Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Carroll, Jennifer K. ; Winters, Paul C. ; Sanders, Mechelle R. ; Decker, Francesca ; Ngo, Thanh ; ... More +
Carroll, Jennifer K. ; Winters, Paul C. ; Sanders, Mechelle R. ; Decker, Francesca ; Ngo, Thanh ; Sciamanna, Christopher N. Less -
Description:
Introduction

Limited time and lack of knowledge are barriers to physical activity counseling in primary care. The objective of this study was to examine the effectiveness of a clinician-targeted intervention that used the 5As (Ask, Advise, Agree, Assist, Arrange) approach to physical activity counseling in a medically underserved patient population.

Methods

Family medicine clinicians at 2 community health centers were randomized to Group 1 or Group 2 intervention. Both clinician groups participated in 4 training sessions on the 5As for physical activity counseling; Group 2 training took place 8 months after Group 1 training. Both groups were trained to refer patients to a community exercise program. We used a pre–post analysis to evaluate the effectiveness of the intervention on clinician use of 5As. Eligible patients (n = 319) rated their clinicians’ counseling skills by using a modified Physical Activity Exit Interview (PAEI) survey. Clinicians (n = 10) self-assessed their use of the 5As through a survey and interviews.

Results

Both patient and clinician groups had similar sociodemographic characteristics. The PAEI score for both groups combined increased from 6.9 to 8.6 (on a scale of 0–15) from baseline to immediately postintervention (P = .01) and was 8.2 (P = .09) at 6-month follow-up; most of the improvement in PAEI score was due to increased use of 5As skills by Group 2 clinicians. Group 1 reported difficulty with problem solving, whereas Group 2 reported ease of referral to the community exercise program.

Conclusion

A clinician training intervention showed mixed results for 5As physical activity counseling.


Subjects:
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Adult Aged Body Mass Index Chronic Disease/prevention & Control Chronic Disease/psychology Community Health Centers Directive Counseling Exercise/psychology Female Humans Interviews As Topic Male Middle Aged Outcome And Process Assessment, Health Care Patient-Centered Care Physician-Patient Relations Pilot Projects Primary Health Care Referral And Consultation Self Report Socioeconomic Factors
Source:
Prev Chronic Dis. 11.
Document Type:
Journal Article
Funding:
K07CA126985/CA/NCI NIH HHS/United States
Place as Subject:
New York
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:6403c4f9d6c3c1940e5f7a7819e7318b96ad71dd38ff1563856cc3f8dec322ca
Download URL:
https://stacks.cdc.gov/view/cdc/23490/cdc_23490_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-11-E89.nxml	txt
  	PCD-11-E89s01.gif	gif
  	PCD-11-E89s01.jpg	jpeg

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