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The feasibility of using pedometers and brief advice to increase activity in sedentary older women--a pilot study.

Sugden JA, Sniehotta FF, Donnan PT, Boyle P, Johnston DW, McMurdo ME - BMC Health Serv Res (2008)

Bottom Line: All participants in the pedometer group found the pedometers easy to use and there was good compliance with diary keeping (96% in the pedometer group and 83% in the theory-based intervention alone group).There was a greater increase in activity (accelerometry) amongst those in the 20% target pedometer group compared to the other groups, although not reaching statistical significance (p = 0.192).We have demonstrated that it is feasible to use pedometers and provide theory-based advice to community dwelling sedentary older women to increase physical activity levels and a larger study is planned to investigate this further.

View Article: PubMed Central - HTML - PubMed

Affiliation: Section of Ageing & Health, Division of Medicine & Therapeutics, University of Dundee, Ninewells Hospital & Medical School, Dundee, UK. j.a.sugden@dundee.ac.uk

ABSTRACT

Background: People over the age of 70 carry the greatest burden of chronic disease, disability and health care use. Participation in physical activity is crucial for health, and walking accounts for much of the physical activity undertaken by sedentary individuals. Pedometers are a useful motivational tool to encourage increased walking and they are cheap and easy to use. The aim of this pilot study was to evaluate the feasibility of the use of pedometers plus a theory-based intervention to assist sedentary older women to accumulate increasing amounts of physical activity, mainly through walking.

Methods: Female participants over the age of 70 were recruited from primary care and randomised to receive either pedometer plus a theory-based intervention or a theory-based intervention alone. The theory-based intervention consisted of motivational techniques, goal-setting, barrier identification and self-monitoring with pedometers and daily diaries. The pedometer group were further randomised to one of three target groups: a 10%, 15% or 20% monthly increase in step count to assess the achievability and acceptability of a range of targets. The primary outcome was change in daily activity levels measured by accelerometry. Secondary outcome measures were lower limb function, health related quality of life, anxiety and depression.

Results: 54 participants were recruited into the study, with an average age of 76. There were 9 drop outs, 45 completing the study. All participants in the pedometer group found the pedometers easy to use and there was good compliance with diary keeping (96% in the pedometer group and 83% in the theory-based intervention alone group). There was a strong correlation (0.78) between accelerometry and pedometer step counts i.e. indicating that walking was the main physical activity amongst participants. There was a greater increase in activity (accelerometry) amongst those in the 20% target pedometer group compared to the other groups, although not reaching statistical significance (p = 0.192).

Conclusion: We have demonstrated that it is feasible to use pedometers and provide theory-based advice to community dwelling sedentary older women to increase physical activity levels and a larger study is planned to investigate this further.

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Related in: MedlinePlus

Change in activity between baseline and 12 weeks in theory-based intervention alone group compared to pedometer group as a whole, 95% confidence intervals shown.
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Figure 2: Change in activity between baseline and 12 weeks in theory-based intervention alone group compared to pedometer group as a whole, 95% confidence intervals shown.

Mentions: There was no difference in change in accelerometry count between the advice group and the pedometer group as a whole (t-test, p = 0.893, table 1 and figure 2), however, there was an increase in activity (accelerometry) amongst those in the 20% target pedometer group compared to the other target groups although not reaching statistical significance (p = 0.192). Looking at the daily diary entries, the advice group met the target 58% of days compared with 61% of days in the pedometer group (p < 0.001). In the pedometer group, the 10% target group met the target 55%, 15% target group 57% and 20% target group 74%. There was a higher rate of meeting the target in the highest target group.


The feasibility of using pedometers and brief advice to increase activity in sedentary older women--a pilot study.

Sugden JA, Sniehotta FF, Donnan PT, Boyle P, Johnston DW, McMurdo ME - BMC Health Serv Res (2008)

Change in activity between baseline and 12 weeks in theory-based intervention alone group compared to pedometer group as a whole, 95% confidence intervals shown.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2527003&req=5

Figure 2: Change in activity between baseline and 12 weeks in theory-based intervention alone group compared to pedometer group as a whole, 95% confidence intervals shown.
Mentions: There was no difference in change in accelerometry count between the advice group and the pedometer group as a whole (t-test, p = 0.893, table 1 and figure 2), however, there was an increase in activity (accelerometry) amongst those in the 20% target pedometer group compared to the other target groups although not reaching statistical significance (p = 0.192). Looking at the daily diary entries, the advice group met the target 58% of days compared with 61% of days in the pedometer group (p < 0.001). In the pedometer group, the 10% target group met the target 55%, 15% target group 57% and 20% target group 74%. There was a higher rate of meeting the target in the highest target group.

Bottom Line: All participants in the pedometer group found the pedometers easy to use and there was good compliance with diary keeping (96% in the pedometer group and 83% in the theory-based intervention alone group).There was a greater increase in activity (accelerometry) amongst those in the 20% target pedometer group compared to the other groups, although not reaching statistical significance (p = 0.192).We have demonstrated that it is feasible to use pedometers and provide theory-based advice to community dwelling sedentary older women to increase physical activity levels and a larger study is planned to investigate this further.

View Article: PubMed Central - HTML - PubMed

Affiliation: Section of Ageing & Health, Division of Medicine & Therapeutics, University of Dundee, Ninewells Hospital & Medical School, Dundee, UK. j.a.sugden@dundee.ac.uk

ABSTRACT

Background: People over the age of 70 carry the greatest burden of chronic disease, disability and health care use. Participation in physical activity is crucial for health, and walking accounts for much of the physical activity undertaken by sedentary individuals. Pedometers are a useful motivational tool to encourage increased walking and they are cheap and easy to use. The aim of this pilot study was to evaluate the feasibility of the use of pedometers plus a theory-based intervention to assist sedentary older women to accumulate increasing amounts of physical activity, mainly through walking.

Methods: Female participants over the age of 70 were recruited from primary care and randomised to receive either pedometer plus a theory-based intervention or a theory-based intervention alone. The theory-based intervention consisted of motivational techniques, goal-setting, barrier identification and self-monitoring with pedometers and daily diaries. The pedometer group were further randomised to one of three target groups: a 10%, 15% or 20% monthly increase in step count to assess the achievability and acceptability of a range of targets. The primary outcome was change in daily activity levels measured by accelerometry. Secondary outcome measures were lower limb function, health related quality of life, anxiety and depression.

Results: 54 participants were recruited into the study, with an average age of 76. There were 9 drop outs, 45 completing the study. All participants in the pedometer group found the pedometers easy to use and there was good compliance with diary keeping (96% in the pedometer group and 83% in the theory-based intervention alone group). There was a strong correlation (0.78) between accelerometry and pedometer step counts i.e. indicating that walking was the main physical activity amongst participants. There was a greater increase in activity (accelerometry) amongst those in the 20% target pedometer group compared to the other groups, although not reaching statistical significance (p = 0.192).

Conclusion: We have demonstrated that it is feasible to use pedometers and provide theory-based advice to community dwelling sedentary older women to increase physical activity levels and a larger study is planned to investigate this further.

Show MeSH
Related in: MedlinePlus