Promotion of Physical Activity by Health Professionals (PROMOTE-PA): protocol for effectiveness outcomes in a hybrid type I effectiveness-implementation cluster randomised controlled trial

Baldwin, JN; Purcell, K; Hassett, L; Tiedemann, A; Pinheiro, M; Savage, R; Wang, B; Haynes, A; West, K; Noetel, M; Richards, B; Jennings, M; Gupta, S; Smith, BJ; Treacy, D; Halliday, M; Harvey, LA; Phongsavan, P; Rogers, K; Howard, K; Bauman, A; Hamdorf, P; Shaw, A; Walkley, J; Dwyer, G; Lonsdale, C; Reece, L; Clutterbuck, G; Lovitt, L; Sturnieks, D; Sherrington, C

Promotion of Physical Activity by Health Professionals (PROMOTE-PA): protocol for effectiveness outcomes in a hybrid type I effectiveness-implementation cluster randomised controlled trial

Baldwin, JN Purcell, K Hassett, L Tiedemann, A Pinheiro, M Savage, R Wang, B Haynes, A West, K Noetel, M Richards, B Jennings, M Gupta, S Smith, BJ Treacy, D Halliday, M Harvey, LA Phongsavan, P Rogers, K

Howard, K Bauman, A Hamdorf, P Shaw, A Walkley, J Dwyer, G Lonsdale, C Reece, L Clutterbuck, G Lovitt, L Sturnieks, D Sherrington, C

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ Nutrition, Prevention and Health, 2024, pp. e000901
Issue Date:: 2024-01-01

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Field	Value	Language
dc.contributor.author	Baldwin, JN
dc.contributor.author	Purcell, K
dc.contributor.author	Hassett, L
dc.contributor.author	Tiedemann, A
dc.contributor.author	Pinheiro, M
dc.contributor.author	Savage, R
dc.contributor.author	Wang, B
dc.contributor.author	Haynes, A
dc.contributor.author	West, K
dc.contributor.author	Noetel, M
dc.contributor.author	Richards, B
dc.contributor.author	Jennings, M
dc.contributor.author	Gupta, S
dc.contributor.author	Smith, BJ
dc.contributor.author	Treacy, D
dc.contributor.author	Halliday, M
dc.contributor.author	Harvey, LA
dc.contributor.author	Phongsavan, P
dc.contributor.author	Rogers, K https://orcid.org/0000-0001-5497-4298
dc.contributor.author	Howard, K
dc.contributor.author	Bauman, A
dc.contributor.author	Hamdorf, P
dc.contributor.author	Shaw, A
dc.contributor.author	Walkley, J
dc.contributor.author	Dwyer, G
dc.contributor.author	Lonsdale, C
dc.contributor.author	Reece, L
dc.contributor.author	Clutterbuck, G
dc.contributor.author	Lovitt, L
dc.contributor.author	Sturnieks, D
dc.contributor.author	Sherrington, C
dc.date.accessioned	2024-10-11T04:18:27Z
dc.date.available	2024-07-23
dc.date.available	2024-10-11T04:18:27Z
dc.date.issued	2024-01-01
dc.identifier.citation	BMJ Nutrition, Prevention and Health, 2024, pp. e000901
dc.identifier.issn	2516-5542
dc.identifier.issn	2516-5542
dc.identifier.uri	http://hdl.handle.net/10453/181393
dc.description.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.
dc.language	en
dc.publisher	BMJ
dc.relation.ispartof	BMJ Nutrition, Prevention and Health
dc.relation.isbasedon	10.1136/bmjnph-2024-000901
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject.classification	3210 Nutrition and dietetics
dc.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
dc.type	Journal Article
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/INSIGHT: Institute for Innovative Solutions for Well-being and Health
utslib.copyright.status	recently_added	*
dc.date.updated	2024-10-11T04:18:25Z
pubs.publication-status	Published

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.

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http://hdl.handle.net/10453/181393