Implementation Facilitation of Exercise is Medicine Greenville

This study, called "Implementation Facilitation of Exercise is Medicine Greenville" (EIMG), is looking at how to better integrate physical activity into healthcare. It focuses on improving how 35 Prisma Health primary care clinics identify patients with conditions like physical inactivity, high cholesterol (dyslipidemia), obesity, high blood pressure (hypertension), and diabetes, and then refer them to community-based physical activity programs. The study will provide tailored support to these clinics over time. Success will be measured by how well the EIMG program is put into practice at the clinics and how many patients receive referrals. The study is currently unclear about its status and aims to enroll 35 clinics.

Study design: This is a single-arm interventional study focusing on clinic-level implementation. It involves 35 Prisma Health primary care clinics.
What's involved: Not specified in the trial record.
Compensation: Not stated in the trial record.
Follow-up: The primary endpoints will be measured from the start of pre-implementation activities to the end of Wave 4 post-implementation facilitation, with timeframes ranging from 21 to 39 months for different waves.

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Implementation Facilitation of Exercise is Medicine Greenville

Not Yet Recruiting

NAAll AgesInterventionalHealth services

University of South Carolina

~35 participants

Updated 2026-04-02 on ClinicalTrials.gov

What's tested:Clinic Implementation Facilitation

At a glance

Recruiting sites

0 of 1 listed site is recruiting right now

RecruitingSuspended, closed, or not yet open

What they're measuring

Clinic-level differences in implementation of EIMG and reach of patients receiving EIMG referrals pre- and post-implementation facilitation

Measured over From Wave 1 start in pre-implementation facilitation activities to the end of Wave 4 post-implementation facilitation. Time frame for Wave 1 = 39 months, Wave 2 = 33 months, Wave 3 = 27 months, Wave 4 = 21 months.

Conditions

Physical Inactivity

Dyslipidemia

Obesity and Overweight

Hypertension

Diabetes

Health Care Delivery

Patients

Chronic Disease

Exercise

Physical Activity

Implementation Science

Where it's being run

1 sites across 1 states

South Carolina1

Study leadership

Jennifer L Trilk, PhD · PRINCIPAL_INVESTIGATOR · University of South Carolina School of Medicine, Greenville

Who to contact

Jennifer L Trilk, PhD

[email protected]

864-766-2092

Email the study team

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Eligibility criteria

Inclusion

Currently EIMG-activated Prisma Health-Upstate Primary Care clinic (family or internal medicine)

Adopted EIMG \>= 6 months prior to the beginning of this study

At least 18 years of age

Has worked at the Prisma Health-Upstate clinic since the start date of the intervention in the respective wave, i.e., Pre-IF start date for each wave

Has clinical encounters with a minimum of 25 patients per month

Study clinic is their primary clinic (\>50% of their working time)

Able to understand and communicate in English

Age \>= 18 and \<= 80 years

Clinically eligible (diagnosis of hypertension, dyslipidemia, obesity, diabetes, or physical inactivity) to receive an EIMG referral

A healthcare visit with an eligible encounter type (evaluation, telemedicine, consult, office visit, e-visit, follow-up, appointment, education, multidisciplinary visit, nutrition, occupational medicine-office visit)

A healthcare visit at a participating clinic

Received an EIMG referral and scheduled for orientation

Attending orientation at two pre-determined community PA facilities (these sites were selected due to each being the largest urban and rural YMCA referral sites in the study)

Exclusion

Not EIMG-activated

Adopted EIMG \< 6 months prior to the beginning of this study

Greater than 15 miles from the nearest YMCA

Less than 18 years of age

Work at the Prisma Health-Upstate clinic started after the Pre-IF phase began

Has clinical encounters with \<25 patients per month

Unable to speak or understand English

Adults unable to provide consent

Age \< 18 or \> 80 years

Current referral to Physical therapy or occupational therapy

Current referral to cardiac, pulmonary, or oncology rehab

One of the following visit diagnoses listed below:

Alzheimer's disease

Amyotrophic lateral sclerosis

angina or chest pain

congenital stenosis of aortic valve

congenital insufficiency of aortic valve

moderate or severe persistent asthma

typical or atypical atrial flutter

autonomic dysreflexia

acute bronchitis

cerebral infarction

encounter for chemotherapy

chronic kidney disease (stage 3-5)

end stage renal disease

coma

acute chronic obstructive pulmonary disease

unspecified dementia

dependence on renal dialysis

trisomy 21

pulmonary embolism

venous embolism and thrombosis

history of falling

acute fracture

left ventricular failure

congestive heart failure

hypertensive urgency, emergency or crisis

diabetes with ketoacidosis

chronic respiratory failure

dependence on supplemental oxygen

myocardial infarction

osteoporosis with current fracture

encounter for palliative care

paraplegia or quadriplegia

Parkinson disease

pneumonia

encounter for supervision of pregnancy

encounter for radiation therapy

serious mental illness (schizophrenia, psychotic disorder)

homicidal or suicidal ideations

sepsis

injury of spinal cord

presence of coronary stent

dependence on wheelchair or ambulatory aid

Unable to provide verbal informed consent

Planning on travel or vacation during data collection, as patient PA behavior is anticipated to differ from 'everyday' PA behavior at home

Unable to wear a watch during work hours due to employment restrictions e.g., food service, healthcare, operating heavy machinery/construction, laboratory-based work etc.

Unable to provide verbal informed consent

Unable to speak or understand English

\<18 years of age

What this trial measures

Clinic-level differences in implementation of EIMG and reach of patients receiving EIMG referrals pre- and post-implementation facilitationFrom Wave 1 start in pre-implementation facilitation activities to the end of Wave 4 post-implementation facilitation. Time frame for Wave 1 = 39 months, Wave 2 = 33 months, Wave 3 = 27 months, Wave 4 = 21 months.
Reach (primary study outcome measure) will be assessed by estimating the number and proportion of eligible patient visits engaged in EIMG by providers. A patient's visit will be considered 'engaged' if they receive an EIMG referral. The proportion is estimated by dividing patient visits with an EIMG referral by all eligible patient visits. Reach will be calculated by provider and aggregated at the clinic level. Adoption will be assessed at the provider level by determining the number, proportion, and representativeness (i.e., sex, age, specialty) of providers that utilize any EIMG component in their practice compared to peers that do not use EIMG. Implementation will be assessed by determining the extent to which all three steps of EIMG (i.e., assessment, prescription, patient referral) are conducted with each eligible patient at the provider level, aggregated at the clinic level.

Trialytics