TITLE

The Healthy Steps Study: A randomized controlled trial of a pedometer-based Green Prescription for older adults. Trial protocol

AUTHOR(S)
Kolt, Gregory S.; Schofield, Grant M.; Kerse, Ngaire; Garrett, Nicholas; Schluter, Philip J.; Ashton, Toni; Patel, Asmita
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9 Issue 1, p404
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Graded health benefits of physical activity have been demonstrated for the reduction of coronary heart disease, some cancers, and type-2 diabetes, and for injury reduction and improvements in mental health. Older adults are particularly at risk of physical inactivity, and would greatly benefit from successful targeted physical activity interventions. Methods/Design: The Healthy Steps study is a 12-month randomized controlled trial comparing the efficacy of a pedometer-based Green Prescription with the conventional time-based Green Prescription in increasing and maintaining physical activity levels in low-active adults over 65 years of age. The Green Prescription interventions involve a primary care physical activity prescription with 3 follow-up telephone counselling sessions delivered by trained physical activity counsellors over 3 months. Those in the pedometer group received a pedometer and counselling based around increasing steps that can be monitored on the pedometer, while those in the standard Green Prescription group received counselling using time-based goals. Baseline, 3 month (end of intervention), and 12 month measures were assessed in face-to-face home visits with outcomes measures being physical activity (Auckland Heart Study Physical Activity Questionnaire), quality of life (SF-36 and EQ-5D), depressive symptoms (Geriatric Depression Scale), blood pressure, weight status, functional status (gait speed, chair stands, and tandem balance test) and falls and adverse events (self-report). Utilisation of health services was assessed for the economic evaluation carried out alongside this trial. As well, a process evaluation of the interventions and an examination of barriers and motives for physical activity in the sample were conducted. The perceptions of primary care physicians in relation to delivering physical activity counselling were also assessed. Discussion: The findings from the Healthy Steps trial are due in late 2009. If successful in improving physical activity in older adults, the pedometer-based Green Prescription could assist in reducing utilisation of health services and improve cardiovascular health and reduction of risk for a range of non-communicable lifestyles diseases. Trial registration: Australian and New Zealand Clinical Trials Registry ACTRN012606000023550
ACCESSION #
47321575

 

Related Articles

  • MENA: The Dawn of a New Era. Abraham, Rani // Applied Clinical Trials;Apr2011, Vol. 20 Issue 4, p36 

    The article reports on the clinical research increase in Middle East and North Africa in 2011. It notes that there has been significant increase of investment in healthcare and modern hospitals incorporating state of the art equipment for organizing clinical trials in the regions. It notes that...

  • The value of oral rehabilitation. Heydecke, Guido; Habil, Dent // Quintessence International;Feb2008, Vol. 39 Issue 2, p9 

    The author reflects on the effectiveness of oral rehabilitation. He claims that the rehabilitation offers several options, including longevity and survival, which is one of the most measured outcomes of dental clinical trials. He suggests patients to understand that restorative treatment does...

  • Observational Data Under the Microscope. Kubick, Wayne R. // Applied Clinical Trials;Apr2009, Vol. 18 Issue 4, p34 

    The article discusses the importance of using longitudinal health care data in clinical research in the U.S. It says that the data can be used in providing early warnings and assessment of potential safety issues, exploring and verifying safety signals of the patients, and for better...

  • Intraocular Pressure Control with Latanoprost/Timolol and Travoprost/Timolol Fixed Combinations: A Retrospective, Multicentre, Cross-Sectional Study. Denis, Philippe; Lafuma, Antoine; Jeanbat, Viviane; Laurendeau, Caroline; Berdeaux, Gilles // Clinical Drug Investigation;2008, Vol. 28 Issue 12, p767 

    Objective: The aim of this study was to confirm randomized clinical trial results showing that a fixed timolol/travoprost combination (TT; DuoTrav®) controls intraocular pressure (IOP) better than a fixed timolol/latanoprost combination (TL; Xalacom®) in everyday ophthalmic practice, when...

  • Trials show water 'is successful' in earwax removal.  // GP: General Practitioner;11/19/2004, p9 

    The article presents information on the importance of water in successful removal of earwax. Plain water may suffice for syringing of uncomplicated earwax, according to a review. Researchers from the University of East Anglia reviewed 18 randomised control trials on topical preparations in the...

  • The Pulse on Global Trials. Howes, Matthew // CenterWatch Weekly;4/7/2014, Vol. 18 Issue 14, p6 

    The article offers information on making recruitment and retention goals for clinical trials in developing markets realistic. Due to high literacy rates in developed countries, gathering informed consent using traditional, paper-based systems is not effective. Falguni Sen, director of the Global...

  • Methodological quality of systematic reviews of animal studies: a survey of reviews of basic research. Mignini, Luciano E.; Khan, Khalid S. // BMC Medical Research Methodology;2006, Vol. 6, p10 

    Background: Systematic reviews can serve as a tool in translation of basic life sciences research from laboratory to human research and healthcare. The extent to which reviews of animal research are systematic and unbiased is not known. Methods: We searched, without language restrictions,...

  • Bedeutung klinischer Studien für die Chirurgie. Seiler, C. M.; Diener, M. K.; Schuhmacher, C. // Der Chirurg;Apr2010, Vol. 81 Issue 4, p334 

    Clinical trials play a key role in patient care, academic education and research in surgery. Without valid studies the practice of evidence-based medicine is limited. Surgery is supported through funding by the German Ministry of Education and Research to establish an infrastructure for clinical...

  • Composite End points: Proceed with Caution. Kleist, Peter // Applied Clinical Trials;May2006, Vol. 15 Issue 5, p50 

    The article discusses the use of valid primary endpoint for a randomized controlled trial (RCT) designed to demonstrate efficacy of a new pharmaceutical drug in clinical trials. A composite endpoint consists of multiple single endpoints that are combined in order to confront an investigational...

  • How we can contribute to clinical research. Boothe, Dawn Merton // Veterinary Medicine;Sep2008, Vol. 103 Issue 9, p482 

    The article focuses on the importance of clinical trials. It mentions that clinical trials constitute the foundation of evidence-based medicine. Moreover, it strengthens recruitment and retention of clinical faculty. Although there are challenges such as financial constraints and complicated...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics