• Family practice · Dec 2012

    Randomized Controlled Trial

    Increasing older adults' walking through primary care: results of a pilot randomized controlled trial.

    • Nanette Mutrie, Orla Doolin, Claire F Fitzsimons, P Margaret Grant, Malcolm Granat, Madeleine Grealy, Hazel Macdonald, Freya MacMillan, Alex McConnachie, David A Rowe, Rebecca Shaw, and Dawn A Skelton.
    • School of Psychological Sciences and Health, University of Strathclyde,76 Southbrae Drive Glasgow G13 1PP, UK. nanette.mutrie@ed.ac.uk
    • Fam Pract. 2012 Dec 1; 29 (6): 633642633-42.

    BackgroundPhysical activity can positively influence health for older adults. Primary care is a good setting for physical activity promotion.ObjectiveTo assess the feasibility of a pedometer-based walking programme in combination with physical activity consultations.DesignTwo-arm (intervention/control) 12-week randomized controlled trial with a 12-week follow-up for the intervention group.SettingOne general practice in Glasgow, UK.ParticipantsPARTICIPANTS were aged ≥65 years. The intervention group received two 30-minute physical activity consultations from a trained practice nurse, a pedometer and a walking programme. The control group continued as normal for 12 weeks and then received the intervention. Both groups were followed up at 12 and 24 weeks.Outcome MeasuresStep counts were measured by sealed pedometers and an activPALTM monitor. Psychosocial variables were assessed and focus groups conducted.ResultsThe response rate was 66% (187/284), and 90% of those randomized (37/41) completed the study. Qualitative data suggested that the pedometer and nurse were helpful to the intervention. Step counts (activPAL) showed a significant increase from baseline to week 12 for the intervention group, while the control group showed no change. Between weeks 12 and 24, step counts were maintained in the intervention group, and increased for the control group after receiving the intervention. The intervention was associated with improved quality of life and reduced sedentary time.ConclusionsIt is feasible to recruit and retain older adults from primary care and help them increase walking. A larger trial is necessary to confirm findings and consider cost-effectiveness.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…