Evaluation of the "Americans in Motion - Healthy Interventions" Project

Completed · Not applicable

Conditions studied: Physical Activity, Diet, Mental Health

In brief

This research project brings together the American Academy of Family Physicians (AAFP) National Research Network (AAFP-NRN) and the AAFP's public health initiative, Americans In Motion (AIM). This project will develop and evaluate a practice improvement program to improve family physicians' delivery of effective patient-centered behavior change interventions for "fitness" (physical activity, nutrition and emotional well-being). The investigators seek to develop a unique program that positions fitness in a central role as "the treatment of choice" when dealing with issues of prevention and treatment of chronic conditions. In addition, this newly developed program is intended to help shift the paradigm of family physicians' use of common advice-giving methods to more effective patient-centered lifestyle counseling. Ultimately, this program will seek to improve care for all patients through fitness-related physician interventions. Outcomes: This study design will allow the investigators to evaluate whether (and how) dissemination of educational materials impacts patient intervention by first engaging clinicians and staff in their personal use of these materials. This project will also evaluate the effects of the behavioral change tools, as well as, the added impact of new physiologic feedback measures (HOMA-IR and NMR Lipoprotein profiles) on physical activity and diet in study participants. Conclusion: Primary care offices can become more effective settings to help patients improve physical activity, diet and emotional well-being. Demonstrating the value and impact of creating "healthy offices" that endorse and support clinicians, office staff and patients in the use of effective educational materials fits well with the new model of care as part of the AAFP's "Future of Family Medicine" initiatives, which emphasize the importance of lifestyle decisions and supporting successful changes in behaviors within primary care. This project will help define how to accomplish this.

Key facts

Study ID

NCT00534482

Run by

American Academy of Family Physicians

People needed

950

Starts

2007-07-01

Expected to finish

2009-10-01

Last updated by the study team

2011-05-10

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Age 18 or above
• BMI greater than or equal to 30
• Able to participate in moderate physical activity including a 3-minute step test without worsening an existing medical condition
• Life expectancy of greater than one year
• Able to read English or Spanish; and
• Able to be contacted via phone for follow-up with project staff

You may not qualify if…

• Too ill to participate
• A current diagnosis at the index visit of type 2 diabetes, hyperlipidemia, or coronary heart disease
• Doctor's evaluation of patient as not appropriate for physical activity
• Not capable of giving informed consent; and
• Unable to read English or Spanish, including blindness

Where it is running

• American Academy of Family Physicians National Research Network — Leawood, Kansas, United States

Full record on ClinicalTrials.gov

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