Effect of a Primary Care Walking Intervention with and without Nurse Support on Physical Activity Levels in 45- to 75-Year-Olds: The Pedometer And Consultation Evaluation (PACE-UP) Cluster Randomised Clinical Trial
Publication Date
January 03, 2017
Authors
Tess Harris, Sally M. Kerry, Elizabeth S. Limb, Christina R. Victor, et al
Volume
14
Issue
1
Pages
e1002210
DOI
https://dx.plos.org/10.1371/journal.pmed.1002210
Publisher URL
http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1002210
Scopus
85011003346
Mendeley
http://www.mendeley.com/research/effect-primary-care-walking-intervention-without-nurse-support-physical-activity-levels-45-75yearold
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Mendeley | Further Information

{"title"=>"Effect of a Primary Care Walking Intervention with and without Nurse Support on Physical Activity Levels in 45- to 75-Year-Olds: The Pedometer And Consultation Evaluation (PACE-UP) Cluster Randomised Clinical 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"=>"Elizabeth S.", "last_name"=>"Limb", "scopus_author_id"=>"6602321413"}, {"first_name"=>"Christina R.", "last_name"=>"Victor", "scopus_author_id"=>"21647459300"}, {"first_name"=>"Steve", "last_name"=>"Iliffe", "scopus_author_id"=>"23050302300"}, {"first_name"=>"Michael", "last_name"=>"Ussher", "scopus_author_id"=>"57192110233"}, {"first_name"=>"Peter H.", "last_name"=>"Whincup", "scopus_author_id"=>"7006237290"}, {"first_name"=>"Ulf", "last_name"=>"Ekelund", "scopus_author_id"=>"7004141339"}, {"first_name"=>"Julia", "last_name"=>"Fox-Rushby", "scopus_author_id"=>"7003578733"}, {"first_name"=>"Cheryl", "last_name"=>"Furness", "scopus_author_id"=>"55887868500"}, {"first_name"=>"Nana", "last_name"=>"Anokye", "scopus_author_id"=>"36990301200"}, {"first_name"=>"Judith", "last_name"=>"Ibison", "scopus_author_id"=>"6506297068"}, {"first_name"=>"Steve", "last_name"=>"DeWilde", "scopus_author_id"=>"8625662800"}, {"first_name"=>"Lee", "last_name"=>"David", "scopus_author_id"=>"55541469500"}, {"first_name"=>"Emma", "last_name"=>"Howard", "scopus_author_id"=>"55887023200"}, {"first_name"=>"Rebecca", "last_name"=>"Dale", "scopus_author_id"=>"55948316500"}, {"first_name"=>"Jaime", "last_name"=>"Smith", "scopus_author_id"=>"56538947500"}, {"first_name"=>"Derek G.", "last_name"=>"Cook", "scopus_author_id"=>"7403472903"}], "year"=>2017, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491676", "doi"=>"10.1371/journal.pmed.1002210", "sgr"=>"85011003346", "scopus"=>"2-s2.0-85011003346", "isbn"=>"1549-1277", "pmid"=>"28045890", "pui"=>"614265074"}, "id"=>"8158b0db-d09c-3a53-ab45-4095970a5f50", "abstract"=>"BACKGROUND Pedometers can increase walking and moderate-to-vigorous physical activity (MVPA) levels, but their effectiveness with or without support has not been rigorously evaluated. We assessed the effectiveness of a pedometer-based walking intervention in predominantly inactive adults, delivered by post or through primary care nurse-supported physical activity (PA) consultations. METHODS AND FINDINGS A parallel three-arm cluster randomised trial was randomised by household, with 12-mo follow-up, in seven London, United Kingdom, primary care practices. Eleven thousand fifteen randomly selected patients aged 45-75 y without PA contraindications were invited. Five hundred forty-eight self-reporting achieving PA guidelines were excluded. One thousand twenty-three people from 922 households were randomised between 2012-2013 to one of the following groups: usual care (n = 338); postal pedometer intervention (n = 339); and nurse-supported pedometer intervention (n = 346). Of these, 956 participants (93%) provided outcome data (usual care n = 323, postal n = 312, nurse-supported n = 321). Both intervention groups received pedometers, 12-wk walking programmes, and PA diaries. The nurse group was offered three PA consultations. Primary and main secondary outcomes were changes from baseline to 12 mo in average daily step-counts and time in MVPA (in ≥10-min bouts), respectively, measured objectively by accelerometry. Only statisticians were masked to group. Analysis was by intention-to-treat. Average baseline daily step-count was 7,479 (standard deviation [s.d.] 2,671), and average time in MVPA bouts was 94 (s.d. 102) min/wk. At 12 mo, mean steps/d, with s.d. in parentheses, were as follows: control 7,246 (2,671); postal 8,010 (2,922); and nurse support 8,131 (3,228). PA increased in both intervention groups compared with the control group; additional steps/d were 642 for postal (95% CI 329-955) and 677 for nurse support (95% CI 365-989); additional MVPA in bouts (min/wk) were 33 for postal (95% CI 17-49) and 35 for nurse support (95% CI 19-51). There were no significant differences between the two interventions at 12 mo. The 10% (1,023/10,467) recruitment rate was a study limitation. CONCLUSIONS A primary care pedometer-based walking intervention in predominantly inactive 45- to 75-y-olds increased step-counts by about one-tenth and time in MVPA in bouts by about one-third. Nurse and postal delivery achieved similar 12-mo PA outcomes. A primary care pedometer intervention delivered by post or with minimal support could help address the public health physical inactivity challenge. CLINICAL TRIAL REGISTRATION isrctn.com ISRCTN98538934.", "link"=>"http://www.mendeley.com/research/effect-primary-care-walking-intervention-without-nurse-support-physical-activity-levels-45-75yearold", "reader_count"=>41, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>4, "Librarian"=>2, "Researcher"=>7, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Other"=>3, "Student > Master"=>11, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>4, "Librarian"=>2, "Researcher"=>7, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Other"=>3, "Student > Master"=>11, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>10, "Nursing and Health Professions"=>5, "Medicine and Dentistry"=>13, "Agricultural and Biological Sciences"=>1, "Sports and Recreations"=>6, "Psychology"=>5, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>13}, "Sports and Recreations"=>{"Sports and Recreations"=>6}, "Psychology"=>{"Psychology"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Unspecified"=>{"Unspecified"=>10}}, "group_count"=>5}

Scopus | Further Information

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