Journal article
Promotion of Physical Activity by Health Professionals (PROMOTE-PA): protocol for effectiveness outcomes in a hybrid type I effectiveness-implementation cluster randomised controlled trial
BMJ Nutrition, Prevention & Health, Vol.7(2), pp.259-269
2024
PMID: 39882287
Abstract
Promotion of physical activity by health professionals can increase physical activity participation among patients, however, implementing physical activity promotion within hospital systems is lacking. The Promotion of Physical Activity by Health Professionals (PROMOTE-PA) study is a hybrid type I effectiveness-implementation cluster randomised controlled trial evaluating the effectiveness of support for physical activity promotion by health professionals on physical activity participation of patients. Health professionals delivering outpatient healthcare services within four local health districts and one specialty health network in New South Wales, Australia will be included. The target patient population is children (5-17 years) and adults (18+ years) who are willing to receive additional support to be more physically active. The evidence-based intervention is brief physical activity promotion informed by the '5As' physical activity counselling model and behavioural theory, embedded into routine clinical practice. Our multi-faceted strategy to support implementation of physical activity promotion was developed based on preliminary research and consultation with key stakeholders. The implementation strategy includes education and training as well as a selection of the following (tailored to each clinical team): community referral strategies, experts and clinical mentors, and clinical champions. 30 outpatient clinical teams will be randomised to receive the implementation strategy immediately or after a 3-month delay (waitlist control). Each team will seek to recruit 10-30 patients (n=approx. 720) to report moderate-vigorous physical activity (minutes per week, primary outcome), frequency of balance and strength exercise, mobility, and quality of life at baseline, 3-month and 6-month post patient recruitment. This study aims to address the increasing burden of physical inactivity in a high-risk population using the existing health workforce.
Details
- Title
- Promotion of Physical Activity by Health Professionals (PROMOTE-PA): protocol for effectiveness outcomes in a hybrid type I effectiveness-implementation cluster randomised controlled trial
- Authors
- Jennifer Cartwright - The University of SydneyKate Purcell - The University of SydneyLeanne Hassett - The University of SydneyAnne Tiedemann - The University of SydneyMarina Pinheiro - The University of SydneyRoslyn Savage - The University of SydneyBelinda Wang - The University of SydneyAbby Haynes - The University of SydneyKerry West - The University of SydneyMichael Noetel - The University of QueenslandBethan Richards - The University of SydneyMatthew Jennings - South Western Sydney Local Health DistrictSandeep Gupta - Sydney Local Health DistrictBen J Smith - The University of SydneyDaniel Treacy - South Eastern Sydney Local Health DistrictMark Halliday - Sydney Local Health DistrictLisa A Harvey - The University of SydneyPhilayrath Phongsavan - The University of SydneyKris Rogers - UNSW SydneyKirsten Howard - The University of SydneyAdrian Bauman - The University of SydneyPhil Hamdorf - Australian Sporting Alliance for People with a Disability (Australia)Ayden Shaw - Disability Sports AustraliaJeff Walkley - Belgravia Leisure (Australia)Genevieve M. Dwyer - Western Sydney UniversityChris Lonsdale - Australian Catholic UniversityLindsey Reece - Sydney Health Partners (Australia)Georgina Clutterbuck - The University of QueenslandLorraine Lovitt - Clinical Excellence CommissionDaina L. Sturnieks - UNSW SydneyCatherine Sherrington (Corresponding Author) - The University of Sydney
- Publication details
- BMJ Nutrition, Prevention & Health, Vol.7(2), pp.259-269
- Publisher
- BMJ Group
- Date published
- 2024
- DOI
- 10.1136/bmjnph-2024-000901
- ISSN
- 2516-5542
- PMID
- 39882287
- Copyright note
- This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY- NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non- commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non- commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Data Availability
- No data are available. Not applicable.
- Grants
- Grant note
- MP and CS receive salary from an Australian National Health and Medical Research Council Fellowship. AT is supported by a University of Sydney Robinson Fellowship.
- Organisation Unit
- School of Health - Physiotherapy
- Language
- English
- Record Identifier
- 991266194902621
- Output Type
- Journal article
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