Randomized Controlled Trial of Physical Activity Counseling for Older Primary Care Patients

PINTO, B; GOLDSTEIN, M; ASHBA, J; SCIAMANNA, C; JETTE, A

doi:10.1016/j.amepre.2005.06.016

Cited by 146Physical Activity and HealthBehavioral Health and InterventionsHealth Promotion and Cardiovascular Prevention

Randomized Controlled Trial of Physical Activity Counseling for Older Primary Care Patients

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PINTO, B, GOLDSTEIN, M, ASHBA, J, SCIAMANNA, C, JETTE, A·2005·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2005.06.016

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Abstract

Background Regular physical activity reduces the risk for chronic diseases among older adults. Older adults are likely to be seen by primary care clinicians who can play a role in promoting physical activity among their patients.Design In this randomized controlled trial (1998-2003; data analyzed 2004-2005), we compared the effects of brief advice to exercise from a clinician supplemented by telephone-based counseling by health educators (extended advice) to brief advice from a clinician alone (brief advice).Setting/participants A total of 100 primary care patients (63.2% female, 14.7% minority, mean age=68.5 years) participated in the trial.Interventions The extended-advice intervention consisted of clinician advice plus exercise counseling via telephone provided by research staff, and the brief advice condition consisted of clinician advice alone. Both interventions focused on promoting moderate-intensity physical activity.Main outcome measures Self-reported physical activity using the 7-Day Physical Activity Recall instrument and objective activity monitoring using Biotrainers were assessed at baseline, and at 3 and 6 months.Results Participants in the extended-advice arm reported significantly greater participation in moderate-intensity physical activity than the brief-advice group at 3 months (+57.69 minutes vs 12.45 minutes; 3.84 kcal/week vs 0.83 kcal/week) and 6 months (+62.84 minutes vs 16.60 minutes; 4.19 kcal/week vs 1.1 kcal/week). Objective activity monitoring also showed significantly increased physical activity among extended-advice versus brief-advice participants at both time points (+50.79 vs -11.11; +42.39 vs -24.18, respectively).Conclusions These data indicate that clinician advice with follow-up counseling can promote adoption of moderate-intensity physical activity among older, primary care patients.

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Individualized counseling has been delivered effectively by health educators, counselors, physicians, and other healthcare professionals.
“Individualized counseling has been effectively provided by health educators and/or counselors,31,32,125 physicians,95 and/or other healthcare professionals.30”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [125]
Adding telephone counseling by a health educator to clinician advice improved physical activity more than clinician advice alone.
“supplementing clinician advice with telephone counseling by a health educator was more effective in improving levels of PA than clinician advice alone.125”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [125]

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Authors: PINTO, B., GOLDSTEIN, M., ASHBA, J., SCIAMANNA, C., & JETTE, A.
Affiliations: Miriam Hospital (US)
Boston University (US)
Corresponding author: PINTO, B
ORCID: PINTO, B
JETTE, A
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2005-11
Volume: 29
Issue: 4
Pages: 247-255
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2005.06.016
OpenAlex: W2011562266
Cited by: 146
References: 46
Citations by year: 2025: 3 · 2024: 6 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 7 · 2019: 10 · 2018: 2 · 2017: 10 · 2016: 5 · 2015: 5 · 2014: 9 · 2013: 12 · 2012: 14
FWCI: 5.22
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (AG11669, P50AG011669)
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords: physical activity counseling, older adults, primary care, telephone counseling, health educators, brief advice, moderate-intensity exercise, physical activity promotion, objective activity monitoring, self-reported physical activity
MeSH terms: Aged, Demography, Female, Health Promotion, Humans, Male, Motivation, Telephone, Health Behavior, Exercise, Patient Satisfaction, Directive Counseling

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Randomized Controlled Trial of Physical Activity Counseling for Older Primary Care Patients

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