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
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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}CrossRef
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Scopus | Further Information
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- {"id"=>"830781614607196160", "text"=>"Effect of a Primary Care Walking Intervention with and without Nurse Support on Physical Activity levels in 45-75yr\n\nhttps://t.co/Kw0KnDL9tZ", "created_at"=>"2017-02-12T14:12:26Z", "user"=>"SujeetMD", "user_name"=>"Dr Sujeet Narayan C", "user_profile_image"=>"http://pbs.twimg.com/profile_images/559245310816292865/u3H7iGT3_normal.jpeg"}
- {"id"=>"834498479984488448", "text"=>"Efecto de una intervenci?n de caminar en atenci?n primaria con y sin apoyo de enfermer?a...https://t.co/YFEXGqV5gF\nPMID 28045890", "created_at"=>"2017-02-22T20:21:56Z", "user"=>"RevistaMFSamfyc", "user_name"=>"Revista MFAndalucia", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2159845648/logo_BUENO_RevistaRGB_normal.jpg"}
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- {"id"=>"834499492284096514", "text"=>"RT @RevistaMFSamfyc: Efecto de una intervenci?n de caminar en atenci?n primaria con y sin apoyo de enfermer?a...https://t.co/YFEXGqV5gF\nPM…", "created_at"=>"2017-02-22T20:25:57Z", "user"=>"dracinthiagep", "user_name"=>"Cinthia Escudero", "user_profile_image"=>"http://pbs.twimg.com/profile_images/718200819984777216/76Tu7JX8_normal.jpg"}
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- {"id"=>"848906169490001920", "text"=>"Pedometer prescription can work shame it did not in the PhD trial https://t.co/lpkQrVplbs", "created_at"=>"2017-04-03T14:32:57Z", "user"=>"TomWithers12", "user_name"=>"Tom Withers", "user_profile_image"=>"http://pbs.twimg.com/profile_images/526660880725852160/ltbLI21x_normal.jpeg"}
- {"id"=>"852059569002086400", "text"=>"Pedometer intervention delivered by post with minimal can support physical inactivity \nhttps://t.co/amHtUS0Eie @exerciseworks @LDC_tweets", "created_at"=>"2017-04-12T07:23:26Z", "user"=>"kamleshkhunti", "user_name"=>"Kamlesh Khunti", "user_profile_image"=>"http://pbs.twimg.com/profile_images/510366368366338048/q9ro2bV__normal.jpeg"}
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Counter
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- {"month"=>"2", "year"=>"2017", "pdf_views"=>"105", "xml_views"=>"7", "html_views"=>"2453"}
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- {"month"=>"3", "year"=>"2019", "pdf_views"=>"37", "xml_views"=>"4", "html_views"=>"38"}
- {"month"=>"4", "year"=>"2019", "pdf_views"=>"14", "xml_views"=>"0", "html_views"=>"26"}
- {"month"=>"5", "year"=>"2019", "pdf_views"=>"13", "xml_views"=>"0", "html_views"=>"39"}
- {"month"=>"6", "year"=>"2019", "pdf_views"=>"37", "xml_views"=>"1", "html_views"=>"46"}
- {"month"=>"7", "year"=>"2019", "pdf_views"=>"22", "xml_views"=>"0", "html_views"=>"47"}
- {"month"=>"8", "year"=>"2019", "pdf_views"=>"28", "xml_views"=>"0", "html_views"=>"34"}
- {"month"=>"9", "year"=>"2019", "pdf_views"=>"15", "xml_views"=>"1", "html_views"=>"26"}
- {"month"=>"10", "year"=>"2019", "pdf_views"=>"32", "xml_views"=>"1", "html_views"=>"56"}
- {"month"=>"11", "year"=>"2019", "pdf_views"=>"21", "xml_views"=>"2", "html_views"=>"45"}
- {"month"=>"12", "year"=>"2019", "pdf_views"=>"40", "xml_views"=>"2", "html_views"=>"45"}
- {"month"=>"1", "year"=>"2020", "pdf_views"=>"26", "xml_views"=>"3", "html_views"=>"26"}
- {"month"=>"2", "year"=>"2020", "pdf_views"=>"14", "xml_views"=>"2", "html_views"=>"24"}
- {"month"=>"3", "year"=>"2020", "pdf_views"=>"12", "xml_views"=>"0", "html_views"=>"32"}
- {"month"=>"4", "year"=>"2020", "pdf_views"=>"37", "xml_views"=>"0", "html_views"=>"20"}
- {"month"=>"5", "year"=>"2020", "pdf_views"=>"50", "xml_views"=>"1", "html_views"=>"23"}
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- {"month"=>"9", "year"=>"2020", "pdf_views"=>"36", "xml_views"=>"3", "html_views"=>"67"}
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- {"month"=>"1", "year"=>"2021", "pdf_views"=>"11", "xml_views"=>"0", "html_views"=>"9"}
PMC Usage Stats
- {"unique-ip"=>"6", "full-text"=>"11", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
- {"unique-ip"=>"54", "full-text"=>"64", "pdf"=>"31", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
- {"unique-ip"=>"29", "full-text"=>"26", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
- {"unique-ip"=>"24", "full-text"=>"30", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
- {"unique-ip"=>"14", "full-text"=>"25", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
- {"unique-ip"=>"27", "full-text"=>"27", "pdf"=>"19", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
- {"unique-ip"=>"30", "full-text"=>"36", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
- {"unique-ip"=>"15", "full-text"=>"19", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
- {"unique-ip"=>"33", "full-text"=>"29", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
- {"unique-ip"=>"23", "full-text"=>"18", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"5", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
- {"unique-ip"=>"23", "full-text"=>"22", "pdf"=>"20", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
- {"unique-ip"=>"18", "full-text"=>"29", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
- {"unique-ip"=>"9", "full-text"=>"12", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
- {"unique-ip"=>"18", "full-text"=>"17", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
- {"unique-ip"=>"21", "full-text"=>"22", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
- {"unique-ip"=>"25", "full-text"=>"23", "pdf"=>"11", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
- {"unique-ip"=>"17", "full-text"=>"18", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
- {"unique-ip"=>"10", "full-text"=>"15", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"2", "cited-by"=>"1", "year"=>"2018", "month"=>"6"}
- {"unique-ip"=>"17", "full-text"=>"14", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
- {"unique-ip"=>"14", "full-text"=>"29", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
- {"unique-ip"=>"13", "full-text"=>"16", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"3", "year"=>"2018", "month"=>"9"}
- {"unique-ip"=>"13", "full-text"=>"16", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
- {"unique-ip"=>"29", "full-text"=>"37", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"9", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
- {"unique-ip"=>"19", "full-text"=>"18", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
- {"unique-ip"=>"8", "full-text"=>"7", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
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- {"unique-ip"=>"10", "full-text"=>"13", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
- {"unique-ip"=>"16", "full-text"=>"15", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
- {"unique-ip"=>"10", "full-text"=>"10", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
- {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
- {"unique-ip"=>"8", "full-text"=>"9", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}
- {"unique-ip"=>"15", "full-text"=>"12", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"12"}
- {"unique-ip"=>"17", "full-text"=>"17", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2020", "month"=>"2"}
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- {"unique-ip"=>"23", "full-text"=>"28", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"8", "cited-by"=>"0", "year"=>"2020", "month"=>"5"}
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- {"unique-ip"=>"8", "full-text"=>"10", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"9"}
- {"unique-ip"=>"14", "full-text"=>"12", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"10"}
- {"unique-ip"=>"10", "full-text"=>"4", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"11"}
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