Guided Physical Activity Counseling: A Pilot Study

The purpose of this study is to pilot test the use of physical activity summary reports and counseling guides for healthcare providers based on continuous objective activity data from wearable fitness trackers, and to test the potential effectiveness and usability of the system in counseling patients. The proposed strategy will leverage existing technologies while addressing barriers to incorporating them into clinical care, and will have high potential for broad reach, low-cost implementation across clinical settings.

• Physical Activity Counseling Tool (PACT) (Behavioral): PACT aims to use Fitbit data to support patient-provider discussions, goal setting, and increased physical activity for prevention.

Primary outcomes

• Participant Enrollment (Persons) [1 year]: Enrolling 40 UCSD patients to assess feasibility in recruiting patients and provider use of the PACE tool.
• Patient After-Visit Questionnaire [6 weeks]: A questionnaire for patients following their provider visit to evaluate the extent to which the physical activity counseling tool was utilized and how satisfied patients were with the discussion.
• Provider Satisfaction Survey [1 year]: A questionnaire measuring the provider's satisfaction with the physical activity counseling tool, including its ease of use and perceived effectiveness/usefulness at guiding a physical activity counseling discussion with patients.
• Weekly MVPA minutes [3 months]: Measuring patients' change in MVPA minutes using Fitbit activity tracker

Sex: All, ages: 18 Years to 80 Years

Inclusion Criteria:

Providers will be eligible if they:

-currently work for UC San Diego Health

Patients will be eligible if:

* they are receiving care from one of the enrolled providers;
* their enrolled provider thinks they can engage in unsupervised physical activity; -they are engaging in <150 minutes/week of moderate intensity exercise;
* they are between 18 and 80 years old;
* they have a smartphone or tablet compatible with the Fitbit app

Exclusion Criteria:

Providers will be excluded if they:

-are planning to leave UCSD in the next 12 months

Patients will be excluded if they:

* have any condition that would contraindicate unsupervised exercise as determined by their provider
* plan to change healthcare providers within the next 2 months
* have a planned surgery or procedure that could impact mobility within the next 3 months;
* are pregnant