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Research ArticleOriginal Research

Use of the Americans in Motion-Healthy Intervention (AIM-HI) to Create a Culture of Fitness in Family Practice

Jamie Erskine, Angela Lanigan, Caroline B. Emsermann, Brian K. Manning, Elizabeth W. Staton and Wilson D. Pace
The Journal of the American Board of Family Medicine September 2012, 25 (5) 694-700; DOI: https://doi.org/10.3122/jabfm.2012.05.110071
Jamie Erskine
From the Nutrition and Dietetics Program, University of Northern Colorado, Greenley, (JE); the American Academy of Family Physicians (AAFP) National Research Network, Leawood, KS (AL, BKM, EWS, WDP); and the Department of Family Medicine, University of Colorado School of Medicine, Aurora, (CBE).
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Angela Lanigan
From the Nutrition and Dietetics Program, University of Northern Colorado, Greenley, (JE); the American Academy of Family Physicians (AAFP) National Research Network, Leawood, KS (AL, BKM, EWS, WDP); and the Department of Family Medicine, University of Colorado School of Medicine, Aurora, (CBE).
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Caroline B. Emsermann
From the Nutrition and Dietetics Program, University of Northern Colorado, Greenley, (JE); the American Academy of Family Physicians (AAFP) National Research Network, Leawood, KS (AL, BKM, EWS, WDP); and the Department of Family Medicine, University of Colorado School of Medicine, Aurora, (CBE).
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Brian K. Manning
From the Nutrition and Dietetics Program, University of Northern Colorado, Greenley, (JE); the American Academy of Family Physicians (AAFP) National Research Network, Leawood, KS (AL, BKM, EWS, WDP); and the Department of Family Medicine, University of Colorado School of Medicine, Aurora, (CBE).
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Elizabeth W. Staton
From the Nutrition and Dietetics Program, University of Northern Colorado, Greenley, (JE); the American Academy of Family Physicians (AAFP) National Research Network, Leawood, KS (AL, BKM, EWS, WDP); and the Department of Family Medicine, University of Colorado School of Medicine, Aurora, (CBE).
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Wilson D. Pace
From the Nutrition and Dietetics Program, University of Northern Colorado, Greenley, (JE); the American Academy of Family Physicians (AAFP) National Research Network, Leawood, KS (AL, BKM, EWS, WDP); and the Department of Family Medicine, University of Colorado School of Medicine, Aurora, (CBE).
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    Figure 1.

    Timeline of clinician/staff activities.

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    Table 1. One Degree of Freedom Hypotheses: Enhanced versus Traditional Offices
    Survey Outcome by InterventionBaseline4 MonthsP14 MonthsP
    IPAQ*
        Traditional1365 ± 6.77880 ± 6.69.0171165 ± 7.22.364
        Enhanced1601 ± 4.641087 ± 3.99.002†988 ± 4.58<.001†
    PrimeScreen
        Traditional−0.01 ± 0.05−0.01 ± 0.06.927−0.01 ± 0.06.849
        Enhanced0.02 ± 0.050.08 ± 0.05.0180.02 ± 0.05.969
    TSRQ: Healthy Eating
        Traditional3.27 ± 0.153.49 ± 0.17.1593.30 ± 0.18.889
        Enhanced3.00 ± 0.123.26 ± 0.13.013†3.09 ± 0.14.407
    TSRQ: Physical Activity
        Traditional3.44 ± 0.163.56 ± 0.18.4533.41 ± 0.19.878
        Enhanced3.19 ± 0.123.43 ± 0.14.0403.25 ± 0.15.662
    Stages of Change
        Traditional1.98 ± 0.102.00 ± 0.12.8301.86 ± 0.12.190
        Enhanced2.11 ± 0.091.92 ± 0.10.003†2.04 ± 0.10.365
    PCS
        Traditional4.04 ± 0.093.99 ± 0.11.6884.00 ± 0.12.764
        Enhanced3.81 ± 0.073.88 ± 0.08.3813.75 ± 0.09.540
    • Values provided as mean ± SE.

    • ↵* Transformed to original units.

    • ↵† Significant at P ≤ 0.01.

    • IPAQ, International Physical Activity Questionnaire–Short Form; PCS, Perceived Competence Scales; TSRQ, Treatment Self-Regulation Questionnaire.

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    Table 2. One Degree of Freedom Hypotheses: Clinicians versus Staff
    Survey Outcome by GroupBaseline (mean ± SE)4 Month (mean ± SE)P14 Month (mean ± SE)P
    IPAQ*
        Staff1602 ± 9.05787 ± 6.64.001†962 ± 7.58.012†
        Clinician1473 ± 4.021157 ± 3.81.0451130 ± 4.34.043
    PrimeScreen
        Staff−0.12 ± 0.05−0.05 ± 0.05.069−0.08 ± 0.05.366
        Clinician0.08 ± 0.040.10 ± 0.04.4690.06 ± 0.04.568
    TSRQ: Health Eating
        Staff3.11 ± 0.163.26 ± 0.18.3493.13 ± 0.19.916
        Clinician3.19 ± 0.133.52 ± 0.14.005†3.31 ± 0.15.354
    TSRQ: Physical Activity
        Staff3.35 ± 0.173.36 ± 0.19.9383.36 ± 0.19.939
        Clinician3.40 ± 0.133.67 ± 0.14.0223.43 ± 0.15.826
    Stages of Change
        Staff2.26 ± 0.092.05 ± 0.11.0212.01 ± 0.11.010†
        Clinician1.94 ± 0.081.87 ± 0.09.2871.93 ± 0.09.791
    PCS
        Staff3.75 ± 0.103.85 ± 0.11.4233.75 ± 0.12.973
        Clinician4.00 ± 0.084.00 ± 0.09.9263.94 ± 0.09.568
    • ↵* Transformed to original units.

    • ↵† Significant at P ≤ 0.01.

    • IPAQ, International Physical Activity Questionnaire–Short Form; PCS, Perceived Competence Scales; TSRQ, Treatment Self-Regulation Questionnaire.

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The Journal of the American Board of Family     Medicine: 25 (5)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 5
September-October 2012
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Use of the Americans in Motion-Healthy Intervention (AIM-HI) to Create a Culture of Fitness in Family Practice
Jamie Erskine, Angela Lanigan, Caroline B. Emsermann, Brian K. Manning, Elizabeth W. Staton, Wilson D. Pace
The Journal of the American Board of Family Medicine Sep 2012, 25 (5) 694-700; DOI: 10.3122/jabfm.2012.05.110071

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Use of the Americans in Motion-Healthy Intervention (AIM-HI) to Create a Culture of Fitness in Family Practice
Jamie Erskine, Angela Lanigan, Caroline B. Emsermann, Brian K. Manning, Elizabeth W. Staton, Wilson D. Pace
The Journal of the American Board of Family Medicine Sep 2012, 25 (5) 694-700; DOI: 10.3122/jabfm.2012.05.110071
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