{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:06:52Z","timestamp":1740146812571,"version":"3.37.3"},"reference-count":44,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T00:00:00Z","timestamp":1652832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG058754"],"award-info":[{"award-number":["K01AG058754"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Physical activity is essential to maintain physical and mental well-being. During the COVID-19 pandemic, in-person physical activity opportunities were limited. This paper describes a telephone-based physical activity support strategy among racially\/ethnically diverse patients during the COVID-19 pandemic. Adult patients at a large, Federally Qualified Health Center with an on-site exercise facility referral were eligible to transition to telephone support with personal fitness advisors during the pandemic stay-at-home orders. Baseline surveys assessed physical activity and environmental characteristics; follow-up phone calls used motivational interviewing and physical activity goal setting strategies. From March 23-July 23, 2020, 72 patients participated in 270 phone calls, or 3.8 (\u00b12.1) calls per participant. Participants were, on average, aged 51.3 (\u00b111.6) years, 87.5% female, 31.9% Hispanic\/Latino, and 47.2% non-Hispanic Black. Patients meeting physical activity guidelines pre-pandemic reported more planned exercise (100.0% vs. 55.3%; p&lt;0.001), exercise days at home (5.0 vs. 1.7; p&lt;0.001), and accomplishment of personal physical activity goals (57.0% vs. 39.7%; p = 0.11) than patients not meeting guidelines pre-pandemic. Patients with a home treadmill participated in twice the rate of calls compared to those without (RR = 2.22; 95%CI:1.35,3.64), but no other home environmental characteristics predicted participation rate. Pre-pandemic physical activity behavior appeared to predict pandemic physical activity and telephone-based physical activity support was effective for maintaining physical activity for some participants. Long term applications of this work will support continuity of clinic-community partnerships for health behavior change and provide a model for patient physical activity support by community health centers without on-site exercise facilities.<\/jats:p>","DOI":"10.1371\/journal.pone.0268429","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T17:34:10Z","timestamp":1652895250000},"page":"e0268429","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Telephone-based support for physical activity: Results and lessons learned during the COVID-19 pandemic"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1474-6781","authenticated-orcid":true,"given":"Kelly R.","family":"Ylitalo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6171-5577","authenticated-orcid":true,"given":"Wendy","family":"Cox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raejone","family":"Lucas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4986-7927","authenticated-orcid":true,"given":"Kelley","family":"Pettee Gabriel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Rafalski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Gill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brock","family":"Niceler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,5,18]]},"reference":[{"issue":"3","key":"pone.0268429.ref001","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.jshs.2018.09.009","article-title":"The compelling link between physical activity and the body\u2019s defense system","volume":"8","author":"DC Nieman","year":"2019","journal-title":"J Sport Health Sci"},{"key":"pone.0268429.ref002","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1186\/1471-2458-13-813","article-title":"Long-term health benefits of physical activity\u2014a systematic review of longitudinal studies","volume":"13","author":"M Reiner","year":"2013","journal-title":"BMC Public Health"},{"key":"pone.0268429.ref003","first-page":"1","article-title":"The scientific foundation for the physical activity guidelines for Americans, 2nd edition","volume":"17","author":"KE Powell","year":"2018","journal-title":"J Phys Act Health"},{"issue":"1","key":"pone.0268429.ref004","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1186\/s12889-020-09429-3","article-title":"Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S","volume":"20","author":"GF Dunton","year":"2020","journal-title":"BMC Public Health"},{"issue":"9","key":"pone.0268429.ref005","doi-asserted-by":"crossref","first-page":"767","DOI":"10.7326\/M20-2665","article-title":"Worldwide Effect of COVID-19 on Physical Activity: A Descriptive Study","volume":"173","author":"GH Tison","year":"2020","journal-title":"Ann Intern Med"},{"key":"pone.0268429.ref006","unstructured":"Armus T. \u2019It\u2019s a lifestyle\u2019: California gyms refuse to close, defying statewide restrictions. 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