation, this approach will also assess its cost-effectiveness for healthcare systems. Suitable participants are adults visiting participating clinics who have conditions like hypertension or diabetes but are not currently in physical or cardiac therapy. As an unphased trial, this study offers patients the chance to contribute to innovative healthcare solutions that incorporate exercise into routine care.
What prior data suggests that this clinic implementation facilitation is safe?
Research has shown that Clinic Implementation Facilitation is generally safe for participants. Studies have found that when clinics aim to improve patient referrals to physical activity programs, they focus on removing obstacles and streamlining the process. This method carries little risk because it does not involve medication or medical procedures.
The reviewed studies did not report any major negative effects from the facilitation process itself. Instead, the goal is to encourage more physical activity, which benefits overall health. This method has been shown to help people become more active, aiding in the prevention and management of long-term health issues.
In summary, Clinic Implementation Facilitation is well-received and promotes healthy habits, making it a safe option for participants.12345Why are researchers excited about this trial?
Researchers are excited about the "Clinic Implementation Facilitation" approach for combating sedentary lifestyles because it focuses on improving the referral process within clinics, rather than directly targeting patients with exercise programs. Unlike traditional methods that rely on direct patient engagement, this strategy enhances clinic workflows to better connect patients with community physical activity programs. This could lead to higher referral rates and ultimately more patients receiving the benefits of increased physical activity. By addressing systemic barriers within healthcare providers, this method could significantly boost the effectiveness of existing community exercise resources.
What evidence suggests that this clinic implementation facilitation is effective for increasing patient referral rates to community PA programs?
Research shows that inactivity can lead to weaker muscles and long-term health problems. Studies have found that encouragement from doctors and nurses can increase moderate to vigorous exercise by about 14 minutes each week. Other research has shown that participants in exercise programs often experience real health improvements. A review found that successful exercise programs in doctor's offices had an average participation rate of 43%. Overall, these findings suggest that promoting exercise in healthcare settings can effectively improve health.13678
Who Is on the Research Team?
Jennifer L Trilk, PhD
Principal Investigator
University of South Carolina School of Medicine, Greenville
Are You a Good Fit for This Trial?
This trial is for individuals who lead a sedentary lifestyle or have conditions like obesity, diabetes, high cholesterol, hypertension, or other chronic diseases. It aims to integrate physical activity into their care. Specific eligibility details are not provided.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-Implementation Facilitation
Preparation activities for implementation facilitation at clinics
Active Implementation Facilitation
Active facilitation to improve clinic workflow and increase patient referral rates
Post-Implementation Facilitation Maintenance
Maintenance phase to sustain improvements in clinic workflow and patient referrals
Community-Based PA Program
Participants engage in a 12-week physical activity program to improve health outcomes
Follow-up
Participants are monitored for safety and effectiveness after the PA program
What Are the Treatments Tested in This Trial?
Interventions
- Clinic Implementation Facilitation
Trial Overview
The study tests how well a clinic-to-community model works in getting inactive patients involved in community-based physical activity programs to prevent and treat chronic diseases and assesses its cost-effectiveness.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Clinics will work with the facilitation team to address barriers and improve clinic workflow to increase patient referral rates to the community PA program.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of South Carolina
Lead Sponsor
University of South Carolina School of Medicine, Greenville
Collaborator
University of Nebraska
Collaborator
University of Utah
Collaborator
Temple University
Collaborator
Prisma Health-Upstate
Collaborator
Durham University
Collaborator
Citations
Barriers and facilitators to addressing sedentary behaviour ...
Sedentary behaviour and physical inactivity contribute to muscle-related decline (e.g., sarcopenia), chronic disease and disability.
Implementation and Scalability of Physical Activity ...
Generally, this review highlights that effective PC PA interventions showed promising reach with an average participation rate of 43%. Similar ...
Feasibility of scaling-up an evidence-based physical activity ...
Participants in the H4U trials demonstrated clinically meaningful improvements in physical activity and health outcomes.
Effectiveness of physical activity interventions delivered or ...
Physical activity interventions delivered or prompted by health professionals in primary care increased MVPA by 14 min/week (95% confidence ...
Design and implementation of a clinic-to-community, ...
Observational data for program-related changes in body weight, systolic and diastolic blood pressure, as well as patient retention rates and satisfaction from ...
Physical Activity Promotion in a Safety-net Clinic
The purpose of this study aimed to understand health care providers' beliefs and practices about physical activity discussions being a part of patients' ...
Barriers and facilitators on the implementation of physical ...
This study aimed to analyze the scientific evidence on barriers and facilitators perceived by stakeholders on the implementation of PA in PHC.
Implementation strategies, and barriers and facilitators for ...
Inactivity and sedentary lifestyle have led experts to recommend an increase in structured, workplace-based physical activity (PA) initiatives.
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