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Active, Not Recruiting

NCT Number: NCT05319821

PA Moves Trial - PCP Participants

The purpose of this voluntary research study is to determine the impact of an ECHO intervention on the likelihood that rural primary care providers (PCP) will refer their physically inactive patients to be more active.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States

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About this study

People living in rural areas are diagnosed and die from cancer at higher rates than people living in cities. Physical activity has been shown to decrease the risk and occurrence of a variety of cancers, including bladder, breast, colon, endometrial, gastric, kidney, and prostate cancers. Being inactive can cause over 10% of breast and colon cancer cases.

Compared to people living in cities, people living in rural areas tend to be less physically active. They're also more likely to be overweight/obese or have diabetes. Adults who are overweight, obese, or diabetic often have changes in the way their bodies deal with insulin, glucose metabolism, and inflammation. Physical activity is thought to reduce the risk of cancer by improving these issues over time.

PCPs and their staff can identify a patient's need for more physical activity, but may not have the time or resources to give advice or assistance. We have set up a telephone-based physical activity coaching program, called the MoveLine, to give inactive patients advice and assistance in becoming more physically active.

The purpose of this study is to determine if an ECHO intervention will impact the likelihood that PCPs will refer patients to the MoveLine for physical activity coaching.

Approximately 32-48 providers will take part in this research study.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Primary care providers or adjunct faculty from Primary Health Network (PHN) or UPMC clinics serving rural populations
  • Must be able to provide and understand informed consent

Exclusion criteria

  • Primary care providers or adjunct faculty NOT from PHN or UPMC clinics

Treatment and study plan

Receive ECHO training

Behavioral

Active Intervention

Offered ECHO training in year 5

Behavioral

Delayed Intervention

Primary outcomes

  1. Likelihood of patient referral

    Time frame: Through study completion, an average of 5 years

    Percentage of participating primary care providers referring their patients to a community-level, telephone-based physical activity counseling service assessed through the EMR of their participating patients

Secondary outcomes

  1. PAQ-M

    Time frame: Baseline intervention group vs. Baseline delayed intervention group

    The 11-question Morgenstern Physical Activity Questionnaire (PAQ-M) is a self-report of physical activity resulting from recreational activities, exercises, home or work activities, and chores.

  2. Estimated average metabolic equivalents expended daily

    Time frame: 1 week at baseline

    Daily metabolic equivalents collected using an accelerometer from Actigraph

  3. Estimated metabolic equivalents expended weekly

    Time frame: 1 week at baseline

    Weekly metabolic equivalents collected using an accelerometer from Actigraph, expressed in hours/week

  4. Time in Sleep

    Time frame: 1 week at baseline

    Weekly time in sleep collected using an accelerometer from Actigraph

  5. Sedentary Time

    Time frame: 1 week at baseline

    Weekly sedentary time collected using an accelerometer from Actigraph

  6. Low physical activity

    Time frame: 1 week at baseline

    Weekly low physical activity collected using an accelerometer from Actigraph

  7. Moderate physical activity

    Time frame: 1 week at baseline

    Weekly moderate physical activity collected using an accelerometer from Actigraph

  8. Vigorous physical activity

    Time frame: 1 week at baseline

    Weekly vigorous physical activity collected using an accelerometer from Actigraph

Sponsors and collaborators

Lead sponsor

University of Pittsburgh

Other

Collaborators

  • National Cancer Institute (NCI)

Registry information

Official study title

Increasing Physical Activity in Rural Pennsylvanians: PCP Participants

Important dates

Study start
2022
Primary completion
2028
Study completion
2028
First posted
Apr 8, 2022
Registry last updated
Mar 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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