Evaluating physical activity prescriptions in rural healthcare clinics
ISPAH ePoster Library. Bocarro J. Oct 15, 2018; 225576
Jason Bocarro
Jason Bocarro
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Abstract
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Abstract BackgroundDespite evidence that health behavior counseling promotes physical activity (PA), it is not widely practiced in clinical settings. While medical providers are interested in providing PA counseling to help patients more effectively manage their chronic diseases they repeatedly cite the same barriers: lack of time, knowledge, and resources.Study PurposeThis study examined medical providers’ engagement with low-income rural patients to develop negotiated, tailored, and achievable prescriptions to realize chronic disease management goals through increased PA levels.MethodsThe study utilizes a web-based app designed for health providers in four Federally Qualified Health Centers in two low income rural counties in North Carolina, USA, to generate tailored PA prescription interventions. Study participants (n=150) with or at risk for diabetes and hypertension were enrolled into a population-based primary care 3-month intervention beginning February 2018. The study assesses how patients’ participation in the intervention impacts their overall PA levels (measured via a Fitbit Flex 2), self-reported weekly participation in prescribed sessions via SMS, and an assessment of the patients’ biometric vitals before and after the intervention period.ResultsFindings from the study will be presented including descriptive and intent-to-treat analysis of pre-post intervention changes in body mass index, systolic and distal blood pressure, glucose measures, PQH9 depression score, daily step count, average active minutes, and self-reported prescription adherence.ConclusionIn contrast to much work that has emphasized generalized physical activity interventions, this research demonstrates the effect of a tailored health behavior intervention.
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