Exercise CHOICE to Prevent Cancer in Rural Adults

锻炼选择以预防农村成年人的癌症

• 批准号: 6889146
• 负责人: Jill A Bennett
• 金额: $ 7.55万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-24 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6889146
• 关键词: adult human (21+); audiotape; behavior modification; behavioral /social science research tag; cancer prevention; clinical research; clinical trials; counseling; data collection methodology /evaluation; exercise; health behavior; health economics; human subject; interview; longitudinal human study; motivation; outcomes research; rural area; telemedicine

DESCRIPTION (provided by applicant): Though the health hazards of inactivity are generally known, few Americans meet national recommendations for physical activity and rural adults, in particular, are very inactive. CHOICE (Choosing Healthy Options: I Can Exercise) by Phone is an intervention to increase choice-based lifestyle physical activity in underactive adults living in rural communities. The long-term objective of CHOICE by Phone is to develop an efficient, cost-effective program to support increased physical activity, and other health behavior changes, in rural adults across a wide region, using telephone counseling originating from a single location. CHOICE by Phone is innovative because it will be the first physical activity study to rely on counseling sessions conducted solely on the telephone without an initial face-to-face session. Thus, CHOICE by Phone is a practical approach to the challenge of providing expert health behavior counseling to residents of small rural communities where local health clinicians may not have the expertise or time to provide lengthy individualized counseling. The specific aims of the proposed study are to: (1) obtain preliminary evidence for CHOICE by Phone's effects in increasing physical activity in underactive rural adults, and (2) refine implementation and evaluation procedures of CHOICE by Phone, in preparation for a future trial. This randomized, controlled pilot study will enroll 76 rural adults, aged 25 and older, who are currently inactive, but who express an interest in becoming more active. The sample will be drawn from patients at four primary care clinics in rural communities in Oregon. One clinician at each clinic (physicians and nurse practitioners) will be trained in 5-minute brief motivational advice to encourage physical activity and recruit potential participants to this study. Participants will be randomized to one of two groups. CHOICE by Phone group members will receive 6 telephone calls over a 6-month period during which the Physical Activity Counselor will use motivational interviewing strategies to help participants choose their preferred type of activities, set their own goals, and resolve issues that arise. Control group members will receive the same number of telephone calls, but the content will be brief conversation without the motivation strategies that are the core of the CHOICE by Phone intervention. Measurement surveys will be mailed to participants with pre-paid return envelopes. The evidence for CHOICE by Phone's effects on increasing physical activity will be determined by a test of the group by time interaction using a repeated measures analysis of variance.

描述（由申请人提供）： 尽管不活动的健康危害是人们的，但很少有美国人符合国家关于体育锻炼的建议，尤其是农村成年人的建议是非常不活跃的。选择（选择健康的选择：我可以锻炼）是一种干预措施，可在农村社区中增加基于选择的生活方式体育锻炼。通过电话选择的长期目标是开发一个高效，具有成本效益的计划，以支持跨越一个地区的农村成年人的体育锻炼和其他健康行为改变，并使用源自单个位置的电话咨询。通过电话进行选择是创新的，因为这将是首次依靠仅在电话中进行的咨询会议而没有初次面对面会议的咨询会议。因此，通过电话选择是一种实用的方法，要向当地卫生临床医生可能没有专业知识或时间提供冗长的个性化咨询的小型居民提供专家健康行为咨询的挑战。拟议的研究的具体目的是：（1）通过电话在不活动不足的农村成年人的体育锻炼中获得选择的初步证据，以及（2）通过电话进行选择的实施和评估程序，以准备将来的试验做准备。 这项随机，受控的试点研究将招募76名25岁及25岁以上的农村成年人，他们目前不活跃，但对变得更加活跃表示兴趣。该样本将从俄勒冈州农村四个初级保健诊所的患者中获取。每个诊所（医师和护士从业人员）的一名临床医生将接受5分钟的简短咨询培训，以鼓励体育锻炼并招募潜在的参与者参加这项研究。参与者将被随机分为两组之一。电话组成员的选择将在6个月的时间内接到6个电话，在此期间，体育活动辅导员将使用动机访谈策略来帮助参与者选择他们首选的活动类型，设定自己的目标并解决出现的问题。对照组成员将接收相同数量的电话，但是内容将是简短的对话，而没有动机策略，而动机策略是电话干预的核心。测量调查将邮寄给具有预付费回报信封的参与者。通过电话对增加体育锻炼的影响选择的证据将通过使用重复的方差分析来确定小组的测试。