An ecological approach with primary-care counseling to promote physical activity

J Phys Act Health. 2008 Jan;5(1):169-83. doi: 10.1123/jpah.5.1.169.

Abstract

Background: The study examined the effectiveness of primary-care counseling using a 2-pronged intervention to increase physical activity (PA) in a southeastern US city.

Methods: Two hundred thirty-seven patients were randomly assigned to 1 of 3 groups (experimental [counseling and educational map], control group #1 [counseling only], or control #2 [standard care]) to identify PA differences. The experimental group received physician counseling and an educational map highlighting accessible recreational facilities within a 2-mile radius of the health center.

Results: Patients in the experimental group increased their weekly PA in comparison with patients in the controls. Significant differences were observed for patients between groups for PA (F = 7.648, df 3,423, P = .000), PA x visits interaction (F = 5.500, df 3,423, P = .001), and the PA x group interaction (F = 3.068, df 6,848, P = .006).

Conclusions: This approach can perhaps increase the PA levels of underserved adults.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Counseling / methods*
  • Exercise*
  • Female
  • Health Promotion
  • Humans
  • Male
  • Outcome Assessment, Health Care
  • Physician-Patient Relations
  • Primary Health Care*
  • Risk Reduction Behavior
  • Southeastern United States
  • Surveys and Questionnaires