The feasibility and RE-AIM evaluation of the TAME health pilot study

摘要

BackgroundConducting 5 A’s counseling in clinic and utilizing technology-based resources are recommended to promote physical activity but little is known about how to implement such an intervention. This investigation aimed to determine the feasibility and acceptability, using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework, of a pragmatic, primary care-based intervention that incorporated 5 A’s counseling and self-control through an activity monitor. MethodsPrimary care patients ( n =?40) 55–74?years of age were recruited and randomized to receive a pedometer or an electronic activity monitor (EAM), Jawbone UP24, to monitor activity for 12?weeks. Participants were also invited to a focus group after completing the intervention. Stakeholders ( n =?36) were recruited to provide feedback. ResultsThe intervention recruitment rate was 24.7%. The attrition rate was 20% with a significantly higher rate for the pedometer group ( p =?0.02). The EAM group increased their minutes of physical activity by 11.1?min/day while the pedometer maintained their activity (0.2?min/day), with no significant group difference. EAM participants liked using their monitor and would continue wearing it while the pedometer group was neutral to these statements ( p ConclusionsOverall, the study was well-received but the results raise a number of considerations. Practitioners, counselors, and researchers should consider the following before implementing a similar intervention: 1) utilize PA counselors, 2) target multiple health behaviors, 3) form a social support group, 4) identify a funding source for sustainability, and 5) be mindful of concerns with technology. Trial registrationclinicaltrials.gov- NCT02554435 . Registered 24 August 2015.