Translating effective clinic-based physical activity interventions into practice.

An increasing number of studies report on the efficacy of physical activity interventions conducted in, or in conjunction with, clinical settings. This article reviews the status of the literature with regard to translation to practice and describes methods that will heighten the likelihood of translation. In general, few physical activity programs have been designed for translation, and the diffusion models underlying most reported programs have relied on an assumption of linear diffusion into practice. However, recent developments are encouraging and examples are provided of programs that utilize relationship or systems approaches to translation.

[1]  Kurt C Stange,et al.  One minute for prevention: the power of leveraging to fulfill the promise of health behavior counseling. , 2002, American journal of preventive medicine.

[2]  R. Grol,et al.  Improving quality of organizing cardiovascular preventive care in general practice by outreach visitors: a randomized controlled trial. , 2002, Preventive medicine.

[3]  M. Chin,et al.  Barriers to providing diabetes care in community health centers. , 2001, Diabetes care.

[4]  R. Glasgow,et al.  Review of primary care-based physical activity intervention studies: effectiveness and implications for practice and future research. , 2000, The Journal of family practice.

[5]  K. Patrick,et al.  Physical Activity and Public Health: A Recommendation From the Centers for Disease Control and Prevention and the American College of Sports Medicine , 1995 .

[6]  Paul A Estabrooks,et al.  Practical Clinical Trials for Translating Research to Practice: Design and Measurement Recommendations , 2005, Medical care.

[7]  A. King,et al.  Activity Counseling Trial (ACT): rationale, design, and methods. Activity Counseling Trial Research Group. , 1998, Medicine and science in sports and exercise.

[8]  Timothy M. Morgan,et al.  Effects of physical activity counseling in primary care: the Activity Counseling Trial: a randomized controlled trial. , 2001, JAMA.

[9]  C. T. Orleans,et al.  Evaluating primary care behavioral counseling interventions: an evidence-based approach. , 2002, American journal of preventive medicine.

[10]  C. Mulrow,et al.  Does Counseling by Clinicians Improve Physical Activity? A Summary of the Evidence for the U.S. Preventive Services Task Force , 2002, Annals of Internal Medicine.

[11]  R. Glasgow,et al.  Physician advice and support for physical activity: results from a national survey. , 2001, American journal of preventive medicine.

[12]  Russell E. Glasgow,et al.  Medical Office‐based Interventions , 2002 .

[13]  Don C Des Jarlais,et al.  Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. , 2004, American journal of public health.

[14]  J. Koval,et al.  Can primary care doctors prescribe exercise to improve fitness? The Step Test Exercise Prescription (STEP) project. , 2003, American journal of preventive medicine.

[15]  A. Bauman,et al.  Environmental and policy interventions to promote physical activity. , 1998, American journal of preventive medicine.

[16]  W. Ambrosius,et al.  Older adults with chronic disease: benefits of group-mediated counseling in the promotion of physically active lifestyles. , 2003, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  A. King,et al.  Participatory research to promote physical activity at congregate-meal sites. , 2005, Journal of aging and physical activity.

[18]  A. Carrón,et al.  Team building in an exercise setting. , 1993 .

[19]  W L Haskell,et al.  Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[20]  S. Bull,et al.  Disseminating effective cancer screening interventions , 2004, Cancer.

[21]  Kerry Mummery,et al.  Physical activity promotion in primary care: bridging the gap between research and practice. , 2004, American journal of preventive medicine.

[22]  A. Dunn,et al.  Lifestyle physical activity interventions. History, short- and long-term effects, and recommendations. , 1998, American journal of preventive medicine.

[23]  R. Glasgow,et al.  Physical activity promotion through primary care. , 2003, JAMA.

[24]  D. Stryer,et al.  Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. , 2003, JAMA.

[25]  B. Marcus,et al.  Physician-based activity counseling: Intervention effects on mediators of motivational readiness for physical activity , 2001, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[26]  B. Swinburn,et al.  The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. , 1998, American journal of public health.

[27]  J. Sallis,et al.  Incorporating physical activity advice into primary care: physician-delivered advice within the activity counseling trial. , 2000, American journal of preventive medicine.

[28]  R S Paffenbarger,et al.  Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. , 1995, JAMA.

[29]  J. Kampert,et al.  Project Active: A Randomized Clinical Trial of Lifestyle and Structured Physical Activity Programs 428 , 1997 .

[30]  E. Zerhouni Translational and clinical science--time for a new vision. , 2005, The New England journal of medicine.

[31]  P. Trumbo,et al.  Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. , 2002, Journal of the American Dietetic Association.

[32]  Lisa M Klesges,et al.  Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. , 2002, American journal of preventive medicine.

[33]  R. Glasgow,et al.  Economic Analysis of the Mediterranean Lifestyle Program for Postmenopausal Women With Diabetes , 2006, The Diabetes educator.

[34]  P. Corso,et al.  The effectiveness of interventions to increase physical activity. A systematic review. , 2002, American journal of preventive medicine.

[35]  Katrina M. Krause,et al.  Primary care: is there enough time for prevention? , 2003, American journal of public health.

[36]  Russell E. Glasgow,et al.  Evaluating the Relevance, Generalization, and Applicability of Research , 2006, Evaluation & the health professions.

[37]  M. Hornbrook,et al.  Creating standard cost measures across integrated health care delivery systems. , 2005, Journal of the National Cancer Institute. Monographs.

[38]  Marsha Dowda,et al.  Results of the first year of active for life: translation of 2 evidence-based physical activity programs for older adults into community settings. , 2006, American journal of public health.

[39]  N. Clark,et al.  Standards of Medical Care in Diabetes: Response to Power , 2006 .

[40]  R. Deyo,et al.  Prompting Primary Providers to Increase Community Exercise Referrals for Older Adults: A Randomized Trial , 2005, Journal of the American Geriatrics Society.

[41]  James F. Sallis,et al.  Physical activity & behavioral medicine , 1999 .

[42]  J F Sallis,et al.  Promoting physical activity in rural communities: walking trail access, use, and effects. , 2000, American journal of preventive medicine.

[43]  Albert V. Carron,et al.  Group Cohesion in Older Adult Exercisers: Prediction and Intervention Effects , 1999, Journal of Behavioral Medicine.

[44]  Pierre-Andre La Chance,et al.  Cost-effectiveness of a hospital-based smoking cessation intervention. , 1998, Medical care.

[45]  P. Nutting,et al.  Competing demands from physical problems: effect on initiating and completing depression care over 6 months. , 2000, Archives of family medicine.

[46]  M. Goldstein,et al.  Multiple behavioral risk factor interventions in primary care. Summary of research evidence. , 2004, American journal of preventive medicine.

[47]  S. Blair,et al.  How much physical activity should we do? The case for moderate amounts and intensities of physical activity. , 1996, Research quarterly for exercise and sport.

[48]  Albert V. Carron,et al.  The Effects of Team Building on the Adherence Patterns of Female Exercise Participants , 1993 .

[49]  E. Rogers Diffusion of Innovations , 1962 .

[50]  D. Berwick Disseminating innovations in health care. , 2003, JAMA.

[51]  Paul A. Estabrooks,et al.  Utilizing a Simple Stimulus Control Strategy to Increase Physician Referrals for Physical Activity Promotion , 2005 .

[52]  A. Zuvekas Health Centers and the Healthcare System , 2005, The Journal of ambulatory care management.

[53]  A. King,et al.  Enhancing physical and psychological functioning in older family caregivers: The role of regular physical activity , 1997, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[54]  W. Rejeski,et al.  Physical activity and quality of life in older adults. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[55]  W. Rejeski,et al.  A group-mediated cognitive-behavioral intervention for increasing adherence to physical activity in older adults. , 2000 .

[56]  A. Manley Physical Activity And Health: A Report Of The Surgeon General , 2004 .

[57]  R S Paffenbarger,et al.  Physical fitness and all-cause mortality. A prospective study of healthy men and women. , 1989, JAMA.

[58]  A. Jette,et al.  Randomized controlled trial of physical activity counseling for older primary care patients. , 2005, American journal of preventive medicine.

[59]  Carol Ewing Garber,et al.  ACSM Position Stand: The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory and Muscular Fitness, and Flexibility in Healthy Adults , 1998 .

[60]  R. Glasgow,et al.  Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. , 2003, American journal of public health.

[61]  L W Green,et al.  From research to "best practices" in other settings and populations. , 2001, American journal of health behavior.

[62]  Peter R. Cavanagh,et al.  Exercise and physical activity for older adults , 1998 .

[63]  R. Conatser,et al.  A Green Prescription Study , 2001, Journal of aging and health.

[64]  J. Torner,et al.  Physical activity and bone measures in young children: the Iowa bone development study. , 2001, Pediatrics.