Trial reportBMC public health2019
A multilevel approach for promoting physical activity in rural communities: a cluster randomized controlled trial.
Trial report in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03683173 (Multilevel Approaches for Promoting Physical Activity in Rural Communities), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled 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.
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.
Multilevel Approaches for Promoting Physical Activity in Rural Communities
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Are people in the bush really physically active? A systematic review and meta-analysis of physical activity and sedentary behaviour in rural Australians populations.Journal of global health · 2020Pooled it
- Cluster randomized multilevel intervention for promoting physical activity in rural communities.Frontiers in public health · 2025Trial
- Objective Measures of Physical Activity in Rural Communities: Factors Associated With a Valid Wear and Lessons Learned.Journal of physical activity & health · 2022Trial
- Cluster Randomized Controlled Trial to Promote Physical Activity Among Low-Resourced Mothers in New York City: Protocol for the Free Time for Wellness Effectiveness Trial.JMIR research protocols · 2026Article
- Qualitative Assessment of Facilitators of and Barriers to Physical Activity Policy, Systems, and Environment Change in Rural West Virginia.Journal of healthy eating and active living · 2026Article
- "Getting in and doing it personally": Engagement strategies for rural school asthma programs.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025Article
- Hoosier Sport Re-Social: a protocol for developing a biopsychosocial body satisfaction intervention in rural Indiana.Pilot and feasibility studies · 2025Article
- Exploring Strategies to Promote Exercise as a Viable Obesity and Chronic Disease Treatment.Nutrients · 2025Review
- Physical Activity Barriers, Facilitators, and Preferences in Rural Adults with Obesity.Current cardiovascular risk reports · 2025Article
- Implementation characteristics that may promote sustainability of a rural physical activity initiative: examination of Play Streets through the lens of community implementers.Implementation science communications · 2024Article
- Human-centered participatory co-design with children and adults for a prototype lifestyle intervention and implementation strategy in a rural middle school.BMC public health · 2024Article
- Parent perspectives on the benefits and risks of child-livestock interactions.Frontiers in public health · 2023Article
- Hoosier Sport: a research protocol for a multilevel physical activity-based intervention in rural Indiana.Frontiers in public health · 2023Article
- Impact of community-driven interventions on dietary and physical activity outcomes among a cohort of adults in a rural Appalachian county in Eastern Kentucky, 2019-2022.Frontiers in public health · 2023Article
- Multilevel correlates of domain-specific physical activity among rural adults - a cross-sectional study.BMC public health · 2022Article
- Differences in Rural Built Environment Perceptions Across Demographic and Social Environment Characteristics.Health promotion practice · 2022Article
- Why some do but too many don't? Barriers and enablers to physical activity in regional Tasmania - an exploratory, mixed-methods study.BMC public health · 2022Article
- Digital Health Promotion and Prevention in Settings: Scoping Review.Journal of medical Internet research · 2022Article
- Rural Latino parent and child physical activity patterns: family environment matters.BMC public health · 2021Article
- Using a Socio-Environmental Approach to Explore the Determinants for Meeting the Recommended Physical Activity among Adults at Risk of Diabetes in Rural Indonesia.Healthcare (Basel, Switzerland) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundPhysical activity (PA) has demonstrated a decreased risk in various cancers and other chronic diseases; however, rural residents are less likely to attain recommended levels of PA compared to urban and suburban counterparts. Given rural residents make up 15% of the United States population, there is a need for novel approaches to increase PA among this population. The goal of the present study is to investigate the effectiveness of a multilevel intervention to increase PA rates among rural residents. METHODS/
designGuided by an ecological framework, a group-randomized design will be used to evaluate the effects of a three-level intervention for increasing PA among adult residents residing in 6 rural communities (n = 600) along with 6 control communities (n = 600). The intervention includes components at the individual (short message service [SMS] text messages), interpersonal (social support in walking groups), and community levels (events at existing trails). Innovative methods to encourage participation will be employed as well as a focus on life priorities (family, recreation, hobbies) other than health. Aim 1 includes a literature review and key informant interviews to determine the local contexts for intervention adaptation. Aim 2 will employ a set of interventions at the individual, interpersonal, and community-levels to evaluate their impact on moderate-to-vigorous PA as measured by self-reported (telephone survey) and objectively assessed (accelerometry) measures. These data are supplemented by location based on Global Positioning System and community audits, which provide information on recreational amenities, programs/policies, and street segments. DISCUSSION: This study is among the first of its kind to test a multilevel intervention in a rural setting, address life priorities that compliment health outcomes, and examine moderation between behavioral interventions and the natural environments where people are physically active. Our results will influence the field by enhancing the ability to scale-up innovative, PA interventions with the potential to reach high-risk, rural populations.
trial registrationClinical Trials NCT03683173 , September 25, 2018.
Indexed as
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What OpenQuestion holds
Registered trials
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.