Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/26887
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHarris, Tessen_UK
dc.contributor.authorKerry, Sally Men_UK
dc.contributor.authorLimb, Elizabeth Sen_UK
dc.contributor.authorVictor, Christina Ren_UK
dc.contributor.authorIliffe, Steveen_UK
dc.contributor.authorUssher, Michaelen_UK
dc.contributor.authorWhincup, Peter Hen_UK
dc.contributor.authorEkelund, Ulfen_UK
dc.contributor.authorFox-Rushby, Juliaen_UK
dc.contributor.authorFurness, Cherylen_UK
dc.contributor.authorAnokye, Nanaen_UK
dc.contributor.authorIbison, Judithen_UK
dc.contributor.authorDeWilde, Steveen_UK
dc.contributor.authorDavid, Leeen_UK
dc.contributor.authorHoward, Emmaen_UK
dc.date.accessioned2018-03-28T23:28:38Z-
dc.date.available2018-03-28T23:28:38Z-
dc.date.issued2017-01-03en_UK
dc.identifier.othere1002210en_UK
dc.identifier.urihttp://hdl.handle.net/1893/26887-
dc.description.abstractBackground:  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.en_UK
dc.language.isoenen_UK
dc.publisherPublic Library of Scienceen_UK
dc.relationHarris T, Kerry SM, Limb ES, Victor CR, Iliffe S, Ussher M, Whincup PH, Ekelund U, Fox-Rushby J, Furness C, Anokye N, Ibison J, DeWilde S, David L & Howard E (2017) 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. PLoS Medicine, 14 (1), Art. No.: e1002210. https://doi.org/10.1371/journal.pmed.1002210en_UK
dc.rights© 2017 Harris et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.titleEffect 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 trialen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1371/journal.pmed.1002210en_UK
dc.identifier.pmid28045890en_UK
dc.citation.jtitlePLoS Medicineen_UK
dc.citation.issn1549-1676en_UK
dc.citation.issn1549-1277en_UK
dc.citation.volume14en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderHealth Technology Assessment Programmeen_UK
dc.citation.date03/01/2017en_UK
dc.description.notesAdditional co-authors: Dale R, Smith J, Cook DGen_UK
dc.contributor.affiliationSt George's, University of Londonen_UK
dc.contributor.affiliationQueen Mary, University of Londonen_UK
dc.contributor.affiliationSt George's, University of Londonen_UK
dc.contributor.affiliationBrunel Universityen_UK
dc.contributor.affiliationUniversity College Londonen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationSt George's, University of Londonen_UK
dc.contributor.affiliationUniversity of Cambridgeen_UK
dc.contributor.affiliationBrunel Universityen_UK
dc.contributor.affiliationSt George's, University of Londonen_UK
dc.contributor.affiliationBrunel Universityen_UK
dc.contributor.affiliationSt George's, University of Londonen_UK
dc.contributor.affiliationSt George's, University of Londonen_UK
dc.contributor.affiliationDevonshire Business Centreen_UK
dc.contributor.affiliationSt George's, University of Londonen_UK
dc.identifier.isiWOS:000395719900007en_UK
dc.identifier.scopusid2-s2.0-85011003346en_UK
dc.identifier.wtid499991en_UK
dc.contributor.orcid0000-0002-0995-7955en_UK
dc.date.accepted2016-11-23en_UK
dc.date.filedepositdate2018-03-28en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
journal.pmed.1002210.pdfFulltext - Published Version2.23 MBAdobe PDFView/Open


This item is protected by original copyright



A file in this item is licensed under a Creative Commons License Creative Commons

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.