PACE-UP (Pedometer and consultation evaluation - UP) -a pedometer-based walking intervention with and without practice nurse support in primary care patients aged 45-5?years: study protocol for a randomised controlled trial

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• 作者：Tess Harris (13)
  Sally M Kerry (14)
  Christina R Victor (9)
  Sunil M Shah (13)
  Steve Iliffe (10)
  Michael Ussher (13)
  Ulf Ekelund (11) (12)
  Julia Fox-Rushby (13)
  Peter Whincup (13)
  Lee David (14)
  Debbie Brewin (14)
  Judith Ibison (13)
  Stephen DeWilde (13)
  Elizabeth Limb (13)
  Nana Anokye (13)
  Cheryl Furness (13)
  Emma Howard (13)
  Rebecca Dale (13)
  Derek G Cook (13)
  
• 关键词：Accelerometers ; Behaviour change techniques ; Cognitive behavioural ; Middle ; aged adults ; Older people ; Pedometers ; Physical activity ; Postal ; Practice nurse ; Primary care ; Walking intervention
• 刊名：Trials
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：14
• 期：1
• 全文大小：923 KB
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• 作者单位：Tess Harris (13)
  Sally M Kerry (14)
  Christina R Victor (9)
  Sunil M Shah (13)
  Steve Iliffe (10)
  Michael Ussher (13)
  Ulf Ekelund (11) (12)
  Julia Fox-Rushby (13)
  Peter Whincup (13)
  Lee David (14)
  Debbie Brewin (14)
  Judith Ibison (13)
  Stephen DeWilde (13)
  Elizabeth Limb (13)
  Nana Anokye (13)
  Cheryl Furness (13)
  Emma Howard (13)
  Rebecca Dale (13)
  Derek G Cook (13)
  
  13. Health Economics Research Group, Brunel University, London, UB83PH, UK
  14. 10 Minute CBT, Devonshire Business Centre, Letchworth Garden City, Herts, SG61GJ, UK
  9. Gerontology and Health Services Research Unit, Brunel University, London, UB8 3PH, UK
  10. Department of Population Health Sciences, University College, London, NW3 2PF, UK
  11. MRC Epidemiology Unit, University of Cambridge, Cambridge, CB2 OQQ, UK
  12. Department of Sport Medicine, Norwegian School of Sport Sciences, PO Box 4014, 0806, Oslo, Norway
  
• ISSN：1745-6215

文摘

Background Most adults do not achieve the 150?minutes weekly of at least moderate intensity activity recommended for health. Adults-most common physical activity (PA) is walking, light intensity if strolling, moderate if brisker. Pedometers can increase walking; however, most trials have been short-term, have combined pedometer and support effects, and have not reported PA intensity. This trial will investigate whether pedometers, with or without nurse support, can help less active 45-5?year olds to increase their PA over 12?months. Methods/design Design: Primary care-based 3-arm randomized controlled trial with 12-month follow-up and health economic and qualitative evaluations. Participants: Less active 45-5?year olds (n--93) will be recruited by post from six South West London general practices, maximum of two per household and households randomised into three groups. Step-count and time spent at different PA intensities will be assessed for 7?days at baseline, 3 and 12?months by accelerometer. Questionnaires and anthropometric assessments will be completed. Intervention: The pedometer-alone group will be posted a pedometer (Yamax Digi-Walker SW-200), handbook and diary detailing a 12-week pedometer-based walking programme, using targets from their baseline assessment. The pedometer-plus-support group will additionally receive three practice nurse PA consultations. The handbook, diary and consultations include behaviour change techniques (e.g., self-monitoring, goal-setting, relapse prevention planning). The control group will receive usual care. Outcomes: Changes in average daily step-count (primary outcome), time spent sedentary and in at least moderate intensity PA weekly at 12?months, measured by accelerometry. Other outcomes include change in body mass index, body fat, self-reported PA, quality of life, mood and adverse events. Cost-effectiveness will be assessed by the incremental cost of the intervention to the National Health Service and incremental cost per change in step-count and per quality adjusted life year. Qualitative evaluations will explore reasons for trial non-participation and the interventions-acceptability. Discussion The PACE-UP trial will determine the effectiveness and cost-effectiveness of a pedometer-based walking intervention delivered by post or practice nurse to less active primary care patients aged 45-5?years old. Approaches to minimise bias and challenges anticipated in delivery will be discussed. Trial registration ISRCTN98538934