Evidence map›Paper›PMID 24874781›Full record

Trial reportPreventing chronic disease2014

Clinician-targeted intervention and patient-reported counseling on physical activity.

Jennifer K Carroll, Paul C Winters, Mechelle R Sanders, Francesca Decker, Thanh Ngo, Christopher N Sciamanna

Open access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics.Archives of rehabilitation research and clinical translation · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jennifer K CarrollUniversity of Rochester Medical Center, Department of Family Medicine, Family Medicine Research Programs, 1381 South Ave, Rochester, NY 14620. E-mail: Jennifer_carroll@urmc.rochester.edu.
Paul C WintersUniversity of Rochester, Rochester, New York.
Mechelle R SandersUniversity of Rochester, Rochester, New York.
Francesca DeckerUniversity of Rochester, Rochester, New York.
Thanh NgoUniversity of Rochester, Rochester, New York.
Christopher N SciamannaPenn State College of Medicine, Hershey, Pennsylvania.
University of Rochester · USPenn State Milton S. Hershey Medical Center · USUniversity of Rochester Medical Center · US

Funding

A Communication Intervention for Physical Activity in Underserved CommunitiesK07CA126985 · NCI · UNIVERSITY OF ROCHESTER · PI CARROLL, JENNIFER KATE · 2008 to 2012
$768k
NCI NIH HHS K07 CA126985NCI NIH HHS K07CA126985
6 · The paper itself

Abstract

introductionLimited 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.

methodsFamily 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.

resultsBoth 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.

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

Indexed as

Self ReportAdultAgedBody Mass IndexChronic DiseaseCommunity Health CentersDirective CounselingExerciseFemaleHumansInterviews as TopicMaleMiddle AgedNew YorkOutcome and Process Assessment, Health CarePatient-Centered Care

Identifiers

PMID24874781
PMCPMC4040142
OpenAlexW2063029310

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.