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Published on: March 7, 2019
Increasing physical activity in rural Pennsylvanians: The PA moves trial study protocol for a cluster randomized
Sara M West1, M Renee Umstattd Meyer2, Charity Patterson3
1Division of Hematology Oncology, School of Medicine, UPMC Hillman Cancer Center, University of Pittsburgh, The Assembly, 5051 Centre Ave, Suite 5000, Pittsburgh, PA 15213, USA.
Contemporary Clinical Trials
|May 14, 2026
Summary
Rural adults face higher cancer risks due to lower physical activity (PA). This trial combines primary care provider (PCP) counseling with telephone coaching to boost PA and reduce cancer risk in rural populations.
Area of Science:
- Public Health
- Preventive Medicine
- Rural Health Disparities
Background:
- Rural populations experience higher cancer incidence rates compared to urban counterparts.
- Lower physical activity (PA) levels in rural residents contribute to increased cancer risk.
- Primary care providers (PCPs) are effective in promoting PA.
Purpose of the Study:
- To evaluate a multilevel intervention combining PCP PA counseling and telephone coaching for rural adults.
- To increase physical activity (PA) levels and reduce cancer risk in rural communities.
- To address health disparities in rural populations through increased PA.
Main Methods:
- Cluster randomized controlled trial involving 800-880 patients across 17 clinics.
- Intervention groups receive immediate or delayed PA promotion strategies.
- PCPs trained via Project Extension for Community Healthcare Outcomes; patients receive telephone coaching from MoveLine.
Main Results:
- Trial NCT05319821 and NCT05227105 registered.
- Implementation evaluation includes annual rapid assessment and qualitative interviews.
- Assessment of community PA environments using rural-specific methods.
Conclusions:
- The PA Moves trial is a multilevel randomized trial.
- The study aims to reduce cancer risk by intervening on physical activity.
- Addresses rural health disparities through a novel intervention approach.
