A Primary Care Nurse-Delivered Walking Intervention in Older Adults: PACE (Pedometer Accelerometer Consultation Evaluation)-Lift Cluster Randomised Controlled Trial
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{"title"=>"A Primary Care Nurse-Delivered Walking Intervention in Older Adults: PACE (Pedometer Accelerometer Consultation Evaluation)-Lift Cluster Randomised Controlled Trial", "type"=>"journal", "authors"=>[{"first_name"=>"Tess", "last_name"=>"Harris", "scopus_author_id"=>"7402722934"}, {"first_name"=>"Sally M.", "last_name"=>"Kerry", "scopus_author_id"=>"7004763334"}, {"first_name"=>"Christina R.", "last_name"=>"Victor", "scopus_author_id"=>"21647459300"}, {"first_name"=>"Ulf", "last_name"=>"Ekelund", "scopus_author_id"=>"7004141339"}, {"first_name"=>"Alison", "last_name"=>"Woodcock", "scopus_author_id"=>"7102066865"}, {"first_name"=>"Steve", "last_name"=>"Iliffe", "scopus_author_id"=>"23050302300"}, {"first_name"=>"Peter H.", "last_name"=>"Whincup", "scopus_author_id"=>"7006237290"}, {"first_name"=>"Carole", "last_name"=>"Beighton", "scopus_author_id"=>"8955433400"}, {"first_name"=>"Michael", "last_name"=>"Ussher", "scopus_author_id"=>"6603960588"}, {"first_name"=>"Elizabeth S.", "last_name"=>"Limb", "scopus_author_id"=>"6602321413"}, {"first_name"=>"Lee", "last_name"=>"David", "scopus_author_id"=>"55541469500"}, {"first_name"=>"Debbie", "last_name"=>"Brewin", "scopus_author_id"=>"55541464200"}, {"first_name"=>"Fredrika", "last_name"=>"Adams", "scopus_author_id"=>"55542327600"}, {"first_name"=>"Annabelle", "last_name"=>"Rogers", "scopus_author_id"=>"55542352200"}, {"first_name"=>"Derek G.", "last_name"=>"Cook", "scopus_author_id"=>"7403472903"}], "year"=>2015, "source"=>"PLoS Medicine", "identifiers"=>{"pui"=>"602901773", "sgr"=>"84924405920", "pmid"=>"25689364", "scopus"=>"2-s2.0-84924405920", "isbn"=>"1549-1277", "doi"=>"10.1371/journal.pmed.1001783", "issn"=>"15491676"}, "id"=>"6ff31e83-8ac2-3c4e-82c3-7e11fd482c20", "abstract"=>"BACKGROUND: Brisk walking in older people can increase step-counts and moderate to vigorous intensity physical activity (MVPA) in ≥10-minute bouts, as advised in World Health Organization guidelines. Previous interventions have reported step-count increases, but not change in objectively measured MVPA in older people. We assessed whether a primary care nurse-delivered complex intervention increased objectively measured step-counts and MVPA.\\n\\nMETHODS AND FINDINGS: A total of 988 60-75 year olds, able to increase walking and randomly selected from three UK family practices, were invited to participate in a parallel two-arm cluster randomised trial; randomisation was by household. Two-hundred-ninety-eight people from 250 households were randomised between 2011 and 2012; 150 individuals to the intervention group, 148 to the usual care control group. Intervention participants received four primary care nurse physical activity (PA) consultations over 3 months, incorporating behaviour change techniques, pedometer step-count and accelerometer PA intensity feedback, and an individual PA diary and plan. Assessors were not blinded to group status, but statistical analyses were conducted blind. The primary outcome was change in accelerometry assessed average daily step-counts between baseline and 3 months, with change at 12 months a secondary outcome. Other secondary outcomes were change from baseline in time in MVPA weekly in ≥10-minute bouts, accelerometer counts, and counts/minute at 3 months and 12 months. Other outcomes were adverse events, anthropometric measures, mood, and pain. Qualitative evaluations of intervention participants and practice nurses assessed the intervention's acceptability. At 3 months, eight participants had withdrawn or were lost to follow-up, 280 (94%) individuals provided primary outcome data. At 3 months changes in both average daily step-counts and weekly MVPA in ≥10-minute bouts were significantly higher in the intervention than control group: by 1,037 (95% CI 513-1,560) steps/day and 63 (95% CI 40-87) minutes/week, respectively. At 12 months corresponding differences were 609 (95% CI 104-1,115) steps/day and 40 (95% CI 17-63) minutes/week. Counts and counts/minute showed similar effects to steps and MVPA. Adverse events, anthropometry, mood, and pain were similar in the two groups. Participants and practice nurses found the intervention acceptable and enjoyable.\\n\\nCONCLUSIONS: The PACE-Lift trial increased both step-counts and objectively measured MVPA in ≥10-minute bouts in 60-75 year olds at 3 and 12 months, with no effect on adverse events. To our knowledge, this is the first trial in this age group to demonstrate objective MVPA increases and highlights the value of individualised support incorporating objective PA assessment in a primary care setting.\\n\\nTRIAL REGISTRATION: Controlled-Trials.com ISRCTN42122561.", "link"=>"http://www.mendeley.com/research/primary-care-nursedelivered-walking-intervention-older-adults-pace-pedometer-accelerometer-consultat", "reader_count"=>100, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Librarian"=>2, "Researcher"=>22, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>24, "Student > Postgraduate"=>3, "Student > Master"=>20, "Other"=>6, "Student > Bachelor"=>10, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Librarian"=>2, "Researcher"=>22, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>24, "Student > Postgraduate"=>3, "Student > Master"=>20, "Other"=>6, "Student > Bachelor"=>10, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Engineering"=>2, "Nursing and Health Professions"=>14, "Medicine and Dentistry"=>33, "Agricultural and Biological Sciences"=>3, "Design"=>2, "Arts and Humanities"=>2, "Sports and Recreations"=>6, "Psychology"=>16, "Social Sciences"=>6, "Computer Science"=>4, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Design"=>{"Design"=>2}, "Engineering"=>{"Engineering"=>2}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>33}, "Social Sciences"=>{"Social Sciences"=>6}, "Sports and Recreations"=>{"Sports and Recreations"=>6}, "Psychology"=>{"Psychology"=>16}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Computer Science"=>{"Computer Science"=>4}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>14}, "Unspecified"=>{"Unspecified"=>11}, "Arts and Humanities"=>{"Arts and Humanities"=>2}}, "reader_count_by_country"=>{"United Kingdom"=>7}, "group_count"=>12}

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  • {"files"=>["https://ndownloader.figshare.com/files/1909128"], "description"=>"<p>PACE-Lift CONSORT diagram.</p>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311133, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_PACE_Lift_CONSORT_diagram_/1311133", "title"=>"PACE-Lift CONSORT diagram.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-02-17 03:31:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1909130"], "description"=>"<p>Treatment effect by subgroup at 3 months.</p>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311135, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Treatment_effect_by_subgroup_at_3_months_/1311135", "title"=>"Treatment effect by subgroup at 3 months.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-02-17 03:31:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1909131"], "description"=>"<p>The PACE-Lift patient handbook and PA diary are available in <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001783#pmed.1001783.s009\" target=\"_blank\">S3</a> and <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001783#pmed.1001783.s010\" target=\"_blank\">S4</a> Texts. Practice nurse training, supervision, support, and methods for ensuring intervention fidelity have been described previously (<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001783#pmed.1001783.s007\" target=\"_blank\">S1 Text</a>) [<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001783#pmed.1001783.ref013\" target=\"_blank\">13</a>].</p><p>Components of the complex intervention for the PACE-Lift trial.</p>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311136, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Components_of_the_complex_intervention_for_the_PACE_Lift_trial_/1311136", "title"=>"Components of the complex intervention for the PACE-Lift trial.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-02-17 03:31:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1909132"], "description"=>"<p><sup>a</sup>National quintiles of Index of Multiple Deprivation rank [<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001783#pmed.1001783.ref021\" target=\"_blank\">21</a>].</p><p><sup>b</sup>Full references for general health, chronic disease score, limiting long-standing illness, self-reported pain, Falls Risk Assessment Tool (FRAT), Geriatric Depression Score (GDS-15), FEAR anxiety score, Townsend Disability Score, Self-Efficacy Score, difficulty in paying bills, are given in the trial protocol [<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001783#pmed.1001783.ref013\" target=\"_blank\">13</a>].</p><p><sup>c</sup>For fat mass, waist circumference, and all accelerometry data, numbers presented are mean (standard deviation [SD]).</p><p>Baseline characteristics of 298 randomised participants.</p>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311137, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_characteristics_of_298_randomised_participants_/1311137", "title"=>"Baseline characteristics of 298 randomised participants.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-02-17 03:31:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1909133"], "description"=>"<p>All accelerometry data are adjusted for day of the week and day order of wearing the accelerometer with participant as a random effect in a multi-level model.</p><p><sup><b>a</b></sup>The treatment effect is the difference between groups (intervention − control) in change from baseline at 3 months and 12 months. The changes at 3 and 12 months are adjusted for baseline measure, practice, age, gender, month of baseline accelerometry, day of the week, and day order of wearing the accelerometer in a multi-level model with household and participant as random effects.</p><p>Treatment effect for primary and secondary outcome measures.</p>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311138, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Treatment_effect_for_primary_and_secondary_outcome_measures_/1311138", "title"=>"Treatment effect for primary and secondary outcome measures.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-02-17 03:31:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1909135"], "description"=>"<p><sup><b>a</b></sup>The treatment effect is the difference between groups (intervention-control) in change from baseline at 3 months and 12 months. The differences at 3 and 12 months are adjusted for baseline measure, practice, age, gender, and month of baseline accelerometry in a multi-level model with household as a random effect.</p><p><sup><b>b</b></sup>Fat mass was missing for six and three participants in the control group and for five and seven participants in the intervention group at baseline and 3 months, respectively.</p><p><sup><b>c</b></sup>Geriatric depression scores, fear anxiety scores, and self-reported pain were missing for varying numbers of participants (maximum 15) at each time-point.</p><p>Other outcome measures.</p>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311140, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.t004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Other_outcome_measures_/1311140", "title"=>"Other outcome measures.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-02-17 03:31:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1909136"], "description"=>"<p>Denominators differ as not all questions were answered by all participants.</p><p>Adverse events.</p>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311141, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.t005"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Adverse_events_/1311141", "title"=>"Adverse events.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-02-17 03:31:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1909146", "https://ndownloader.figshare.com/files/1909147", "https://ndownloader.figshare.com/files/1909148", "https://ndownloader.figshare.com/files/1909149", "https://ndownloader.figshare.com/files/1909150", "https://ndownloader.figshare.com/files/1909151", "https://ndownloader.figshare.com/files/1909152", "https://ndownloader.figshare.com/files/1909153", "https://ndownloader.figshare.com/files/1909154", "https://ndownloader.figshare.com/files/1909155", "https://ndownloader.figshare.com/files/1909156"], "description"=>"<div><p>Background</p><p>Brisk walking in older people can increase step-counts and moderate to vigorous intensity physical activity (MVPA) in ≥10-minute bouts, as advised in World Health Organization guidelines. Previous interventions have reported step-count increases, but not change in objectively measured MVPA in older people. We assessed whether a primary care nurse-delivered complex intervention increased objectively measured step-counts and MVPA.</p><p>Methods and Findings</p><p>A total of 988 60–75 year olds, able to increase walking and randomly selected from three UK family practices, were invited to participate in a parallel two-arm cluster randomised trial; randomisation was by household. Two-hundred-ninety-eight people from 250 households were randomised between 2011 and 2012; 150 individuals to the intervention group, 148 to the usual care control group. Intervention participants received four primary care nurse physical activity (PA) consultations over 3 months, incorporating behaviour change techniques, pedometer step-count and accelerometer PA intensity feedback, and an individual PA diary and plan. Assessors were not blinded to group status, but statistical analyses were conducted blind. The primary outcome was change in accelerometry assessed average daily step-counts between baseline and 3 months, with change at 12 months a secondary outcome. Other secondary outcomes were change from baseline in time in MVPA weekly in ≥10-minute bouts, accelerometer counts, and counts/minute at 3 months and 12 months. Other outcomes were adverse events, anthropometric measures, mood, and pain. Qualitative evaluations of intervention participants and practice nurses assessed the intervention’s acceptability. At 3 months, eight participants had withdrawn or were lost to follow-up, 280 (94%) individuals provided primary outcome data. At 3 months changes in both average daily step-counts and weekly MVPA in ≥10-minute bouts were significantly higher in the intervention than control group: by 1,037 (95% CI 513–1,560) steps/day and 63 (95% CI 40–87) minutes/week, respectively. At 12 months corresponding differences were 609 (95% CI 104–1,115) steps/day and 40 (95% CI 17–63) minutes/week. Counts and counts/minute showed similar effects to steps and MVPA. Adverse events, anthropometry, mood, and pain were similar in the two groups. Participants and practice nurses found the intervention acceptable and enjoyable.</p><p>Conclusions</p><p>The PACE-Lift trial increased both step-counts and objectively measured MVPA in ≥10-minute bouts in 60–75 year olds at 3 and 12 months, with no effect on adverse events. To our knowledge, this is the first trial in this age group to demonstrate objective MVPA increases and highlights the value of individualised support incorporating objective PA assessment in a primary care setting.</p><p>Trial Registration</p><p>Controlled-Trials.com <a href=\"http://www.controlled-trials.com/ISRCTN42122561\" target=\"_blank\">ISRCTN42122561</a></p></div>", "links"=>[], "tags"=>["isrctn", "bout", "objective MVPA increases", "pace", "care control group", "World Health Organization guidelines", "behaviour change techniques", "12 months", "objective PA assessment", "UK family practices", "accelerometer PA intensity feedback", "intervention", "practice nurses", "ci", "3 months", "outcome", "3 months changes"], "article_id"=>1311151, "categories"=>["Biological Sciences"], "users"=>["Tess Harris", "Sally M. Kerry", "Christina R. Victor", "Ulf Ekelund", "Alison Woodcock", "Steve Iliffe", "Peter H. Whincup", "Carole Beighton", "Michael Ussher", "Elizabeth S. Limb", "Lee David", "Debbie Brewin", "Fredrika Adams", "Annabelle Rogers", "Derek G. Cook"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001783.s001", "https://dx.doi.org/10.1371/journal.pmed.1001783.s002", "https://dx.doi.org/10.1371/journal.pmed.1001783.s003", "https://dx.doi.org/10.1371/journal.pmed.1001783.s004", "https://dx.doi.org/10.1371/journal.pmed.1001783.s005", "https://dx.doi.org/10.1371/journal.pmed.1001783.s006", "https://dx.doi.org/10.1371/journal.pmed.1001783.s007", "https://dx.doi.org/10.1371/journal.pmed.1001783.s008", "https://dx.doi.org/10.1371/journal.pmed.1001783.s009", "https://dx.doi.org/10.1371/journal.pmed.1001783.s010", "https://dx.doi.org/10.1371/journal.pmed.1001783.s011"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_A_Primary_Care_Nurse_Delivered_Walking_Intervention_in_Older_Adults_PACE_Pedometer_Accelerometer_Consultation_Evaluation_Lift_Cluster_Randomised_Controlled_Trial_/1311151", "title"=>"A Primary Care Nurse-Delivered Walking Intervention in Older Adults: PACE (Pedometer Accelerometer Consultation Evaluation)-Lift Cluster Randomised Controlled Trial", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-02-17 03:31:12"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"41", "full-text"=>"64", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"13", "full-text"=>"11", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"20", "full-text"=>"15", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"18", "full-text"=>"19", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"12", "full-text"=>"14", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"14", "full-text"=>"13", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"11", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"9", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"14", "full-text"=>"10", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"12", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"15", "full-text"=>"14", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"9", "full-text"=>"8", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"15", "full-text"=>"11", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"15", "full-text"=>"15", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"15", "full-text"=>"17", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"7", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"19", "full-text"=>"24", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"9", "cited-by"=>"2", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"33", "full-text"=>"41", "pdf"=>"13", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"13", "cited-by"=>"1", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"24", "full-text"=>"20", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}

Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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