Referral From Primary Health Care Centers to a Physical Activity Program. A Randomized Controlled Trial

NCT ID: NCT00714831

Last Updated: 2008-07-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

424 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-09-30

Study Completion Date

2010-12-31

Brief Summary

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Declining physical activity and the associated rising burden of disease is a major public-health problem and it has long been known that being physically active has positive health effects. The virtual absence of a public health practice infrastructure for the promotion of physical activity at the local level presents a critical challenge to control policy for chronic disease. We aimed to assess the efficacy of a 3-months physical activity program in primary health care to create adherence to physical activity in sedentary individuals.

Detailed Description

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Physical inactivity has emerged as an important risk factor for many chronic diseases. The decline in physical activity is a key public health concern.

Objective. The objective of the study is to assess the effectiveness of a 3-months physical activity programme in the primary healthcare centres (HC), combined with community resources and interdisciplinary work, to create adherence to physical activity in sedentary individuals.

Methods. The design of the study is a randomized controlled trial with a randomized selection of the sample. A total of 424 subjects of both sexes, older than 18 years old, with a low physical activity level (IPAQ), independent, with no medical contraindication to practice physical activity, and coming from 8 different HC, will participate in the study. Each subject will be offered to participate voluntarily in a physical activity programme (24 sessions, twice a week, 60 minutes/session). There will be two groups of 15-20 subjects in each HC (a total of 8 HC), randomizing the subjects of the intervention (GI) and control groups (GC). The study will be divided in two phases, and in each phase there will be 16 groups (8 GC and 8 GI).

In the first and last session different parameters will be assessed in all the subjects (GC and GI): (1) quality of life related to health with SF-12 questionnaire, (2) the attitude towards practicing physical activity with Prochaska stage changes, (3) the physical activity level with the reduced version of the IPAQ, (4) health perception with COOP/WONCA questionnaire, and (5) the social support for physical activity with SSPAS. The welfare pressure to the HC of each participant is also registered, during the 6 months previous and after the programme. Subjects of GI will go through the 24 sessions while subjects of GC will go through a health educational program and will be asked to continue with their everyday activities. After 3, 6 and 12 months of the end of the programme, a pursuit by means of a call will be done (IPAQ, SF-12 and SSPAS). After 6 and 12 months of the end of the programme the same call will be used to assess the Prochaska stages.

Conditions

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Sedentary General Population

Keywords

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Physical activity promotion Primary health care Adherence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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CG

Control Group

Group Type ACTIVE_COMPARATOR

Health educational program

Intervention Type BEHAVIORAL

Health education sessions and stretching sessions

IG

Intervention Group

Group Type EXPERIMENTAL

Physical activity intervention

Intervention Type BEHAVIORAL

3-months physical activity intervention

Interventions

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Physical activity intervention

3-months physical activity intervention

Intervention Type BEHAVIORAL

Health educational program

Health education sessions and stretching sessions

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adults of both gender.
* Low physical activity level assessed with International Physical Activity Questionnaire.
* Able to walk and stand up from a chair unaided.

Exclusion Criteria

* Recommended contradictions to advising physical activity to older adults.
* Presence of unstable angina.
* Uncontrolled congestive heart failure.
* Unstable arrhythmia or heart valvular disease.
* Progressive or debilitating medical conditions.
* Severe hypertension (systolic ≥ 200, or diastolic ≥ 120).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Unitat de Suport a la Recerca, Barcelona, Spain

OTHER

Sponsor Role collaborator

Catalan Society of Family Medicine

OTHER

Sponsor Role collaborator

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

OTHER

Sponsor Role lead

Responsible Party

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Primary Health Care of Barcelona

Principal Investigators

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Carlos Martin, PhD, MD

Role: STUDY_DIRECTOR

Primary Health Care of Barcelona

Locations

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Primary Health Care

Barcelona, , Spain

Site Status

Countries

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Spain

Central Contacts

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Maria Giné-Garriga, MS

Role: CONTACT

Phone: +34 675785983

Email: [email protected]

Carme Martin-Borràs, MS

Role: CONTACT

Phone: +34 932594338

Email: [email protected]

Facility Contacts

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Maria Giné-Garriga, MS

Role: primary

References

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Martin-Borras C, Gine-Garriga M, Puig-Ribera A, Martin C, Sola M, Cuesta-Vargas AI; PPAF Group. A new model of exercise referral scheme in primary care: is the effect on adherence to physical activity sustainable in the long term? A 15-month randomised controlled trial. BMJ Open. 2018 Mar 3;8(3):e017211. doi: 10.1136/bmjopen-2017-017211.

Reference Type DERIVED
PMID: 29502081 (View on PubMed)

Gine-Garriga M, Martin-Borras C, Puig-Ribera A, Martin-Cantera C, Sola M, Cuesta-Vargas A; PPAF Group. The Effect of a Physical Activity Program on the Total Number of Primary Care Visits in Inactive Patients: A 15-Month Randomized Controlled Trial. PLoS One. 2013 Jun 21;8(6):e66392. doi: 10.1371/journal.pone.0066392. Print 2013.

Reference Type DERIVED
PMID: 23805219 (View on PubMed)

Gine-Garriga M, Martin C, Martin C, Puig-Ribera A, Anton JJ, Guiu A, Cascos A, Ramos R. Referral from primary care to a physical activity programme: establishing long-term adherence? A randomized controlled trial. Rationale and study design. BMC Public Health. 2009 Jan 22;9:31. doi: 10.1186/1471-2458-9-31.

Reference Type DERIVED
PMID: 19161605 (View on PubMed)

Other Identifiers

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PI081304

Identifier Type: -

Identifier Source: org_study_id