TY - JOUR
T1 - Extending Physician ReACH
T2 - Influencing patient activation and behavior through multichannel physician communication
AU - Ledford, Christy J.W.
AU - Ledford, Christopher C.
AU - Childress, Marc A.
PY - 2013/4
Y1 - 2013/4
N2 - Objective: Despite evidence-based recommendations, physical activity as a self-management technique is underutilized. Many physical activity interventions require significant resources, ranging from repeated phone follow-up with nursing staff to intensive sessions with cooperating physical therapists. This intervention, Extending Physician ReACH (Relationship And Communication in Healthcare), examined physician to patient communication tactics for promoting walking exercise to patients with type 2 diabetes, using limited clinic time and financial resources. Methods: This was a single-site, six-month prospective intervention, which implemented theoretically driven, evidenced-based information factor strategies. Of the 128 volunteers who participated in the initial clinic visit, 67 patients with type 2 diabetes completed the six-month intervention. Results: Significant intervention effects were detected risk perception, social norms, and patient activation. Conclusions: This study was designed to identify information factors that could affect physician success in motivating patients with type 2 diabetes to enact the ADA physical activity recommendations. Practice implications: The success of this intervention models a strategy through which clinicians can reach beyond "one-shot" persuasion without placing onerous time and resource demands on physicians.
AB - Objective: Despite evidence-based recommendations, physical activity as a self-management technique is underutilized. Many physical activity interventions require significant resources, ranging from repeated phone follow-up with nursing staff to intensive sessions with cooperating physical therapists. This intervention, Extending Physician ReACH (Relationship And Communication in Healthcare), examined physician to patient communication tactics for promoting walking exercise to patients with type 2 diabetes, using limited clinic time and financial resources. Methods: This was a single-site, six-month prospective intervention, which implemented theoretically driven, evidenced-based information factor strategies. Of the 128 volunteers who participated in the initial clinic visit, 67 patients with type 2 diabetes completed the six-month intervention. Results: Significant intervention effects were detected risk perception, social norms, and patient activation. Conclusions: This study was designed to identify information factors that could affect physician success in motivating patients with type 2 diabetes to enact the ADA physical activity recommendations. Practice implications: The success of this intervention models a strategy through which clinicians can reach beyond "one-shot" persuasion without placing onerous time and resource demands on physicians.
KW - Patient activation
KW - Patient-physician communication
KW - Physical activity
KW - Primary care
KW - Type 2 diabetes
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U2 - 10.1016/j.pec.2012.11.011
DO - 10.1016/j.pec.2012.11.011
M3 - Article
C2 - 23219484
AN - SCOPUS:84875378370
SN - 0738-3991
VL - 91
SP - 72
EP - 78
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 1
ER -