Jennifer K. Carroll|Kevin Fiscella|Ronald M. Epstein|Mechelle Sanders|Geoffrey Williams
A 5A's communication intervention to promote physical activity in underserved populations
University of Rochester Medical Center|University of Rochester Medical Center|University of Rochester Medical Center|University of Rochester Medical Center|University of Rochester Medical Center
present study protocol describes trial design clinician training intervention improve physical activity counseling underserved primary care settings using 5as 5as ask advise agree assist arrange clinical tool recommended health behavior counseling primary care study twoarm randomized pilot pragmatic trial examine primary care clinician communication intervention use 5as discussion physical activity audiorecorded office visits ethnically diverse lowincome patient population study setting consists two federally qualified community health centers rochester ny eligible clinicians n15 recruited randomized two groups group 1 clinicians participate training intervention first group 2 clinicians receive intervention six months later intervention outcomes informed selfdetermination theory principles patientcentered communication assessment outcomes blinded primary outcome frequency quality 5as discussions judged evaluating 375 audiorecorded patient visits distributed baseline postintervention period immediately post six months secondary outcomes changes patients perceived competence increase physical activity aim 2 patients clinicians beliefs regarding whether pertinent barriers promoting exercise reduced aim 3 exploratory outcomes aim 4 potential mediators interventions effect whether intervention affects actual enrollment community program recommended exercise analysis use repeated measures form recorded office visits clinician time point aggregate measures groups 1 2 time results help elucidate role 5as communication training clinicians counseling physical activity counseling primary care results explore effectiveness 5as model linked community resources physical activity promotion underserved groups