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dc.contributor.authorCunningham, Margareten_UK
dc.contributor.authorSwanson, Vivienen_UK
dc.contributor.authorHoldsworth, Richarden_UK
dc.contributor.authorO'Carroll, Ronanen_UK
dc.description.abstractBackground: The authors previously reported the early results of a trial of a brief psychological intervention to increase physical activity in patients with intermittent claudication. After 4 months, participants in the intervention group walked a mean of 1576 more steps per day than control group participants. The present study followed the original participants to determine whether this behaviour change was maintained over 2 years. Methods: This was a randomized single-centre parallel-group trial. Fifty-eight patients newly diagnosed with intermittent claudication were assigned randomly to one of two groups. The control group (30 patients) received usual care: lifestyle advice and consultation with a vascular surgeon to agree a treatment plan. The treatment group (28) received usual care plus a brief psychological intervention designed to modify illness and walking beliefs, and develop a personalized walking action plan. The primary outcome was daily steps measured by pedometer. Secondary outcomes included revascularization rate, quality of life and perceived pain-free walking distance. Follow-up was conducted at 1 and 2 years. Between-group differences were analysed by analysis of co-variance. Results: Participants in the brief psychological intervention group walked significantly more than those in the control group. The mean difference at 1 year was 1374 (95 per cent confidence interval 528 to 2220) steps per day and the difference at 2 years was 1630 (495 to 2765) steps per day. Conclusion: Modifying illness and walking beliefs, and assisting patients to develop a personalized walking action plan led to increases in walking behaviour in patients with claudication that were maintained for 2 years. Registration number: ISRCTN28051878 (
dc.publisherWiley-Blackwell for British Journal of Surgery Society Ltd.en_UK
dc.relationCunningham M, Swanson V, Holdsworth R & O'Carroll R (2013) Late effects of a brief psychological intervention in patients with intermittent claudication in a randomized clinical trial. British Journal of Surgery, 100 (6), pp. 756-760.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectVascular Surgical Proceduresen_UK
dc.subjectCase Reports.en_UK
dc.titleLate effects of a brief psychological intervention in patients with intermittent claudication in a randomized clinical trialen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Br J Surg 2013 Cunningham-2.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleBritish Journal of Surgeryen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderChief Scientist Officeen_UK
dc.contributor.affiliationNHS Forth Valleyen_UK
dc.relation.funderprojectA randomised controlled trial of a brief psychological intervention to increase the uptake of colorectal cancer screening in Scotlanden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorCunningham, Margaret|0000-0002-5850-9825en_UK
local.rioxx.authorSwanson, Vivien|0000-0002-1685-2991en_UK
local.rioxx.authorHoldsworth, Richard|en_UK
local.rioxx.authorO'Carroll, Ronan|0000-0002-5130-291Xen_UK
local.rioxx.projectCZH/4/793|Chief Scientist Office|
local.rioxx.filenameBr J Surg 2013 Cunningham-2.pdfen_UK
Appears in Collections:Psychology Journal Articles

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