Implementing the physical activity vital sign in an academic preventive cardiology clinic
The aims were to implement physical activity (PA) screening as part of the electronic kiosk check-in process in an adult preventive cardiology clinic and assess factors related to patients’ self-reported PA. The 3-question physical activity vital sign (PAVS) was embedded in the Epic electronic medic...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552100125X |
| _version_ | 1818438135703404544 |
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| author | Margaret M. McCarthy Jason Fletcher Sean Heffron Adam Szerencsy Devin Mann Allison Vorderstrasse |
| author_facet | Margaret M. McCarthy Jason Fletcher Sean Heffron Adam Szerencsy Devin Mann Allison Vorderstrasse |
| author_sort | Margaret M. McCarthy |
| collection | DOAJ |
| description | The aims were to implement physical activity (PA) screening as part of the electronic kiosk check-in process in an adult preventive cardiology clinic and assess factors related to patients’ self-reported PA. The 3-question physical activity vital sign (PAVS) was embedded in the Epic electronic medical record and included how many days, minutes and intensity (light, moderate, vigorous) of PA patients conducted on average. This is a data analysis of PAVS data over a 60-day period. We conducted multivariable logistic regression to identify factors associated with not meeting current PA recommendations. Over 60 days, a total of 1322 patients checked into the clinic using the kiosk and 72% (n = 951) completed the PAVS at the kiosk. The majority of those patients were male (58%) and White (71%) with a mean age of 64 ± 15 years. Of the 951 patients completing the PAVS, 10% reported no PA, 55% reported some PA, and 35% reported achieving at least 150 min moderate or 75 min vigorous PA/week. In the logistic model, females (AOR = 1.4, 95%CI: 1.002–1.8, p = .049) vs. males, being Black (AOR = 2.0, 95%CI: 1.04–3.7, p = .038) or ‘Other’ race (AOR = 1.5, 95%CI: 1.02–2.3, p = .035) vs. White, unknown or other types of relationships (AOR = 0.0.26, 95%CI: 0.10–0.68, p = .006) vs. being married/partnered, and those who were retired (AOR = 1.9, 95% CI: 1.4–2.8, p < .001) or unemployed (AOR = 2.2, 95%CI: 1.3–3.7, p = .002) vs. full-time workers were associated with not achieving recommended levels of PA.The PAVS is a feasible electronic tool for quickly assessing PA and may prompt providers to counsel on this CVD risk factor. |
| first_indexed | 2024-12-14T17:35:45Z |
| format | Article |
| id | doaj.art-68d4ea9a6d7940adb4c44b71e58a97ae |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-14T17:35:45Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-68d4ea9a6d7940adb4c44b71e58a97ae2022-12-21T22:53:00ZengElsevierPreventive Medicine Reports2211-33552021-09-0123101435Implementing the physical activity vital sign in an academic preventive cardiology clinicMargaret M. McCarthy0Jason Fletcher1Sean Heffron2Adam Szerencsy3Devin Mann4Allison Vorderstrasse5NYU Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, United States; Corresponding author at: Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, United States.NYU Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, United StatesNYU Langone Health, 550 First Avenue, New York, NY 10016, United StatesNYU Langone Health, 550 First Avenue, New York, NY 10016, United StatesNYU Langone Health, 550 First Avenue, New York, NY 10016, United StatesUniversity of Massachusetts, Amherst, Amherst, MA 01003, United StatesThe aims were to implement physical activity (PA) screening as part of the electronic kiosk check-in process in an adult preventive cardiology clinic and assess factors related to patients’ self-reported PA. The 3-question physical activity vital sign (PAVS) was embedded in the Epic electronic medical record and included how many days, minutes and intensity (light, moderate, vigorous) of PA patients conducted on average. This is a data analysis of PAVS data over a 60-day period. We conducted multivariable logistic regression to identify factors associated with not meeting current PA recommendations. Over 60 days, a total of 1322 patients checked into the clinic using the kiosk and 72% (n = 951) completed the PAVS at the kiosk. The majority of those patients were male (58%) and White (71%) with a mean age of 64 ± 15 years. Of the 951 patients completing the PAVS, 10% reported no PA, 55% reported some PA, and 35% reported achieving at least 150 min moderate or 75 min vigorous PA/week. In the logistic model, females (AOR = 1.4, 95%CI: 1.002–1.8, p = .049) vs. males, being Black (AOR = 2.0, 95%CI: 1.04–3.7, p = .038) or ‘Other’ race (AOR = 1.5, 95%CI: 1.02–2.3, p = .035) vs. White, unknown or other types of relationships (AOR = 0.0.26, 95%CI: 0.10–0.68, p = .006) vs. being married/partnered, and those who were retired (AOR = 1.9, 95% CI: 1.4–2.8, p < .001) or unemployed (AOR = 2.2, 95%CI: 1.3–3.7, p = .002) vs. full-time workers were associated with not achieving recommended levels of PA.The PAVS is a feasible electronic tool for quickly assessing PA and may prompt providers to counsel on this CVD risk factor.http://www.sciencedirect.com/science/article/pii/S221133552100125XPhysical activity vital signAdultsCardiovascular diseasePrevention |
| spellingShingle | Margaret M. McCarthy Jason Fletcher Sean Heffron Adam Szerencsy Devin Mann Allison Vorderstrasse Implementing the physical activity vital sign in an academic preventive cardiology clinic Preventive Medicine Reports Physical activity vital sign Adults Cardiovascular disease Prevention |
| title | Implementing the physical activity vital sign in an academic preventive cardiology clinic |
| title_full | Implementing the physical activity vital sign in an academic preventive cardiology clinic |
| title_fullStr | Implementing the physical activity vital sign in an academic preventive cardiology clinic |
| title_full_unstemmed | Implementing the physical activity vital sign in an academic preventive cardiology clinic |
| title_short | Implementing the physical activity vital sign in an academic preventive cardiology clinic |
| title_sort | implementing the physical activity vital sign in an academic preventive cardiology clinic |
| topic | Physical activity vital sign Adults Cardiovascular disease Prevention |
| url | http://www.sciencedirect.com/science/article/pii/S221133552100125X |
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