Activity Prescription in Clinical Practice

• self-efficacy[ Time Frame: pre-intervention and 3 and 6 months post-intervention ]
  questionnaire developed for this study, uses a 10 point scale.
• Referring physician- usability of physicians report[ Time Frame: 3 months post-intervention ]
  Physician satisfaction with study reports using questionnaire developed for this study. Several likert scale-based questions to determine satisfaction with different aspects of the report (design, readability, and aspects of usability).
• Change in Aerobic Activity[ Time Frame: 10 days of recording pre and post-intervention (3 and 6 months post) ]
  Change in objectively measured moderate-vigorous activity from ActiGraph accelerometer
• Change in Step counts[ Time Frame: 10 days of recording pre and post-intervention (3 and 6 months post) ]
  Change in objectively measured step counts from ActiGraph accelerometer
• Change in Sedentary behavior[ Time Frame: 10 days of recording pre and post-intervention (3 and 6 months post) ]
  Change in objectively measured sedentary behavior from ActiGraph accelerometer
• Patient experience[ Time Frame: 3 and 6 months post-intervention ]
  patient experience survey designed for this study with the help of patient partners to gather feedback from participants. Feedback will be used in the development of future interventions.
• Quality of Life[ Time Frame: pre-intervention and 3 and 6 months post-intervention ]
  Promis 29- Likert scale based questionnaire that determines quality of life in 7 areas of health with 4 questions in each area.
• Participant cost[ Time Frame: pre-intervention and 3 and 6 months post-intervention ]
  Cost survey questionnaire developed specifically for this study to determine health and personal monetary costs associated with participation in this study.
• Quality of Life[ Time Frame: pre-intervention and 3 and 6 months post-intervention ]
  EQ-VAX- Determines current perception of health on a 0-100 scale.

Most adults do not achieve the US aerobic physical activity (PA) guidelines (≥150 minutes/week of at least moderate intensity PA). Inadequate PA is considered a major risk factor for cardio-metabolic diseases and other poor health outcomes. Recommendations now endorse PA in reducing risk for certain diseases. Unfortunately, low PA levels are seldom identified and treated within clinical practice. This study will build on previous prevention efforts by focusing on the identifying and treating low PA levels in adults clinical care patients and referring them to an intervention that is feasible for delivery through clinical care.

• Behavioral: ActiveGOALs
  13 week, online self-directed intervention. Once weekly sessions are based on social-cognitive theory models of behavior changes. Coaches will provide weekly feedback . Behavior tracking tools will be provided. Links to tools that support physical activity will also be provided.

• Experimental: Immediate Intervention
  Participants will receive the ActiveGOALS 13 week, online self-directed intervention for increasing aerobic physical activity and decreasing time spent sitting. The intervention is based on social-cognitive theory models of behavior changes and utilizes barrier recognition, problem solving, and monitoring of behavior to initiate behavior change. They will also receive weekly feedback from a coach and be provided with online, paper, and wearable tracking devices. They will also be provided with links to tools that support physical activity.
• Other: Wait-listed Control
  This group will receive a monthly newsletter with general health advice during the wait period (3 months). After the three month follow-up visit/ collection of outcomes they will be offered the ActiveGOALS intervention in its entirety.